Kagami Ogata syndrome: a small deletion refines critical region for imprinting

Bibliographic Details
Title: Kagami Ogata syndrome: a small deletion refines critical region for imprinting
Authors: Gonench Kilich, Kelly Hassey, Edward M. Behrens, Marni Falk, Adeline Vanderver, Daniel J. Rader, Patrick J. Cahill, Anna Raper, Zhe Zhang, Dawn Westerfer, Tanaya Jadhav, Laura Conlin, Kosuke Izumi, Ramakrishnan Rajagopalan, Kathleen E. Sullivan, UDN Consortium
Source: npj Genomic Medicine, Vol 9, Iss 1, Pp 1-6 (2024)
Publisher Information: Nature Portfolio, 2024.
Publication Year: 2024
Collection: LCC:Medicine
LCC:Genetics
Subject Terms: Medicine, Genetics, QH426-470
More Details: Abstract Kagami–Ogata syndrome is a rare imprinting disorder and its phenotypic overlap with multiple different etiologies hampers diagnosis. Genetic etiologies include paternal uniparental isodisomy (upd(14)pat), maternal allele deletions of differentially methylated regions (DMR) in 14q32.2 or pure primary epimutations. We report a patient with Kagami–Ogata syndrome and an atypical diagnostic odyssey with several negative standard-of-care genetic tests followed by epigenetic testing using methylation microarray and a targeted analysis of whole-genome sequencing to reveal a 203 bp deletion involving the MEG3 transcript and MEG3:TSS-DMR. Long-read sequencing enabled the simultaneous detection of the deletion, phasing, and biallelic hypermethylation of the MEG3:TSS-DMR region in a single assay. This case highlights the challenges in the sequential genetic testing paradigm, the utility of long-read sequencing as a single comprehensive diagnostic assay, and the smallest reported deletion causing Kagami–Ogata syndrome allowing important insights into the mechanism of imprinting effects at this locus.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2056-7944
Relation: https://doaj.org/toc/2056-7944
DOI: 10.1038/s41525-023-00389-2
Access URL: https://doaj.org/article/18c87511f1c04d91a6e404df341c6e2e
Accession Number: edsdoj.18c87511f1c04d91a6e404df341c6e2e
Database: Directory of Open Access Journals
More Details
ISSN:20567944
DOI:10.1038/s41525-023-00389-2
Published in:npj Genomic Medicine
Language:English