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Efimova OA, Pendina AA, Tikhonov AV, Fedorova ID, Krapivin MI, Chiryaeva OG, Shilnikova EM, Bogdanova MA, Kogan IY, Kuznetzova TV, Gzgzyan AM, Ailamazyan EK, Baranov VS. Chromosome hydroxymethylation patterns in human zygotes and cleavage-stage embryos. Reproduction 2014; 149:223-33. [PMID: 25504867 DOI: 10.1530/rep-14-0343] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
We report the sequential changes in 5-hydroxymethylcytosine (5hmC) patterns in the genome of human preimplantation embryos during DNA methylation reprogramming. We have studied chromosome hydroxymethylation and methylation patterns in triploid zygotes and blastomeres of cleavage-stage embryos. Using indirect immunofluorescence, we have analyzed the localization of 5hmC and its co-distribution with 5-methylcytosine (5mC) on the QFH-banded metaphase chromosomes. In zygotes, 5hmC accumulates in both parental chromosome sets, but hydroxymethylation is more intensive in the poorly methylated paternal set. In the maternal set, chromosomes are highly methylated, but contain little 5hmC. Hydroxymethylation is highly region specific in both parental chromosome sets: hydroxymethylated loci correspond to R-bands, but not G-bands, and have well-defined borders, which coincide with the R/G-band boundaries. The centromeric regions and heterochromatin at 1q12, 9q12, 16q11.2, and Yq12 contain little 5mC and no 5hmC. We hypothesize that 5hmC may mark structural/functional genome 'units' corresponding to chromosome bands in the newly formed zygotic genome. In addition, we suggest that the hydroxymethylation of R-bands in zygotes can be treated as a new characteristic distinguishing them from G-bands. At cleavages, chromosomes with asymmetrical hydroxymethylation of sister chromatids appear. They decrease in number during cleavages, whereas totally non-hydroxymethylated chromosomes become numerous. Taken together, our findings suggest that, in the zygotic genome, 5hmC is distributed selectively and its pattern is determined by both parental origin of chromosomes and type of chromosome bands - R, G, or C. At cleavages, chromosome hydroxymethylation pattern is dynamically changed due to passive and non-selective overall loss of 5hmC, which coincides with that of 5mC.
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Affiliation(s)
- Olga A Efimova
- D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia
| | - Anna A Pendina
- D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Pet
| | - Andrei V Tikhonov
- D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Pet
| | - Irina D Fedorova
- D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia
| | - Mikhail I Krapivin
- D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia
| | - Olga G Chiryaeva
- D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Pet
| | - Evgeniia M Shilnikova
- D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia
| | - Mariia A Bogdanova
- D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia
| | - Igor Yu Kogan
- D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia
| | - Tatyana V Kuznetzova
- D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia
| | - Alexander M Gzgzyan
- D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia
| | - Edward K Ailamazyan
- D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Pet
| | - Vladislav S Baranov
- D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Petersburg, Russia D.O. Ott Research Institute of Obstetrics and GynecologyMendeleevskaya line, 3, 199034 St Petersburg, RussiaSt Petersburg State UniversityUniversitetskaya nab.7/9, 199034 St Petersburg, RussiaCenter for Medical GeneticsTobolskaya ul., 5, 194044 St Petersburg, RussiaSt Petersburg State Pediatric Medical UniversityLitovskaya ul., 2, 194100 St Petersburg, RussiaS.M. Kirov Military Medical AcademyLebedeva ul., 6, 194044 St Petersburg, RussiaN.I. Pirogov National Medical-Surgery CenterSt Petersburg Clinic Complex, nab. Fontanki, 154, 190103 St Petersburg, RussiaI.P. Pavlov First St Petersburg State Medical UniversityL'va Tolstogo ul., 6/8, 197022 St Pet
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