Evidence map›Paper›PMID 30614210›Full record

ArticleMolecular genetics & genomic medicine2019

Atypical nested 22q11.2 duplications between LCR22B and LCR22D are associated with neurodevelopmental phenotypes including autism spectrum disorder with incomplete penetrance.

Karen J Woodward, Julie Stampalia, Hannah Vanyai, Hashika Rijhumal, Kim Potts, Fiona Taylor, Joanne Peverall, Tanya Grumball, Soruba Sivamoorthy, Hamid Alinejad-Rokny and 12 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Molecular genetics & genomic medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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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

22 authors at 7 institutions in 2 countries.

Karen J WoodwardDiagnostic Genomics, PathWest Laboratory Medicine, Perth, Western Australia, Australia.
Julie StampaliaDiagnostic Genomics, PathWest Laboratory Medicine, Perth, Western Australia, Australia.
Hannah VanyaiThe Harry Perkins Institute of Medical Research, QEII Medical Centre, Nedlands, Western Australia, Australia.
Hashika RijhumalDiagnostic Genomics, PathWest Laboratory Medicine, Perth, Western Australia, Australia.
Kim PottsDiagnostic Genomics, PathWest Laboratory Medicine, Perth, Western Australia, Australia.
Fiona TaylorDiagnostic Genomics, PathWest Laboratory Medicine, Perth, Western Australia, Australia.
Joanne PeverallDiagnostic Genomics, PathWest Laboratory Medicine, Perth, Western Australia, Australia.
Tanya GrumballDiagnostic Genomics, PathWest Laboratory Medicine, Perth, Western Australia, Australia.
Soruba SivamoorthyDiagnostic Genomics, PathWest Laboratory Medicine, Perth, Western Australia, Australia.
Hamid Alinejad-RoknyThe Harry Perkins Institute of Medical Research, QEII Medical Centre, Nedlands, Western Australia, Australia.
John WrayTelethon Kids Institute, University of Western Australia, Perth, Western Australia, Australia.
Andrew WhitehouseTelethon Kids Institute, University of Western Australia, Perth, Western Australia, Australia.
Lakshmi NagarajanChildren's Neuroscience Service, Princess Margaret Hospital, Subiaco, Western Australia, Australia.
Jacqueline ScurlockRural Health West, Esperance, Western Australia, Australia.
Sabine AfchaniState Child Development Centre, West Perth, Western Australia, Australia.
Matthew EdwardsSchool of Medicine, Western Sydney University, Penrith South DC, New South Wales, Australia.
Ashleigh MurchDiagnostic Genomics, PathWest Laboratory Medicine, Perth, Western Australia, Australia.
John BeilbyDiagnostic Genomics, PathWest Laboratory Medicine, Perth, Western Australia, Australia.
Gareth BaynamGenetic Services of Western Australia, Perth, Western Australia, Australia.
Cathy Kiraly-BorriGenetic Services of Western Australia, Perth, Western Australia, Australia.
Fiona McKenzieGenetic Services of Western Australia, Perth, Western Australia, Australia.
Julian I T HengCurtin Health Innovation Research Institute and Sarich Neuroscience Institute, Curtin University, Crawley, Western Australia, Australia.ORCID 0000-0002-0378-7078
The University of Western Australia · AUPathwest Laboratory Medicine · AUThe Kids Research Institute Australia · AUGovernment of Western Australia Department of Health · AUNorthridge Hospital Medical Center · USPrincess Margaret Hospital for Children · AUWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChromosome 22q11.2 is susceptible to genomic rearrangements and the most frequently reported involve deletions and duplications between low copy repeats LCR22A to LCR22D. Atypical nested deletions and duplications are rarer and can provide a valuable opportunity to investigate the dosage effects of a smaller subset of genes within the 22q11.2 genomic disorder region.

methodsWe describe thirteen individuals from six families, each with atypical nested duplications within the central 22q11.2 region between LCR22B and LCR22D. We then compared the molecular and clinical data for patients from this study and the few reported atypical duplication cases, to the cases with larger typical duplications between LCR22A and LCR22D. Further, we analyzed genes with the nested region to identify candidates highly enriched in human brain tissues.

resultsWe observed that atypical nested duplications are heterogeneous in size, often familial, and associated with incomplete penetrance and highly variable clinical expressivity. We found that the nested atypical duplications are a possible risk factor for neurodevelopmental phenotypes, particularly for autism spectrum disorder (ASD), speech and language delay, and behavioral abnormalities. In addition, we analyzed genes within the nested region between LCR22B and LCR22D to identify nine genes (ZNF74, KLHL22, MED15, PI4KA, SERPIND1, CRKL, AIFM3, SLC7A4, and BCRP2) with enriched expression in the nervous system, each with unique spatiotemporal patterns in fetal and adult brain tissues. Interestingly, PI4KA is prominently expressed in the brain, and this gene is included either partially or completely in all of our subjects.

conclusionOur findings confirm variable expressivity and incomplete penetrance for atypical nested 22q11.2 duplications and identify genes such as PI4KA to be directly relevant to brain development and disorder. We conclude that further work is needed to elucidate the basis of variable neurodevelopmental phenotypes and to exclude the presence of a second disorder. Our findings contribute to the genotype-phenotype data for atypical nested 22q11.2 duplications, with implications for genetic counseling.

Indexed as

PenetranceAbnormalities, MultipleAdolescentAdultAutism Spectrum DisorderChildChild, PreschoolChromosome DuplicationChromosomes, Human, Pair 22Developmental DisabilitiesDiGeorge SyndromeFemaleHumansMalePedigreePhenotype22q11.2atypicalautism spectrum disordercentral 22q11.2duplicationLCR22B to LCR22D

Identifiers

PMID30614210
PMCPMC6393688
OpenAlexW2908891377

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.