Developmental genomics of limb malformations: Allelic series in association with gene dosage effects contribute to the clinical variability

dc.authorscopusidZeynep Ocak / 26637163700
dc.authorwosidZeynep Ocak / DJN-8048-2022en_US
dc.contributor.authorDuan, Ruizhi
dc.contributor.authorHijazi, Hadia
dc.contributor.authorGüleç, Elif Yılmaz
dc.contributor.authorEker, Hatice Koçak
dc.contributor.authorCosta, Silvia R.
dc.contributor.authorŞahin, Yavuz
dc.contributor.authorOcak, Zeynep
dc.date.accessioned2022-09-16T11:26:05Z
dc.date.available2022-09-16T11:26:05Z
dc.date.issued2022en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractGenetic heterogeneity, reduced penetrance, and variable expressivity, the latter including asymmetric body axis plane presentations, have all been described in families with congenital limb malformations (CLMs). Interfamilial and intrafamilial heterogeneity highlight the complexity of the underlying genetic pathogenesis of these developmental anomalies. Family-based genomics by exome sequencing (ES) and rare variant analyses combined with whole-genome array-based comparative genomic hybridization were implemented to investigate 18 families with limb birth defects. Eleven of 18 (61%) families revealed explanatory variants, including 7 single-nucleotide variant alleles and 3 copy number variants (CNVs), at previously reported "disease trait associated loci": BHLHA9, GLI3, HOXD cluster, HOXD13, NPR2, and WNT10B. Breakpoint junction analyses for all three CNV alleles revealed mutational signatures consistent with microhomology-mediated break-induced replication, a mechanism facilitated by Alu/Alu-mediated rearrangement. Homozygous duplication of BHLHA9 was observed in one Turkish kindred and represents a novel contributory genetic mechanism to Gollop-Wolfgang Complex (MIM: 228250), where triplication of the locus has been reported in one family from Japan (i.e., 4n = 2n + 2n versus 4n = 3n + 1n allelic configurations). Genes acting on limb patterning are sensitive to a gene dosage effect and are often associated with an allelic series. We extend an allele-specific gene dosage model to potentially assist, in an adjuvant way, interpretations of interconnections among an allelic series, clinical severity, and reduced penetrance of the BHLHA9-related CLM spectrum.en_US
dc.identifier.citationDuan, R., Hijazi, H., Gulec, E. Y., Eker, H. K., Costa, S. R., Sahin, Y., Ocak, Z. (2022). Developmental genomics of limb malformations: Allelic series in association with gene dosage effects contribute to the clinical variability. Human Genetics and Genomics Advances, 3(4).en_US
dc.identifier.doi10.1016/j.xhgg.2022.100132en_US
dc.identifier.issn2666-2477en_US
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-85136103618en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.uridoi.org/10.1016/j.xhgg.2022.100132
dc.identifier.urihttps://hdl.handle.net/20.500.12713/3147
dc.identifier.volume3en_US
dc.identifier.wosWOS:000846879300002en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorOcak, Zeynep
dc.language.isoenen_US
dc.publisherELSEVIERen_US
dc.relation.ispartofHUMAN GENETICS AND GENOMICS ADVANCESen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleDevelopmental genomics of limb malformations: Allelic series in association with gene dosage effects contribute to the clinical variabilityen_US
dc.typeArticleen_US

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