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The mutations that cause this condition are, therefore, hypothesized to occur in genes that encode transacting factors required for the establishment of imprinting marks in the maternal germline or for their maintenance in the embryo. Although only DNA methylation marks at imprinted loci have been studied in the BiHM, the mutation may affect genes that are essential for other forms of chromatin remodelling at imprinted loci and necessary for correct maternal allele-specific DNA methylation and imprinted gene expression. Normal pregnancies interspersed with BiHM have been reported in some of the pedigrees, but affected women repeatedly attempting pregnancy should be counselled about the risk for invasive trophoblastic disease with each subsequent BiHM.<\/jats:p>","DOI":"10.1093\/humupd\/dmk005","type":"journal-article","created":{"date-parts":[[2006,3,15]],"date-time":"2006-03-15T20:33:45Z","timestamp":1142454825000},"page":"233-242","source":"Crossref","is-referenced-by-count":61,"title":["Biparental hydatidiform moles: a maternal effect mutation affecting imprinting in the offspring"],"prefix":"10.1093","volume":"12","author":[{"given":"I.B.","family":"Van den 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