表观遗传学和染色质诊所

The 表观遗传学和染色质诊所 was the first of its kind in the U.S. Our experts have been caring for patients with epigenetic conditions since 2012. Together, 我们的供应商团队 有超过50年的表观遗传学经验吗, having trained in some of the world’s best-known epigenetics research laboratories, and now they direct their own research laboratories and the 表观遗传学和染色质诊所.

Learn more about:

我们的临床使命

  • To diagnose, 提供最佳护理, and develop treatment plans for patients with Mendelian disorders of the epigenetic machinery or imprinting disorders.

  • To learn from our patients some fundamental truths about epigenetics with the hope that this additional knowledge will lead to future therapeutic development for our patients.

  • To educate health care providers and patients about epigenetics and disorders of the epigenetic machinery.

我们的临床专长

Who should be evaluated in the 表观遗传学和染色质诊所?

  • Individuals known to have a Mendelian disorder of the epigenetic machinery (MDEM) or an imprinting disorder 

  • Individuals suspected of having an MDEM or imprinting disorder

  • Individuals with intellectual disability or global developmental delay and growth differences

Services We Provide

  • 完整的临床遗传学评估
  • Genetic counseling
  • 全面或有针对性的基因检测
  • 简要发展评估 
  • Referrals for more extensive developmental and cognitive assessments
  • 关于医疗和行为干预的建议
  • Recommendations for schooling, including individualized education program (IEP) recommendations
  • Options for clinical trials that test the latest experimental therapies for epigenetics syndromes
  • 研究的机会

我们治疗的疾病

Gene Condition
KMT2D Kabuki syndrome 1
KDM6A Kabuki syndrome 2
KMT2A Wiedemann-Steiner综合症
TET3 Beck-Fahrner综合症
NSD1 Sotos syndrome
EZH2 Weaver syndrome
EED Cohen-Gibson综合症
DNMT3A Tatton-Brown-Rahman syndrome; Heyn-Sproul-Jackson syndrome
SETD2 Luscan-Lumish综合症
EHMT1 Kleefstra综合征
KMT2C 克利夫斯特拉综合征
CREBBP 鲁宾斯坦-泰比综合征
EP300 鲁宾斯坦-泰比综合征
KAT6A Arboleda-Tham综合症
KAT6B Say Barber Biessecker Young Simpson syndrome (SBBYSS); Genitopatellar syndrome
CHD1 Pilarowski-Bjornsson综合症
CHD2 发展性和癫痫性脑病
CHD3 Snijders block - campeau综合症
CHD4 Sifrim-Hitz-Weiss综合症
CHD5 父母-米诺神经发育综合症
CHD7 电荷/ hypogonadotropic性腺机能减退
CHD8 Intellectual developmental disorder with autism and macrocephaly
MBD5 智力发育障碍,常染色体显性1
MECP2 Rett综合征及相关疾病
PHF6 Borjeson-Forssman-Lehmann综合症
SMARCA4 棺材-赛里斯综合症
SMARCA2 Nicolaides-Baraitser syndrome; Blepharophimosis-impaired intellectual development syndrome
DPF2 柯芬·赛里斯综合症
ATRX Alpha-thalassemia/mental retardation syndrome; Intellectual disability-hypotonic facies syndrome, X-linked
SRCAP Floating Harbor syndrome; developmental delay, hypotonia, 肌肉骨骼的缺陷, 行为异常
SETD5 智力发育障碍,常染色体显性23
SETD1A Epilepsy, early onset, with or without developmental delay; Neurodevelopmental disorder with speech impairment and dysmorphic facies
SETD1B Intellectual developmental disorder with seizures and language delay
RAI1 史密斯·马格尼斯综合症
KDM1A Cleft palate, psychomotor retardation, and distinctive facial features (CPFR)
KDM6B Neurodevelopmental disorder with coarse facies and mild distal skeletal abnormalities
KDM5C Intellectual developmental disorder, X-linked syndromic, Claes-Jensen type
KDM5B Intellectual developmental disorder, autosomal recessive 65
PHF8 Intellectual developmental disorder, X-linked syndromic, Siderius type
DNMT1 Autosomal dominant cerebellar ataxia deafness and narcolepsy (ADCADN); hereditary sensory neuropathy 1E (HSN1E)
DNMT3B Immunodeficiency-centromeric instability-facial anomalies (ICF) syndrome 1
NSD2 Rauch-Steindl syndrome (formerly Wolf-Hirschhorn syndrome)
HDAC4 Neurodevelopmental disorder with central hypotonia and dysmorphic facies (formerly brachydactyly mental retardation syndrome)
HDAC6 Chondrodysplasia with platyspondyly, distinctive brachydactyly, hydrocephaly, and microphthalmia
HDAC8 科妮莉亚·德·兰格综合症,5型
ASH1L Intellectual developmental disorder, autosomal dominant 52
ASXL1 Bohring-Opitz综合症
ASXL2 Shashi-Pena综合症
ASXL3 Bainbridge-Ropers综合症
BRWD3 智力发育障碍,x连锁93
BPTF Neurodevelopmental disorder with dysmorphic facies and distal limb anomalies
BRPF1 Intellectual developmental disorder with dysmorphic facies and ptosis (IDDDFP)
KMT2B Childhood-onset dystonia 28; Intellectual developmental disorder, autosomal dominant 68
KMT2E O 'Donnell-Luria-Rodan综合症
KMT5B 智力发育障碍,常染色体显性
KDM3B Diets-Jongmans综合症
KDM4B 智力发育障碍,常染色体显性65
KAT5 Neurodevelopmental disorder with dysmorphic facies, sleep disturbance, and brain abnormalities
KAT8 Li-Ghorgani-Weisz-Hubshman综合症
PHIP Chung-Jansen综合症
RERE Neurodevelopmental disorder with or without anomalies of the brain, eye or heart
PHF21A Intellectual developmental disorder with behavioral abnormalities and craniofacial dysmorphism with or without seizures
TCF20 Developmental delay with variable intellectual impairment 行为异常
UBR7 Li-Campeau综合症
TAF1 智力发育障碍,x连锁综合症
ZMYND11 智力发育障碍,常染色体显性
ALG13 发展性和癫痫性脑病
ORC1 迈尔-戈林综合征
MSL3 Basilicata-Akhtar综合症
LBR Pelger Huet anomaly (PHA) PHA with muskuloskeletal findings Greenberg skeletal dysplasia

Additional Mendelian Disorders of the Epigenetic Machinery (MDEMs)

Gene SMN1 脊髓性肌萎缩1-4 *首选神经肌肉评估
MORC2 沙克-玛丽-牙病2Z *首选初级神经学评估
PRDM12 遗传性感觉和自主神经病变(HSAN *首选初级神经学评估
PRDM16 Dilated cardiomyopathy 1LL; left ventricular non-compaction 8 *心脏病学评估优先
PRDM6 动脉导管未闭 *心脏病学评估优先
PRDM5 角膜脆性综合征 *眼科检查优先
TDRD7 Cataract 36 *眼科检查优先
MSH6 Hereditary nonpolyposis colorectal cancer 5 mismatch repair cancer syndrome *肿瘤学评估优先
CBX2 Sex reversal *Endocrinology or Disorders/Differences of Sexual Development Clinic evaluation preferred
HR Alopecia universalis; Atrichia with papular lesions; hypotrichosis type 4 *皮肤科评估优先
TET2 Immunodeficiency 75; myelodysplastic syndrome, somatic *Immunology or hematology/oncology     evaluation preferred
AIRE 自身免疫性多内分泌病综合征 *免疫学评价优先
RAG2 妇女综合征和严重联合免疫缺陷(SCID) *免疫学评价优先
SP110 肝静脉闭塞性疾病和免疫缺陷 *免疫学评价优先

注:以上是mdem的完整列表. We care for individuals with many of the disorders shown in black. However, 为了那些灰色的紊乱, our clinic may not be the most appropriate place to obtain medical care; for those, 列出了更合适的专科诊所.

安排预约

如需预约,请致电 410-955-3071 (new patients) or 443-287-9494 (returning patients) and request an appointment in the 表观遗传学和染色质诊所 with Dr. Fahrner. 与医生的预约. 法纳会允许你接受. Fahrner, Dr. Harris and Ms. Britton.