DNA methylation episignature, extension of the clinical features, and comparative epigenomic profiling of Hao-Fountain syndrome caused by variants in USP7.
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van der Laan Liselot, Karimi Karim, Rooney Kathleen, Lauffer Peter, McConkey Haley, Caro Pilar, Relator Raissa, Levy Michael A, Bhai Pratibha, Mignot Cyril, Keren Boris, Briuglia Silvana, Sobering Andrew K, Li Dong, Vissers Lisenka E L M, Dingemans Alexander J M, Valenzuela Irene, Verberne Eline A, Misra-Isrie Mala, Zwijnenburg Petra J G, Waisfisz Quinten, Alders Mariëlle, Sailer Sebastian, Schaaf Christian P, Mannens Marcel M A M, Sadikovic Bekim, van Haelst Mieke M, Henneman Peter
Аннотация
METHODS: We assessed genomic DNAm profiles of 18 individuals with pathogenic variants and variants of uncertain significance (VUS) in USP7 to map and validate a specific episignature. The comparison between the USP7 cohort and 56 rare genetic disorders with earlier reported DNAm episignatures was performed with statistical and functional correlation.
RESULTS: We mapped a sensitive and specific DNAm episignature for pathogenic variants in USP7 and utilized this to reclassify the VUS. Comparative epigenomic analysis showed evidence of HAFOUS similarity to a number of other rare genetic episignature disorders.
CONCLUSION: We discovered a sensitive and specific DNAm episignature as a robust diagnostic biomarker for HAFOUS that enables VUS reclassification in USP7. We also expand the phenotypic spectrum of 9 new and 5 previously reported individuals with HAFOUS.