Table 1.
Syndrome/Episignature | Abbreviation | Underlying Genes | Phenotype MIM Number | Training Cohort | Testing Cohort | Episignature Detected? |
---|---|---|---|---|---|---|
ADNP syndrome—5′ and 3′ terminal ends | ADNP_T | ADNP (outside c.2000-2340) | 615873 | 14 | 5 | yes |
ADNP syndrome—central | ADNP_C | ADNP (c.2000-2340) | 615873 | 10 | 3 | yes |
alpha-thalassemia mental retardation syndrome | ATRX | ATRX | 301040 | 13 | 5 | yes |
autism, susceptibility to, 18 | AUTS18a | CHD8 | 615032 | 5 | 0 | yes |
BAFopathies: Coffin-Siris 1–4 (CSS1–4) and Nicolaides-Baraitser (NCBRS) syndromes | BAFopathya | ARID1Aa, ARID1B, SMARCB1, SMARCA4, SMARCA2 | 614607, 135900, 614609, 614608, 601358 | 50 | 19 | yes |
Börjeson-Forssman-Lehmann syndrome | BFLSa | PHF6 | 301900 | 4 | 0 | yes |
cerebellar ataxia, deafness, and narcolepsy, autosomal dominant | ADCADN | DNMT1 | 604121 | 5 | 0 | yes |
CHARGE syndrome | CHARGE | CHD7 | 214800 | 45 | 15 | yes |
Chr7q11.23 duplication syndrome | Dup7 | Chr7q11.23 duplication | 609757 | 8 | 2 | yes |
mental retardation, X-linked, syndromic, Claes-Jensen type (Claes-Jensen syndrome) | CJS | KDM5C | 300534 | 26 | 8 | yes |
Cornelia de Lange syndrome 1–4 | CdLS | NIPBL, RAD21, SMC3, SMC1A | 122470, 614701, 610759, 300590 | 31 | 10 | yes |
Down syndrome | Down | Chr21 trisomy | 190685 | 29 | 10 | yes |
epileptic encephalopathy, childhood-onset | EEOCa | CHD2 | 615369 | 5 | 0 | yes |
Floating-Harbor syndrome | FHS | SRCAP | 136140 | 15 | 5 | yes |
genitopatellar syndrome | GTPTS | KAT6B | 606170 | 5 | 0 | yes |
Hunter McAlpine syndrome | HMAa | 17q23.1-q24.2 duplication involving NSD1 | 601379 | 4 | 0 | yes |
immunodeficiency-centromeric instability-facial anomalies syndrome 1 | ICF1 | DNMT3B | 242860 | 8 | 0 | yes |
immunodeficiency-centromeric instability-facial anomalies syndrome 2–4 | ICF2_3_4 | CDCA7, ZBTB24, HELLS | 614069, 616910, 616911 | 7 | 0 | yes |
Kabuki syndrome 1 and 2 | Kabukia | KMT2D, KDM6Aa | 147920, 300867 | 66 | 21 | yes |
Kleefstra syndrome 1 | Kleefstra1a | EHMT1 | 610253 | 15 | 5 | yes |
Koolen de Vreis syndrome | KDVSa | KANSL1 | 610443 | 6 | 0 | yes |
mental retardation, autosomal dominant 51 | MRD51a | KMT5B | 617788 | 5 | 0 | yes |
mental retardation, X-linked 93 | MRX93a | BRWD3 | 300659 | 5 | 0 | yes |
mental retardation, X-linked 97 | MRX97a | ZNF711 | 300803 | 13 | 4 | yes |
mental retardation, X-linked syndromic, Nascimento-type | MRXSNa | UBE2A | 300860 | 3 | 0 | yes |
mental retardation, X-linked, Snyder-Robinson type | MRXSSRa | SMS | 309583 | 8 | 2 | yes |
Rahman syndrome | RMNSa | HIST1H1E | 617537 | 6 | 0 | yes |
Rubinstein-Taybi syndrome 1 and 2 | RSTSa | CREBBP, EP300 | 180849, 613684 | 30 | 9 | yes |
SBBYSS syndrome | SBBYSSa | KAT6B | 603736 | 7 | 0 | yes |
SETD1B-related syndrome | SETD1Ba | SETD1B | N/A | 8 | 0 | yes |
Sotos syndrome | Sotos | NSD1 | 117550 | 47 | 15 | yes |
Tatton-Brown-Rahman syndrome | TBRSa | DNMT3A | 615879 | 10 | 4 | yes |
Wiedemann-Steiner syndrome | WDSTSa | KMT2A | 605130 | 12 | 4 | yes |
Williams syndrome | Williams | Chr7q11.23 deletion | 194050 | 15 | 6 | yes |
Cornelia de Lange syndrome 5 (females only) | CdLS5 | HDAC8 | 300882 | 8 | N/A | no |
FG syndrome 1 | FG1a,b | MED12 | 305450 | 9 | N/A | no |
Glass syndrome | Glassa,b | SATB2 | 612313 | 9 | N/A | no |
KMT2C-related syndrome£ | KMT2Ca,b,c | KMT2C | 617768 | 4 | N/A | no |
neurodevelopmental disorder with coarse facies and mild distal skeletal abnormalities | NEDCFSAa,b | KDM6B | 618505 | 5 | N/A | no |
Rett syndrome | Rett | MECP2 | 312750 | 36 | N/A | no |
Siderius-type X-linked syndromic mental retardation | MRXSSDa,b | PHF8 | 300263 | 9 | N/A | no |
Smith-Magenis syndrome | SMSa,b | RAI1 | 309583 | 15 | N/A | no |
Indicates that these disorders (or some of their subtypes) were not evaluated in previous studies.
Indicates cohorts with no evidence of a reproducible episignature; this is potentially due to small sample size. A possibility of an episignature is not completely ruled out, and reanalysis using larger sample sizes is warranted.
The OMIM database, at the time of this study, has indicated that subjects with KMT2C mutations may be said to have “Kleefstra 2” syndrome. The DNA methylation signature found in Kleefstra 1 (caused by EHMT1), however, is completely absent in these subjects. It is acknowledged that these subjects have a distinct phenotype from Kleefstra syndrome and a name change is currently in process with OMIM. The numbers in the testing and training cohort columns indicate the sample counts available for each condition in each category. For cohorts with negative findings in the initial assessment, we did not further split the data into testing and training, and thus, the values in the testing column are indicated with N/A (not applicable).