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Beckwith-Wiedemann; exomphalos-macroglossia-gigantism syndrome
Genetics:
1) autosomal dominant with variable penetrance, from contiguous gene duplication at 11p15
2) paternal imprinting or sporadic
3) chromosomal translocations in BWS are maternal in origin
4) paternal duplications of 11p15
5) all known translocations in the BWSCR1 (BWS critical region 1) occur in the maternally expressed KVLQT1 gene
6) abnormal imprinting affects IGF2 & H19 genes
7) other imprinted BWS candidate genes include p57KIP2 (CDKN1C) HASH2/ASCL2, SLC22A18AS
8) defects in NSD1 gene [4]
Clinical manifestations:
1) anterior abdominal wall defects
2) exomphalos (omphalocele)
3) prenatal & postnatal overgrowth
4) macroglossia
5) specific developmental defects
6) predisposition to embryonal tumors
Related
Achaete-scute homolog 2; ASH-2; hASH2; mash2; class A basic helix-loop-helix protein 45; bHLHa45 (ASCL2, BHLHA45 HASH2)
cyclin-dependent kinase inhibitor 1C; cyclin-dependent kinase inhibitor p57; p57KIP2 (CDKN1C KIP2)
KVLQT1 gene
solute carrier family 22 member 18 antisense (SLC22A18AS, solute carrier family 22 member 1-like antisense, SLC22A1LS, Beckwith-Wiedemann syndrome chromosome region 1 candidate protein B, BWR1B, p27-Beckwith-Wiedemann region 1 B, p27-BWR1B, organic cation transporter-like protein 2-antisense, ORCTL2S)
Specific
Beckwith-Wiedemann syndrome/CDKN1C gene associated
Beckwith-Wiedemann syndrome/KVLQT1 gene associated
General
overgrowth syndrome; overgrowth malformation disorder
Properties
ASSOCIATED-NEOPLASM[S]: adrenal cortical carcinoma
Wilm's tumor
hepatoblastoma
rhabdomyosarcoma
Wilm's tumor
teratoma
:SITE stomach
Database Correlations
OMIM 130650
References
- Lee MP, Hu RJ, Johnson LA, Feinberg AP.
Human KVLQT1 gene shows tissue-specific imprinting and
encompasses Beckwith-Wiedemann syndrome chromosomal
rearrangements.
Nat Genet. 1997 Feb;15(2):181-5.
PMID: 9020845
- Mannens M, Wilde A.
KVLQT1, the rhythm of imprinting.
Nat Genet. 1997 Feb;15(2):113-5.
PMID: 9020829
- OMIM #130650
- UniProt :accession Q96L73
- ARUP Consult: Beckwith-Wiedemann and Russell-Silver Syndromes
https://arupconsult.com/ati/beckwith-wiedemann-and-russell-silver-syndromes