Abstract

Genomic imprinting is an epigenetic marking process that results in the monoallelic expression of a subset of genes. Many of these ‘imprinted’ genes in mice and humans are involved in embryonic and extraembryonic growth and development, and some have life-long impacts on metabolism. During mammalian development, the genome undergoes waves of (re)programming of DNA methylation and other epigenetic marks. Disturbances in these events can cause imprinting disorders and compromise development. Multi-locus imprinting disturbance (MLID) is a condition by which imprinting defects touch more than one locus. Although most cases with MLID present with clinical features characteristic of one imprinting disorder. Imprinting defects also occur in ‘molar’ pregnancies-which are characterized by highly compromised embryonic development-and in other forms of reproductive compromise presenting clinically as infertility or early pregnancy loss. Pathogenic variants in some of the genes encoding proteins of the subcortical maternal complex (SCMC), a multi-protein complex in the mammalian oocyte, are responsible for a rare subgroup of moles, biparental complete hydatidiform mole (BiCHM), and other adverse reproductive outcomes which have been associated with altered imprinting status of the oocyte, embryo and/or placenta. The finding that defects in a cytoplasmic protein complex could have severe impacts on genomic methylation at critical times in gamete or early embryo development has wider implications beyond these relatively rare disorders. It signifies a potential for adverse maternal physiology, nutrition, or assisted reproduction to cause epigenetic defects at imprinted or other genes. Here, we review key milestones in DNA methylation patterning in the female germline and the embryo focusing on humans. We provide an overview of recent findings regarding DNA methylation deficits causing BiCHM, MLID, and early embryonic arrest. We also summarize identified SCMC mutations with regard to early embryonic arrest, BiCHM, and MLID.

Highlights

  • DNA methylation is one of the best-studied epigenetic modifications and plays an essential role in mammalian development [1]

  • This would suggest an involvement of NLRP2 in DNA methylation maintenance, which fits with the association of NLRP2 with Multi-locus imprinting disturbance (MLID) in humans [28,92]

  • We discussed how clinical syndromes, and in particular, biparental complete hydatidiform mole (BiCHM), which result from imprinting disturbances

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Summary

Introduction

DNA methylation is one of the best-studied epigenetic modifications and plays an essential role in mammalian development [1]. The results from studies of patients with imprinting disorders suggest that maintenance of gDMR methylation during post-fertilization reprogramming requires the expression of maternal-effect genes in the oocyte and early embryo. Several of these encode proteins of the subcortical maternal complex (SCMC). Maternal ablation of some SCMC members impairs embryonic development and is implicated in adverse reproductive outcomes, including pregnancy loss and hydatidiform moles as well as live-born children with multi-locus imprinting disturbances (MLID) [25,26,27,28,29] In the latter, an imprinting disorder is accompanied by methylation defects at multiple ICRs. This review investigates the relationship between DNA methylation deficits and abnormal early development in humans, focusing on the female germline. These oocyte-specific hypermethylated domains localize primarily to intragenic regions and are enriched for CpG islands (CGIs), gDMRs, gene promoters, gene bodies, and transposable elements such as short interspersed nuclear elements (SINEs), the evolutionary younger superfamily of Alu elements, and long interspersed nuclear elements (LINEs) [19,38]

Preimplantation Embryo
Post-Implantation Embryo
Methylation Patterning of Imprinted Genes
Global Loss of Imprinting Results in Hydatidiform Molar Pregnancies
UTR form moles
Findings
Conclusions

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