Evidence map›Paper›PMID 41840691›Full record

ArticleHuman genomics2026

Phenotypic spectrum of 11p15.5 duplications: parent-of-origin and copy number variant size shape outcomes from Silver-Russell to Beckwith-Wiedemann syndromes.

Chenyang Wang, Hengyuan Zhang, Meiying Wang, Juan Gao, Yibing Lv, Jianmei Huang, Shuxian Pan, Dong Wu, Bing Kang, Qiaofang Hou and 1 more

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In one paragraph

Article in Human genomics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Chenyang WangInstitute of Medical Genetics, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, 450003, Henan, China.
Hengyuan ZhangInstitute of Medical Genetics, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, 450003, Henan, China.
Meiying WangInstitute of Medical Genetics, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, 450003, Henan, China.
Juan GaoInstitute of Medical Genetics, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, 450003, Henan, China.
Yibing LvInstitute of Medical Genetics, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, 450003, Henan, China.
Jianmei HuangInstitute of Medical Genetics, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, 450003, Henan, China.
Shuxian PanDepartment of oncology department, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, 450003, Henan, China. panshuxian2024@163.com.
Dong WuInstitute of Medical Genetics, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, 450003, Henan, China. wudong00@126.com.
Bing KangInstitute of Medical Genetics, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, 450003, Henan, China. kangbing1117@126.com.
Qiaofang HouInstitute of Medical Genetics, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, 450003, Henan, China. houqf_2000@163.com.
Shixiu LiaoInstitute of Medical Genetics, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, 450003, Henan, China. ychslshx@henu.edu.cn.

Funding

Major Projects Jointly Constructed by the Province and the Ministry of Medical Science and Technology Tackling Key Problems in Henan Province SBGJ202101003Natural Science Foundation of Henan Province 232300421121the Natural Science Foundation of China 82371864
6 · The paper itself

Abstract

backgroundGenomic imprinting at the 11p15.5 region is critically involved in fetal growth regulation. Disturbances in this region are primarily associated with two opposing growth disorders: Silver-Russell syndrome (SRS, growth restriction) and Beckwith-Wiedemann syndrome (BWS, overgrowth). While epigenetic alterations are well-characterized in SRS and BWS, copy number variants (CNVs) rearrangements remain incompletely understood, particularly in terms of how duplication size and parental origin shape the phenotypic spectrum.

methodsWe present a case series of three prenatally identified fetuses with 11p15.5 duplications, characterized by chromosomal microarray analysis and Methylation-Specific Multiplex Ligation-dependent Probe Amplification (MS-MLPA). Parental origin was determined by segregation analysis.

resultsCase A: A focal duplication of the maternally inherited allele encompassing only the ICR2/CDKN1C domain presented with severe isolated intrauterine growth restriction (IUGR), consistent with a SRS phenotype. Case B: A large duplication of the maternally inherited allele spanning both the ICR1/H19/IGF2 and ICR2/CDKN1C domains resulted in a complex phenotype of IUGR (SRS-like) with omphalocele (a BWS-associated anomaly), demonstrating a mixed and paradoxical presentation. Case C: A large duplication of the paternally inherited allele of the entire 11p15.5 region was associated with a BWS phenotype, presenting with macrosomia and other features, consistent with the predominant effect of paternal inheritance.

conclusionOur findings support a model in which parental origin shows a strong tendency to determine the direction of growth dysregulation (maternal allele duplications predominantly associate with SRS-like restriction; paternal allele duplications with BWS-like overgrowth), while duplication size contributes to phenotypic complexity, with larger rearrangements involving both ICRs more frequently associated with severe or blended features. However, exceptions to this generalization exist in the literature, highlighting that 11p15.5 duplication disorders exhibit variable penetrance and expressivity.

Indexed as

Beckwith-Wiedemann SyndromeChromosomes, Human, Pair 11DNA Copy Number VariationsSilver-Russell SyndromeCyclin-Dependent Kinase Inhibitor p57FemaleGenomic ImprintingHumansPhenotypePregnancyCDKN1C protein, humanCyclin-Dependent Kinase Inhibitor p5711p15.5 duplicationsBeckwith-Wiedemann syndromesCopy number variantParent-originSilver-Russell

Identifiers

PMID41840691
PMCPMC13104442

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