PMID- 12210318 OWN - NLM STAT- MEDLINE DCOM- 20030212 LR - 20161124 IS - 0148-7299 (Print) IS - 0148-7299 (Linking) VI - 111 IP - 3 DP - 2002 Aug 15 TI - Familial interstitial 570 kbp deletion of the UBE3A gene region causing Angelman syndrome but not Prader-Willi syndrome. PG - 233-7 AB - Angelman syndrome (AS) is a disorder of psychomotor development caused by loss of function of the imprinted UBE3A gene. Since the paternal UBE3A copy is regularly silent, only mutations inactivating the maternal copy cause AS. Among 1,272 patients suspected of AS, we found one with an isolated deletion of the UBE3A gene on the maternally inherited chromosome. Initial DNA methylation testing at the SNURF-SNRPN locus in the patient revealed a normal pattern. The deletion was only detected through allelic loss at microsatellite loci D15S1506, D15S122, and D15S210, and confirmed with fluorescence in situ hybridization (FISH) using bacterial artificial chromosome (BAC) probes derived from the loci. It extends approximately 570 kilobase pairs (kbp), encompassing the UBE3A locus, and is flanked by loci PAR/SN and D15S986. The deletion is familial, and haplotype studies suggest that a great grandfather of the index patient already carried this deletion, and that it causes AS when inherited through the female germline but not Prader-Willi syndrome (PWS) when paternally inherited. Our findings support the hypothesis that the functional loss of maternal UBE3A gene activity is sufficient to cause AS and that the deleted region does not contain genes or other structures that are involved in PWS. Finally, this case highlights that methylation tests can fail to detect some familial AS cases with a recurrence risk of 50%. CI - Copyright 2002 Wiley-Liss, Inc. FAU - Burger, Joachim AU - Burger J AD - Institute of Human Genetics, Charite, Humboldt-Universitat, Berlin, Germany. FAU - Horn, Denise AU - Horn D FAU - Tonnies, Holger AU - Tonnies H FAU - Neitzel, Heidemarie AU - Neitzel H FAU - Reis, Andre AU - Reis A LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Med Genet JT - American journal of medical genetics JID - 7708900 RN - EC 2.3.2.26 (UBE3A protein, human) RN - EC 2.3.2.27 (Ubiquitin-Protein Ligases) RN - EC 6.- (Ligases) SB - IM MH - Angelman Syndrome/etiology/*genetics MH - Base Sequence MH - Child, Preschool MH - Chromosomes, Human, Pair 15 MH - DNA Methylation MH - Female MH - Haplotypes MH - Humans MH - In Situ Hybridization, Fluorescence MH - Ligases/*genetics MH - Male MH - Microsatellite Repeats MH - Pedigree MH - Prader-Willi Syndrome/etiology/*genetics MH - *Sequence Deletion MH - Ubiquitin-Protein Ligases EDAT- 2002/09/05 10:00 MHDA- 2003/02/14 04:00 CRDT- 2002/09/05 10:00 PHST- 2002/09/05 10:00 [pubmed] PHST- 2003/02/14 04:00 [medline] PHST- 2002/09/05 10:00 [entrez] AID - 10.1002/ajmg.10498 [doi] PST - ppublish SO - Am J Med Genet. 2002 Aug 15;111(3):233-7. doi: 10.1002/ajmg.10498.