Imprinting-Mutation Mechanisms in Prader-Willi Syndrome

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Imprinting-Mutation Mechanisms in Prader-Willi Syndrome T. Ohta, T.A. Gray, P.K. Rogan, K. Buiting, J.M. Gabriel, S. Saitoh, B. Muralidhar, B. Bilienska, M. Krajewska-Walasek, D.J. Driscoll, B. Horsthemke, M.G. Butler, R.D. Nicholls  The American Journal of Human Genetics  Volume 64, Issue 2, Pages 397-413 (February 1999) DOI: 10.1086/302233 Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 1 PWS domain in proximal chromosome 15q11-q13. The positions of genes and genetic markers (circles), transcription from paternal (“PAT”) or maternal (“MAT”) alleles, common cytogenetic deletion breakpoints (zigzag lines), and regions involved in PWS, AS, and the IC are illustrated. A plus sign (+) indicates presence of expression, and a minus sign (−) indicates no expression. The American Journal of Human Genetics 1999 64, 397-413DOI: (10.1086/302233) Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 2 Clinical photographs of PWS patients. a, PWS-14. This patient has the smallest known PWS deletion (7.5 kb). b and c, PWS-29. d and e, PWS-B. f, PWS-G. These three patients with an IM have no 15q11-q13 IC microdeletion or detectable mutation. Note the small hands typical of PWS. g and h, PWS-P sibs. These sibs have a large IC deletion. The American Journal of Human Genetics 1999 64, 397-413DOI: (10.1086/302233) Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 3 DNA methylation identifies PWS IMs. DNA was digested with XbaI/NotI, Southern blotted, and probed with the 0.6NE fragment of the SNRPN 5′ CpG island. The upper 4.3-kb band represents the methylated allele, which is usually of maternal origin, and the lower 0.9-kb band represents the unmethylated allele, which is of paternal origin. a, PWS-14. The SNRPN probe is deleted from the paternal allele (lane 1 is overloaded). b, PWS-B. Only the methylated band is present, but the patient is not deleted at this locus (lane 4), indicating that the paternal chromosome has a maternal imprint. del = deletion, and N = normal. The American Journal of Human Genetics 1999 64, 397-413DOI: (10.1086/302233) Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 4 Microdeletion of 7.5 kb in patient PWS-14. a, Distal breakpoint. SNRPN exons 1–3 cDNA as probe detected the distal breakpoint in EcoRI-digested DNA. b, Proximal breakpoint. The 393SS probe detected the proximal breakpoint in XbaI-digested DNA. c, Map of the IC microdeletion. The deletion is shown as a blackened bar. Arrows indicate breakpoint fragments. E = exon. The American Journal of Human Genetics 1999 64, 397-413DOI: (10.1086/302233) Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 5 Summary map of PWS microdeletions, with SRO. The extent of each deletion is shown by a blackened bar, with new cases in boldface (PWS-B, PWS-G, and PWS-29 are nondeleted); records for families PWS-O, PWS-U, and PWS-S and for the AS SRO are published elsewhere (Buiting et al. 1995; Saitoh et al. 1996). A point mutation in family AS-C2 occurs in the splice donor site of an IC transcript (Dittrich et al. 1996). The microdeletions in families with PWS or AS affect the maternal-to-paternal (“mat→pat”) or the paternal-to-maternal (“pat→mat”) switch in the male or female germ line, respectively. Exons of the IC transcript and SNRPN (upper blackened boxes) and of the probes (lower blackened boxes or horizontal lines [for L48.6I and L48.3I]) are shown. The American Journal of Human Genetics 1999 64, 397-413DOI: (10.1086/302233) Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 6 Silencing of paternal-only gene expression in PWS IMs. Paternally expressed genes and transcripts across a 1.0–1.5-Mb domain (ZNF127, SNRPN, PAR-5, IPW, and PAR-1) are not expressed in (a) PWS-14, a patient with PWS who has a 7.5-kb microdeletion, or in (b) PWS-B, a patient with PWS who does not have an IC mutation. RT-PCR expression analysis of lymphoblast cell lines of the patients and controls are shown. RT-PCR analysis of the control GAPDH (a) and FBN (b) genes shows expression in all the RT+ samples. The American Journal of Human Genetics 1999 64, 397-413DOI: (10.1086/302233) Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 7 A paternal-specific DHS in the PWS SRO. a, Nuclei from lymphoblastoid cell lines with a maternally derived (AS-139) or paternally derived (PWS-109) 15q11-q13 deletion were treated with varying concentrations of DNase I. The resulting genomic DNAs were cut with BamHI (“B”), Southern blotted, and probed with an EcoRI (“E”)/BamHI fragment from intron 1 of SNRPN. In AS-139, a major subfragment was generated in nuclei exposed to 50 and 250 U DNase I/ml, indicating the presence of a DHS ∼3.1 kb upstream of the distal BamHI site. No specific DHSs were seen in PWS-109. b, Schematic diagram depicting the relative positions of the PWS SRO (blackened bar), the probe fragment (hatched bar), the SNRPN exon 1 transcription start (thin arrow), and the major DHS (thick arrow). The American Journal of Human Genetics 1999 64, 397-413DOI: (10.1086/302233) Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 8 Phylogenetic footprints within the PWS SRO. The transcription start site for human SNRPN and mouse Snrpn genes are indicated by arrows, and mouse and human promoter sequences are aligned 5′ of these start sites (determined by use of the Clustal algorithm, with modifications to maximize parsimony). Six putative evolutionarily conserved footprints, which are likely to represent TF binding sites, are identified (blackened boxes [top] and boxed sequences [bottom]). One or more of these TF binding sites are also candidates for the IC imprint-switch element. The American Journal of Human Genetics 1999 64, 397-413DOI: (10.1086/302233) Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 9 Microsatellite haplotype analysis of the family of PWS-B. Haplotypes were generated by use of the marker loci shown. One normal sib has the same paternal haplotype (boxed) as patient PWS-B, and this haplotype was derived from the paternal grandmother. The American Journal of Human Genetics 1999 64, 397-413DOI: (10.1086/302233) Copyright © 1999 The American Society of Human Genetics Terms and Conditions