Imprinted genes mediate unique maternal or paternal genetic roles and
their function is essential in prenatal development. The reciprocally
imprinted human insulin-like growth factor 2 (IGF2) and H19 genes are
expressed during embryonal life, also in the placenta, and are downreg
ulated postnatally. They reexpress in pediatric tumors (e.g. Wilms' tu
mor) and in inborn developmental syndromes predisposing to such tumors
(e.g., Beckwith-Wiedemann syndrome). H19 (RNA transcripts) and IGF2 a
re manifested in Wilms' tumor, rhabdomyosarcoma, immature ovarian tera
toma and gestational trophoblastic diseases. We have found that in the
placenta and in urothelial carcinoma, H19 expression reflects the deg
ree of invasiveness. These genes, displaying a tissue-specific oncofet
al pattern of expression, are, therefore, tumor markers.