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Uncover the Hidden Truths of Phelan-McDermid Syndrome: How DNA Methylation Can Transform Your Practice

Uncover the Hidden Truths of Phelan-McDermid Syndrome: How DNA Methylation Can Transform Your Practice

Introduction: A New Era in Understanding Phelan-McDermid Syndrome

Phelan-McDermid Syndrome (PHMDS) is a complex neurodevelopmental disorder that presents a wide range of challenges, including developmental delays, speech impairments, and autistic behaviors. Recent research has unveiled a groundbreaking discovery in the form of DNA methylation epi-signatures, which can significantly enhance our understanding and treatment of PHMDS.

The Study: Unveiling Molecular Subtypes

A pivotal study titled "DNA methylation epi-signature is associated with two molecularly and phenotypically distinct clinical subtypes of Phelan-McDermid syndrome" has revealed crucial insights. By analyzing genome-wide DNA methylation profiles in 22 individuals with PHMDS, researchers identified a novel DNA methylation epi-signature that distinguishes two distinct clinical subtypes.

The study involved 11 individuals with large deletions (2 to 5.8 Mb) and 10 with small deletions or intragenic variants in the SHANK3 gene. The critical finding was the identification of the BRD1 gene region as responsible for the PHMDS epi-signature, leading to different metabolomic profiles and indicating two distinct subtypes of the syndrome.

Implications for Practitioners

For practitioners, these findings offer a transformative opportunity to enhance diagnostic accuracy and tailor interventions more effectively. Here’s how you can leverage this research:

Why This Matters

The ability to distinguish between molecular subtypes of PHMDS not only enhances diagnostic precision but also opens new avenues for personalized therapy. This approach aligns with the growing emphasis on data-driven decisions in healthcare, ensuring that interventions are backed by robust scientific evidence.

Conclusion: A Call to Action

As practitioners, it is imperative to stay abreast of such advancements and integrate them into practice. By doing so, we can significantly improve outcomes for children with PHMDS, providing them with the targeted support they need to thrive.

To delve deeper into this groundbreaking research, I encourage you to read the original research paper: DNA methylation epi-signature is associated with two molecularly and phenotypically distinct clinical subtypes of Phelan-McDermid syndrome.


Citation: Schenkel, L. C., Aref-Eshghi, E., Rooney, K., Kerkhof, J., Levy, M. A., McConkey, H., Rogers, R. C., Phelan, K., Sarasua, S. M., Jain, L., Pauly, R., Boccuto, L., DuPont, B., Cappuccio, G., Brunetti-Pierri, N., Schwartz, C. E., & Sadikovic, B. (2021). DNA methylation epi-signature is associated with two molecularly and phenotypically distinct clinical subtypes of Phelan-McDermid syndrome. Clinical Epigenetics, 13(2). https://doi.org/10.1186/s13148-020-00990-7
Marnee Brick, President, TinyEYE Therapy Services

Author's Note: Marnee Brick, TinyEYE President, and her team collaborate to create our blogs. They share their insights and expertise in the field of Speech-Language Pathology, Online Therapy Services and Academic Research.

Connect with Marnee on LinkedIn to stay updated on the latest in Speech-Language Pathology and Online Therapy Services.

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