Genetic syndromes associated with overgrowth in childhood

Overgrowth syndromes comprise a diverse group of conditions with unique clinical, behavioral and molecular genetic features. While considerable overlap in presentation sometimes exists, advances in identification of the precise etiology of specific overgrowth disorders continue to improve clinicians...

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Main Author: Jung Min Ko
Format: Article
Language:English
Published: Korean Society of Pediatric Endocrinology 2013-09-01
Series:Annals of Pediatric Endocrinology & Metabolism
Subjects:
Online Access:http://e-apem.org/upload/pdf/apem-18-101.pdf
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author Jung Min Ko
author_facet Jung Min Ko
author_sort Jung Min Ko
collection DOAJ
description Overgrowth syndromes comprise a diverse group of conditions with unique clinical, behavioral and molecular genetic features. While considerable overlap in presentation sometimes exists, advances in identification of the precise etiology of specific overgrowth disorders continue to improve clinicians' ability to make an accurate diagnosis. Among them, this paper introduces two classic genetic overgrowth syndromes: Sotos syndrome and Beckwith-Wiedemann syndrome. Historically, the diagnosis was based entirely on clinical findings. However, it is now understood that Sotos syndrome is caused by a variety of molecular genetic alterations resulting in haploinsufficiency of the NSD1 gene at chromosome 5q35 and that Beckwith-Wiedemann syndrome is caused by heterogeneous abnormalities in the imprinting of a number of growth regulatory genes within chromosome 11p15 in the majority of cases. Interestingly, the 11p15 imprinting region is also associated with Russell-Silver syndrome which is a typical growth retardation syndrome. Opposite epigenetic alterations in 11p15 result in opposite clinical features shown in Beckwith-Wiedemann syndrome and Russell-Silver syndrome. Although the exact functions of the causing genes have not yet been completely understood, these overgrowth syndromes can be good models to clarify the complex basis of human growth and help to develop better-directed therapies in the future.
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spelling doaj.art-3bc34a1e54b246c0808923832cebe64b2022-12-21T19:03:33ZengKorean Society of Pediatric EndocrinologyAnnals of Pediatric Endocrinology & Metabolism2287-10122287-12922013-09-0118310110510.6065/apem.2013.18.3.101502Genetic syndromes associated with overgrowth in childhoodJung Min Ko0Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.Overgrowth syndromes comprise a diverse group of conditions with unique clinical, behavioral and molecular genetic features. While considerable overlap in presentation sometimes exists, advances in identification of the precise etiology of specific overgrowth disorders continue to improve clinicians' ability to make an accurate diagnosis. Among them, this paper introduces two classic genetic overgrowth syndromes: Sotos syndrome and Beckwith-Wiedemann syndrome. Historically, the diagnosis was based entirely on clinical findings. However, it is now understood that Sotos syndrome is caused by a variety of molecular genetic alterations resulting in haploinsufficiency of the NSD1 gene at chromosome 5q35 and that Beckwith-Wiedemann syndrome is caused by heterogeneous abnormalities in the imprinting of a number of growth regulatory genes within chromosome 11p15 in the majority of cases. Interestingly, the 11p15 imprinting region is also associated with Russell-Silver syndrome which is a typical growth retardation syndrome. Opposite epigenetic alterations in 11p15 result in opposite clinical features shown in Beckwith-Wiedemann syndrome and Russell-Silver syndrome. Although the exact functions of the causing genes have not yet been completely understood, these overgrowth syndromes can be good models to clarify the complex basis of human growth and help to develop better-directed therapies in the future.http://e-apem.org/upload/pdf/apem-18-101.pdfMacrosomiaSotos syndromeBeckwith-Wiedemann syndromegenomic imprinting
spellingShingle Jung Min Ko
Genetic syndromes associated with overgrowth in childhood
Annals of Pediatric Endocrinology & Metabolism
Macrosomia
Sotos syndrome
Beckwith-Wiedemann syndrome
genomic imprinting
title Genetic syndromes associated with overgrowth in childhood
title_full Genetic syndromes associated with overgrowth in childhood
title_fullStr Genetic syndromes associated with overgrowth in childhood
title_full_unstemmed Genetic syndromes associated with overgrowth in childhood
title_short Genetic syndromes associated with overgrowth in childhood
title_sort genetic syndromes associated with overgrowth in childhood
topic Macrosomia
Sotos syndrome
Beckwith-Wiedemann syndrome
genomic imprinting
url http://e-apem.org/upload/pdf/apem-18-101.pdf
work_keys_str_mv AT jungminko geneticsyndromesassociatedwithovergrowthinchildhood