<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medgen</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинская генетика</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Genetics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2073-7998</issn><publisher><publisher-name>Publishing House «Genius Media» LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25557/2073-7998.2024.12.22-29</article-id><article-id custom-type="elpub" pub-id-type="custom">medgen-2583</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL RESEARCH</subject></subj-group></article-categories><title-group><article-title>Использование эписигнатуры для диагностики синдрома Сотоса</article-title><trans-title-group xml:lang="en"><trans-title>Using episignature to diagnose Sotos syndrome</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ефремова</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Efremova</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, г. Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechie st., Moscow, 115478</p></bio><email xlink:type="simple">anv.efremova@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Земляная</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zemlianaia</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, г. Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechie st., Moscow, 115478</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Калинкин</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Kalinkin</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, г. Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechie st., Moscow, 115478</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Залетаев</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zaletaev</surname><given-names>D. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, г. Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechie st., Moscow, 115478</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Танас</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Tanas</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, г. Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechie st., Moscow, 115478</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стрельников</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Strelnikov</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, г. Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechie st., Moscow, 115478</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Володин</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Volodin</surname><given-names>I. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>115522, г. Москва, ул. Москворечье, д. 1</p></bio><bio xml:lang="en"><p>1, Moskvorechie st., Moscow, 115478</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ Медико-генетический научный центр имени академика Н.П. Бочкова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Centre for Medical Genetics</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>25</day><month>01</month><year>2025</year></pub-date><volume>23</volume><issue>12</issue><fpage>22</fpage><lpage>29</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ефремова А.В., Земляная О.А., Калинкин А.И., Залетаев Д.В., Танас А.С., Стрельников В.В., Володин И.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Ефремова А.В., Земляная О.А., Калинкин А.И., Залетаев Д.В., Танас А.С., Стрельников В.В., Володин И.В.</copyright-holder><copyright-holder xml:lang="en">Efremova A.V., Zemlianaia O.A., Kalinkin A.I., Zaletaev D.V., Tanas A.S., Strelnikov V.V., Volodin I.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.medgen-journal.ru/jour/article/view/2583">https://www.medgen-journal.ru/jour/article/view/2583</self-uri><abstract><p>Мутационные события в генах эпигенетического аппарата влекут за собой изменения в метилировании ДНК. Уникальные паттерны метилирования ДНК (эписигнатуры) являются высокоспецифичными биомаркерами заболеваний и могут использоваться для косвенной диагностики хроматинопатий и для интерпретации вариантов в эпигенах. В этой работе мы провели поиск наиболее значимых CpG-динуклеотидов из широкогеномной эписигнатуры синдрома Сотоса и разработали классифицирующую модель для косвенной диагностики синдрома Сотоса на основании выявленной эписигнатуры. Данная модель применима в качестве теста второй линии при клинической картине синдрома Сотоса и отсутствии молекулярно-генетического диагноза. Наличие эписигнатуры синдрома Сотоса устанавливает диагноз, но заставляет искать другие варианты ДНК в гене NSD1, которые могут приводить к патологии.</p></abstract><trans-abstract xml:lang="en"><p>Mutational events in the genes of the epigenetic apparatus lead to changes in DNA methylation. Unique DNA methylation patterns (episignatures) are highly specific biomarkers of diseases and can be used for indirect diagnosis of chromatinopathies and for interpretation of variants in epigenes. In this work, we searched for the most significant CpG dinucleotides from the genome-wide episignature of Sotos syndrome and developed a classification model for indirect diagnosis of Sotos syndrome based on the identified episignature. This model is applicable as a second-line test (in the clinical picture of Sotos syndrome and the absence of a molecular genetic diagnosis). The presence of the episignature of Sotos syndrome establishes the diagnosis and prompts the search for the causative variant in the NSD1 gene.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>синдром Сотоса</kwd><kwd>эписигнатура</kwd><kwd>метилирование ДНК</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Sotos syndrome</kwd><kwd>episignature</kwd><kwd>DNA methylation</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена в рамках государственного задания Минобрнауки России для ФГБНУ МГНЦ.</funding-statement><funding-statement xml:lang="en">The study was carried out according to the state assignment of the Ministry of Science and Higher Education of the Russian Federation for the Research Centre for Medical Genetics.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Levy M.A., McConkey H., Kerkhof J., et al. Novel diagnostic DNA methylation episignatures expand and refine the epigenetic landscapes of Mendelian disorders. HGG Adv. 2021;3(1):100075.</mixed-citation><mixed-citation xml:lang="en">Levy M.A., McConkey H., Kerkhof J., et al. Novel diagnostic DNA methylation episignatures expand and refine the epigenetic landscapes of Mendelian disorders. HGG Adv. 2021;3(1):100075.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Choufani S., Cytrynbaum C., Chung B.H., et al. NSD1 mutations generate a genome-wide DNA methylation signature. Nat Commun. 2015;6:10207.</mixed-citation><mixed-citation xml:lang="en">Choufani S., Cytrynbaum C., Chung B.H., et al. NSD1 mutations generate a genome-wide DNA methylation signature. Nat Commun. 2015;6:10207.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Aref-Eshghi E., Kerkhof J., Pedro V.P., et al. Evaluation of DNA Methylation Episignatures for Diagnosis and Phenotype Correlations in 42 Mendelian Neurodevelopmental Disorders. Am J Hum Genet. 2020;106(3):356-370.</mixed-citation><mixed-citation xml:lang="en">Aref-Eshghi E., Kerkhof J., Pedro V.P., et al. Evaluation of DNA Methylation Episignatures for Diagnosis and Phenotype Correlations in 42 Mendelian Neurodevelopmental Disorders. Am J Hum Genet. 2020;106(3):356-370.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Husson T., Lecoquierre F., Nicolas G. et al. Episignatures in practice: independent evaluation of published episignatures for the molecular diagnostics of ten neurodevelopmental disorders. Eur J Hum Genet. 2024;32:190–199.</mixed-citation><mixed-citation xml:lang="en">Husson T., Lecoquierre F., Nicolas G. et al. Episignatures in practice: independent evaluation of published episignatures for the molecular diagnostics of ten neurodevelopmental disorders. Eur J Hum Genet. 2024;32:190–199.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Tatton-Brown K., Rahman N. Sotos syndrome. Eur J Hum Genet. 2007;15:264–271.</mixed-citation><mixed-citation xml:lang="en">Tatton-Brown K., Rahman N. Sotos syndrome. Eur J Hum Genet. 2007;15:264–271.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Weinberg D.N., Papillon-Cavanagh S., Chen H. et al. The histone mark H3K36me2 recruits DNMT3A and shapes the intergenic DNA methylation landscape. Nature. 2019;573:281–286.</mixed-citation><mixed-citation xml:lang="en">Weinberg D.N., Papillon-Cavanagh S., Chen H. et al. The histone mark H3K36me2 recruits DNMT3A and shapes the intergenic DNA methylation landscape. Nature. 2019;573:281–286.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Li L.C., Dahiya R. MethPrimer: designing primers for methylation PCRs. Bioinformatics. 2002;18(11):1427-31.</mixed-citation><mixed-citation xml:lang="en">Li L.C., Dahiya R. MethPrimer: designing primers for methylation PCRs. Bioinformatics. 2002;18(11):1427-31.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Karpenko D.V. A Method Using One Fluorophore Signal in Sanger Read to Determine CpG Methylation in Bisulfite Converted DNA. Russ J Genet. 2023;59(11):1255–1262.</mixed-citation><mixed-citation xml:lang="en">Karpenko D.V. A Method Using One Fluorophore Signal in Sanger Read to Determine CpG Methylation in Bisulfite Converted DNA. Russ J Genet. 2023;59(11):1255–1262.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Levy M.A., McConkey H., Kerkhof J., et al. Novel diagnostic DNA methylation episignatures expand and refine the epigenetic landscapes of Mendelian disorders. HGG Adv. 2021;3(1):100075.</mixed-citation><mixed-citation xml:lang="en">Levy M.A., McConkey H., Kerkhof J., et al. Novel diagnostic DNA methylation episignatures expand and refine the epigenetic landscapes of Mendelian disorders. HGG Adv. 2021;3(1):100075.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Trajkova S., Kerkhof J., Rossi Sebastiano M., et al. DNA methylation analysis in patients with neurodevelopmental disorders improves variant interpretation and reveals complexity. HGG Adv. 2024;5(3):100309.</mixed-citation><mixed-citation xml:lang="en">Trajkova S., Kerkhof J., Rossi Sebastiano M., et al. DNA methylation analysis in patients with neurodevelopmental disorders improves variant interpretation and reveals complexity. HGG Adv. 2024;5(3):100309.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Coursimault J., Goldenberg A., Nicolas G., et al. Contribution of DNA methylation profiling to the reclassification of a variant of uncertain significance in the KDM5C gene. Eur J Med Genet. 2022;65(9):104556.</mixed-citation><mixed-citation xml:lang="en">Coursimault J., Goldenberg A., Nicolas G., et al. Contribution of DNA methylation profiling to the reclassification of a variant of uncertain significance in the KDM5C gene. Eur J Med Genet. 2022;65(9):104556.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Sadikovic B., Levy M.A., Aref-Eshghi E. Functional annotation of genomic variation: DNA methylation episignatures in neurodevelopmental Mendelian disorders. Hum Mol Genet. 2020;29(R1):R27-R32.</mixed-citation><mixed-citation xml:lang="en">Sadikovic B., Levy M.A., Aref-Eshghi E. Functional annotation of genomic variation: DNA methylation episignatures in neurodevelopmental Mendelian disorders. Hum Mol Genet. 2020;29(R1):R27-R32.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Kerkhof J., Rastin C., Levy M.A., et al. Diagnostic utility and reporting recommendations for clinical DNA methylation episignature testing in genetically undiagnosed rare diseases. Genet Med. 2024;26(5):101075.</mixed-citation><mixed-citation xml:lang="en">Kerkhof J., Rastin C., Levy M.A., et al. Diagnostic utility and reporting recommendations for clinical DNA methylation episignature testing in genetically undiagnosed rare diseases. Genet Med. 2024;26(5):101075.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Durkie M., Cassidy E.-J., Berry I., et al. The Association for Clinical Genomic Science. Best Practice Guidelines for Variant Classification in Rare Disease 2024 https://www.acgs.uk.com/media/12533/uk-practice-guidelines-for-variant-classification-v12-2024.pdf</mixed-citation><mixed-citation xml:lang="en">Durkie M., Cassidy E.-J., Berry I., et al. The Association for Clinical Genomic Science. Best Practice Guidelines for Variant Classification in Rare Disease 2024 https://www.acgs.uk.com/media/12533/uk-practice-guidelines-for-variant-classification-v12-2024.pdf</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
