1 Supplemental material 2 Table S1 3 Details of primer sequences, PCR conditions, the targeted regions and analyzed CpG 4 positions of the pyrosequencing assays for the imprinted loci PLAGL1, IGF2R DMR2, 5 GRB10, H19 3CTCF binding site and 6 CTCF binding site, IGF2, MEG3, NDN, SNRPN, 6 NESP and NESPAS. Primer sequences of the MS-PCR experiments for the DLK1/MEG3 IG- 7 DMR. 8 9 10 Table S2 Details on the 10 evaluable pyrosequencing assays used for DNA methylation analysis. 1 Locus Chromosomal region Methylated allele Targeted region Reference PLAGL1 6q24 maternal Putative ICR overlapping ZAC/HYMAI Arima et al 34 GRB10 7p12 maternal DMR Hikichi et al 35 IGF2 11p15 maternal DMR0 within intron 2 Liu et al 36 H19 11p15 paternal 6CTCF and 3CTCF binding sites Takai et al 37 NESP 20q13 paternal DMR Liu et al 38 NESPAS 20q13 maternal DMR Liu et al 38 NDN 15q11 maternal promoter CpG island Lau et al 39 SNRPN 15q11 maternal DMR overlapping exon 1 Zeschnigk et al 40 MEG3 14q32 paternal promoter DMR Temple et al 9 IGF2R 6q25 maternal DMR2 in intron 2 Smrzka et al 41 11 12 Table S3 13 Raw data on pyrosequencing results of the analyzed patients born SGA and the controls. 14 Methylation values are provided in % methylation per studied CpG position. For each of the 15 10 evaluated loci single CpG positions and their corresponding position in bp (hg19) is 16 displayed. SGA= small for gestational age. MC= commercial in vitro methylated DNA 17 (positive control). Pool= pooled DNA from 20 healthy donors (10 males, 10 females). UC= 18 whole genome amplification DNA (illustra GenomiPhi V2 DNA Amplification Kit, GE 19 Healthcare, Freiburg, Germany) used as negative control during assay optimization (i.e. in 20 independent control series). N/A= not analyzable. 21 For all established assays except IGF2R (see below) we calculated the thresholds for hyper- 22 and hypomethylation as follows: 23 First, per locus the mean methylation value of the tested CpGs (called “mean(locus)”) was 24 determined in all samples and for all loci. Second, the mean methylation level of the 25 “mean(locus)” and its standard deviation (SD) was calculated over all 50 controls analyzed 26 per locus (called “mean(locus/controls)”). Each assay specific “normal methylation range” 27 (=NMR) was then defined as “mean(locus/controls)” +/- 3SD. Next we compared the 28 “mean(locus)” values for the patient samples to the respective locus-specific NMR. If the 29 “mean(locus)” in a sample exceeded the locus-specific NMR the locus was called 2 30 “hypermethylated” in this sample. If the “mean(locus)” in a sample was below the locus- 31 specific NMR the locus was called “hypomethylated” in this sample. Finally, for such “hyper- 32 “ and “hypomethylated” loci we determined for each single CpG in this locus whether its 33 methylation level was outside the NMR of the same CpG in the 50 controls. 34 Hypermethylation of the IGF2R DMR2 in healthy probands has repeatedly been reported in 35 the recent literature 36 defined differently. Thus, the methylation results for IGF2R of the commercially available 37 fully methylated controls (MC) carried through all IGF2R experiments was used as reference. 38 We built “mean(IGF2R/MC)” by calculating the mean methylation value over all 3 tested 39 CpG positions and all MC samples analyzed in the same runs with patient and control 40 samples. In the next step the hypermethylation cutoff for IGF2R was defined as 41 “mean(IGF2R/MC)” – 3 SD. In an alternative approach we excluded the fully methylated 42 samples in the control group with the method explained above (2 samples met the criteria) 43 and calculated in a second step “mean(IGF2R/controls)” +/- 3SD from the remaining control 44 samples. With this approach, that raises the test sensitivity, the identical cases turned out to be 45 classified “hypermethylated” in the patient cohort, while 3 additional cases were labeled 46 “hypermethylated” in the control cohort. No hypomethylated samples were detected with the 47 latter approach. 48 49 50 51 52 3 12,22 . Therefore, the hypermethylation cutoff for this assay needed to be