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A recurrent 16p12.1 microdeletion supports a two-hit model for severe developmental delay.


ABSTRACT: We report the identification of a recurrent, 520-kb 16p12.1 microdeletion associated with childhood developmental delay. The microdeletion was detected in 20 of 11,873 cases compared with 2 of 8,540 controls (P = 0.0009, OR = 7.2) and replicated in a second series of 22 of 9,254 cases compared with 6 of 6,299 controls (P = 0.028, OR = 2.5). Most deletions were inherited, with carrier parents likely to manifest neuropsychiatric phenotypes compared to non-carrier parents (P = 0.037, OR = 6). Probands were more likely to carry an additional large copy-number variant when compared to matched controls (10 of 42 cases, P = 5.7 x 10(-5), OR = 6.6). The clinical features of individuals with two mutations were distinct from and/or more severe than those of individuals carrying only the co-occurring mutation. Our data support a two-hit model in which the 16p12.1 microdeletion both predisposes to neuropsychiatric phenotypes as a single event and exacerbates neurodevelopmental phenotypes in association with other large deletions or duplications. Analysis of other microdeletions with variable expressivity indicates that this two-hit model might be more generally applicable to neuropsychiatric disease.

SUBMITTER: Girirajan S 

PROVIDER: S-EPMC2847896 | biostudies-literature | 2010 Mar

REPOSITORIES: biostudies-literature

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A recurrent 16p12.1 microdeletion supports a two-hit model for severe developmental delay.

Girirajan Santhosh S   Rosenfeld Jill A JA   Cooper Gregory M GM   Antonacci Francesca F   Siswara Priscillia P   Itsara Andy A   Vives Laura L   Walsh Tom T   McCarthy Shane E SE   Baker Carl C   Mefford Heather C HC   Kidd Jeffrey M JM   Browning Sharon R SR   Browning Brian L BL   Dickel Diane E DE   Levy Deborah L DL   Ballif Blake C BC   Platky Kathryn K   Farber Darren M DM   Gowans Gordon C GC   Wetherbee Jessica J JJ   Asamoah Alexander A   Weaver David D DD   Mark Paul R PR   Dickerson Jennifer J   Garg Bhuwan P BP   Ellingwood Sara A SA   Smith Rosemarie R   Banks Valerie C VC   Smith Wendy W   McDonald Marie T MT   Hoo Joe J JJ   French Beatrice N BN   Hudson Cindy C   Johnson John P JP   Ozmore Jillian R JR   Moeschler John B JB   Surti Urvashi U   Escobar Luis F LF   El-Khechen Dima D   Gorski Jerome L JL   Kussmann Jennifer J   Salbert Bonnie B   Lacassie Yves Y   Biser Alisha A   McDonald-McGinn Donna M DM   Zackai Elaine H EH   Deardorff Matthew A MA   Shaikh Tamim H TH   Haan Eric E   Friend Kathryn L KL   Fichera Marco M   Romano Corrado C   Gécz Jozef J   DeLisi Lynn E LE   Sebat Jonathan J   King Mary-Claire MC   Shaffer Lisa G LG   Eichler Evan E EE  

Nature genetics 20100214 3


We report the identification of a recurrent, 520-kb 16p12.1 microdeletion associated with childhood developmental delay. The microdeletion was detected in 20 of 11,873 cases compared with 2 of 8,540 controls (P = 0.0009, OR = 7.2) and replicated in a second series of 22 of 9,254 cases compared with 6 of 6,299 controls (P = 0.028, OR = 2.5). Most deletions were inherited, with carrier parents likely to manifest neuropsychiatric phenotypes compared to non-carrier parents (P = 0.037, OR = 6). Proba  ...[more]

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