The expression of Insulin-like Growth Factor 2 (IGF-2) and H19, two ge
nes located on human chromosome 11p15 and provided with cell growth mo
dulating activity, is regulated by parental imprinting, in that the ac
tivity of their alleles is dependent on the parental origin. Parental
bias in the genetic alterations of chromosome 11p15 observed in severa
l pediatric cancers suggests the involvement of imprinted genes in tum
or development. We have previously reported that the number of functio
nal IGF-2 alleles is frequently increased in rhabdomyosarcoma (RMS), a
s a consequence of either relaxation of imprinting (LOI) or gene dupli
cation. Here we show that the expression of the H19 gene is significan
tly suppressed with respect to normal muscle tissue in 13 out of 15 rh
abdomyosarcomas with embryonal histology (ERMS) and in three out of 11
rhabdomyosarcomas classified as alveolar subtype (ARMS). Since a grow
th-inhibitory activity has been found associated with the H19 gene, th
e extinction of its expression can contribute to RMS development. Pare
ntal imprinting of the H19 gene was found conserved in all informative
RMSs, including those whose IGF-2 imprinting was relaxed, indicating
that LOI is a gene-specific event. Seven ERMSs and one ARMS displaying
low H19 RNA levels showed an underrepresentation of the expressed all
ele in their genotype. This result is consistent with the paternal imp
rinting of the H19 gene and with the preferential loss of the maternal
11p15 alleles in these neoplasms. Low H19 expression was also found i
n four out of eight RMSs retaining the heterozygosity at 11p15, but sh
owing IGF-2 LOI. These findings suggest that the genetic and epigeneti
c alterations affecting chromosome 11p15 in a high number of RMSs caus
e deregulation of more than one imprinted gene, possibly affecting tum
or growth, including the extinction of H19 expression and an increase
in the number of active IGF-2 alleles.