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Please Support our AS Research in Australia
Donations to: Research Account – this is held at the Children’s Hospital at Westmead, Locked Bag 4001, Westmead NSW 2145 Australia. Donations made to this account are tax deductible and you will get a receipt. Cheques must be made payable to – The Children’s Hospital at Westmead. This is necessary for the fund raising department’s accounting system and for you to claim it as a tax.deduction. Please accompany the cheque with a covering letter, with your name and address, stating that the money is specifically for the Angelman Syndrome Research Account, or Dr. Ellie Smith in Cytogenetics. Please state the account no. 691904.

Past Research
In the past in Australia, collaboration with the genetics laboratory at the University of Sydney, headed by Professor Ron Trent, has identified several families with UBE3A mutation, milder phenotype for patients with UPD and various new DNA markers. See below for some of the grants obtained and Australian publications we have had.

Future Research
There are several possibilities for AS research in Australia – for example an AS Database.
There is currently no collective information available on AS in Australia – neither the frequency, age at diagnosis, family studies or common complications in our patients. So, a really worthy project would be to set up and maintain a data base of all patients. This would provide several answers to frequently asked questions, one of which is "how many people with AS are there in Oz?" With follow up information recorded, it would provide a valuable resource for the natural history of AS in our society – what level of achievement is reached, surgical interventions required, improvement or otherwise of epilepsy, living accommodation and medical problems which could arise, life span, to name a few. A most interesting question is – are there any symptoms which occur with age which are not yet described or known – i.e. rare manifestations?

Routine UBE3A gene Testing for Certain Patients.
Chromosome 15(q11-13) is a complex genetic region, involving imprinting. AS arises from either a deletion (70%), UPD (5%), an imprinting centre (IC) defect (5%) or a mutation (change) in the UBE3A gene for AS (10%), other epigenetic mechanism in 10%. The deletion, UPD and IC defect can be readily ascertained: the 10% with possible UBE3A mutation require additional testing.

UBE3A Testing in Australia
For the first time in Australia, testing for the UBE3A gene sequencing is now available through the Mater Health Services Pathology in Brisbane, Queensland. This is a fee-for-service testing. Please refer to your Geneticist / Paediatrician to order this test.

Information for Paediatricians/Geneticists/Laboratories:
Queries regarding the UBE3A gene sequencing can be directed the following contacts at the Department of Pathology, Mater Health Services Brisbane:

Dr David M. Cowley FRCPA, FHGSA,
Director of Chemical Pathology
David.Cowley@mater.org.au
Mr Ivan McGown MHGSA,
Supervising Scientist, Molecular Genetic
Ivan.McGown@mater.org.au
Telephone: 07 3163 8500

Australian Research Achievements & Grants
1995-6 Australian - European Awards Program - 2 year - for "DNA Methylation Testing in Angelman Syndrome", with Dr. Tina Buchholz, Germany.
1992 – 1996 NHMRC - 5 years - with Professor R Trent "Molecular Studies in the Prader-Willi and
Angelman Syndrome".
1991- 2 Clive and Vera Ramaciotti Foundations grant - with Prof. R Trent
"Development of the in-situ hybridisation technique to study the PWS and AS”.

Publications
*Smith A, Deng Z-M, Beran R, Woodage T, Trent RJ. Familial unbalanced translocation t(8;15)(p23.3;q11) with uniparental disomy in Angelman Syndrome. Hum Genet 1994; 93:471-3 *Woodage T, Lindeman R, Deng Z-M, Fimmel A, Smith A, Trent RJ. Physical mapping studies at D15S10: implications for candidate gene identification in the Angelman syndrome/PWS chromosome region of 15q11-13. Genomics 1994; 19:170-172.
*Smith A. Angelman Syndrome: Genetic mechanisms and relationship to Prader-Willi syndrome. ANZJ Devel. Dis 1994; 19: 259 - 267.
*Jauch A, Robson L, Smith A. Investigations with fluorescence in situ hybridisation (FISH) demonstrate loss of the telomeres on the reciprocal chromosome in three unbalanced translocations involving chromosome 15 in Prader-Willi and Angelman syndrome. Hum Genet 1995; 96: 345-349.
*Smith A, Deng Z-M, Prasad M, Robson L, Woodage T, Trent R. Comparison of high resolution cytogenetics, fluorescence in situ hybridisation (FISH) and DNA studies to validate the diagnosis of Prader-Willi & Angelman syndromes.Arch Dis Child 1995;72: 397-402.
*Buchholz T, Schuffenhauer S, Evans K, Robson L, Appleton B, Smith A. Molecular analysis of an extra inv dup (15)(q13) chromosome in two patients with Angelman syndrome. Acta Genetica Medica et Gemellol 1996; 45:217-220.
*Leitner RP, Smith A. An Angelman syndrome clinic: report on 24 patients seen in the first year. J Ped Child Health 1996; 32: 94-98.
Smith A, Marks R, Haan E, Dixon J, Trent RJ. Clinical features in 4 patients with Angelman syndrome resulting from paternal uniparental disomy. J Med Genet 1997;34:426-429.
*Sandanam T, Beange H, Robson L, Woolnough H, Buchholz T, Smith A. Manifestations in institutionalised adults with Angelman syndrome due to DNA deletion. Am J Med Genet 1997;70:415-20
*Buchholz T, Smith E. Genomic Imprinting: DNA methylation test available for patients. Todays Life Science 1997; 9: 36-39.
*Buchholz T, Jackson J, Smith A. Methylation analysis at three different loci within the imprinted region of chromosome 15q11-13. Am J Med Genet 1997; 72:117-120 Letter.
*Trent RJ, Sheffield LJ, Deng Z-M, Kim WS, Nassif NT, Ryce C, Woods CG, Michaelis RC, Tarleton J, Smith A. The elusive Angelman syndrome critical region. J Med Genet 1997; 34: 714-718.
*Smith A, Robson L, Buchholz T. Diagnostic testing for Prader-Willi (PWS) and Angelman (AS) syndromes: Response. Am J Hum Genet 1997; 61:241-44. Letter.
*Smith A, Robson L, Buchholz T. Angelman syndrome due to paternal UPD: two more cases with normal growth. Clin Genet 1998; 53:223-225.
*Ellaway C, Buchholz T, Smith A, Leonard H, Christodoulou J. Rett syndrome: significant clinical overlap with Angelman syndrome but not with methylation status. J Child Neurol 1998;13:448-451.
*Fung DCY, Yu B, Cheong KF, Smith A, Trent RJ. UBE3A “mutations” in two unrelated and phenotypically different Angelman syndrome patients. Hum Genet 1998; 102:487-92
*Buiting K, Dittrich B, Gross S, Lich C, Farber C, Buchholz T, Smith E, Reis A, Burger J, Nothen M, Barthwitte U, Janssen B, Abeliovich D, Lerner I, Schrander-Stumpel C, Smeets H, Meinecke P, Malcolm S, Gardner A, Lalande M, Nicholls R, Tommerup N, Matthijs G, Kokkonen H, Hilbert P, van Maldergem L, Glover G, Carbonell P, Willems P, Gillessen-Kaesbach G, Horsthemke B. Sporadic imprinting defects in Prader-Willi syndrome and Angelman syndrome:implications for imprint switching, genetic counselling and prenatal diagnosis. Am J Hum Genet 1998 ; 63: 170-180.
*Runte M, Farber C, Lich C, Zeschnigk M, Buchholz T, Smith A, van Maldergem L, Burger J, Muscatelli F, Gilleson- Kaesbach G, Horsthemke B, Buiting K. Comprehensive methylation analysis in typical and atypical PWS and AS patients with normal biparental chromosomes 15. Eur J Hum Genet 2001; 9:519-526.
*Smith A, Robson L, St. Heaps L. Use of two FISH probes provides a cost- effective, simple protocol to exclude an imprinting centre defect in routine laboratory testing for suspected Prader-Willi and Angelman syndrome. Ann Genet 2002: 45;189-191.

Prepared by Ellie Smith, Professional Consultant and Patron, Angelman Syndrome Association, Australia and Angelman New Zealand. 30.3.09.

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