Overlapping microdeletions within the STX16 locus were shown to cause AD-PHP-Ib when maternally inherited, establishing that this region contains a cis-acting imprinting control element for GNAS exon A/B methylation — not that STX16 protein loss causes disease, since STX16 is biallelically expressed.
Evidence Deletion mapping across multiple AD-PHP-Ib kindreds combined with STX16 mRNA expression analysis in lymphoblastoid cells from deletion carriers versus controls
- The precise regulatory element within the deleted region has not been molecularly defined
- The mechanism by which this element controls methylation at the GNAS exon A/B DMR in trans is unknown
- No direct functional rescue of imprinting by reinsertion of the deleted region has been performed