Evidence map›Paper›PMID 24497845›Full record

ArticlePLoS genetics2014

Large inverted duplications in the human genome form via a fold-back mechanism.

Karen E Hermetz, Scott Newman, Karen N Conneely, Christa L Martin, Blake C Ballif, Lisa G Shaffer, Jannine D Cody, M Katharine Rudd

Open access · goldAbstract read
In one paragraph

Article in PLoS genetics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 84 citations in OpenAlex.

  1. Trial
  2. Telomere Crisis Shapes Cancer Evolution.Cold Spring Harbor perspectives in biology · 2026
    Review
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  4. SSLCNV: A Semi-supervised Learning Framework for Accurate Copy Number Variation Detection.Interdisciplinary sciences, computational life sciences · 2025
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  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. SETD2 safeguards the genome against isochromosome formation.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  14. Article
  15. Molecular genetic analysis of 1,980 cases of male infertility.Experimental and therapeutic medicine · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Karen E HermetzDepartment of Human Genetics, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Scott NewmanDepartment of Human Genetics, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Karen N ConneelyDepartment of Human Genetics, Emory University School of Medicine, Atlanta, Georgia, United States of America ; Department of Biostatistics and Bioinformatics, Emory University School of Public Health, Atlanta, Georgia, United States of America.
Christa L MartinDepartment of Human Genetics, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Blake C BallifSignature Genomic Laboratories, PerkinElmer, Inc., Spokane, Washington, United States of America.
Lisa G ShafferSignature Genomic Laboratories, PerkinElmer, Inc., Spokane, Washington, United States of America.
Jannine D CodyDepartment of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States of America ; The Chromosome 18 Registry and Research Society, San Antonio, Texas, United States of America.
M Katharine RuddDepartment of Human Genetics, Emory University School of Medicine, Atlanta, Georgia, United States of America.
Emory University · USPerkinElmer (United States) · USThe University of Texas Health Science Center at San Antonio · US

Funding

GENE DOSAGE IMBALANCE IN NEURODEVELOPMENTAL DISORDERSR01MH074090 · NIMH · GEISINGER CLINIC · PI David H. Ledbetter, CHRISTA LESE MARTIN · 2005 to 2026
$13.5M
Mechanism of subtelomeric breaksR01MH092902 · NIMH · EMORY UNIVERSITY · PI RUDD, MARY KATHARINE · 2010 to 2013
$1.6M
NIMH NIH HHS MH092902NIMH NIH HHS R01 MH074090NIMH NIH HHS R01 MH092902
6 · The paper itself

Abstract

Inverted duplications are a common type of copy number variation (CNV) in germline and somatic genomes. Large duplications that include many genes can lead to both neurodevelopmental phenotypes in children and gene amplifications in tumors. There are several models for inverted duplication formation, most of which include a dicentric chromosome intermediate followed by breakage-fusion-bridge (BFB) cycles, but the mechanisms that give rise to the inverted dicentric chromosome in most inverted duplications remain unknown. Here we have combined high-resolution array CGH, custom sequence capture, next-generation sequencing, and long-range PCR to analyze the breakpoints of 50 nonrecurrent inverted duplications in patients with intellectual disability, autism, and congenital anomalies. For half of the rearrangements in our study, we sequenced at least one breakpoint junction. Sequence analysis of breakpoint junctions reveals a normal-copy disomic spacer between inverted and non-inverted copies of the duplication. Further, short inverted sequences are present at the boundary of the disomic spacer and the inverted duplication. These data support a mechanism of inverted duplication formation whereby a chromosome with a double-strand break intrastrand pairs with itself to form a "fold-back" intermediate that, after DNA replication, produces a dicentric inverted chromosome with a disomic spacer corresponding to the site of the fold-back loop. This process can lead to inverted duplications adjacent to terminal deletions, inverted duplications juxtaposed to translocations, and inverted duplication ring chromosomes.

Indexed as

Autistic DisorderChromosome BreakpointsComparative Genomic HybridizationDNA Copy Number VariationsDNA ReplicationGene AmplificationGenome, HumanHigh-Throughput Nucleotide SequencingHumansIn Situ Hybridization, FluorescenceIntellectual DisabilitySegmental Duplications, Genomic

Identifiers

PMID24497845
PMCPMC3907307
OpenAlexW2055227899

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.