Whole-exome sequence analysis highlights the role of unmasked recessive mutations in copy number variants with incomplete penetrance

Eur J Hum Genet. 2018 Jun;26(6):912-918. doi: 10.1038/s41431-018-0124-4. Epub 2018 Feb 26.

Abstract

Several hypotheses have been proposed to explain the phenotypic variability between parent and offspring carrying the same genomic imbalance, including unmasking of a recessive variant by a chromosomal deletion. Here, 19 patients with neurodevelopmental disorders harboring a rare deletion inherited from a healthy parent were investigated by whole-exome sequencing to search for SNV on the contralateral segment. This strategy allowed us to identify a candidate variant in two patients in the NUP214 and NCOR1 genes. This result demonstrates that the analysis of the genes included in non-deleted contralateral allele is a key point in the etiological investigation of patients harboring a deletion inherited from a parent. Finally, this strategy is also an interesting approach to identify new recessive intellectual disability genes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Alleles
  • Child
  • Child, Preschool
  • DNA Copy Number Variations / genetics*
  • Exome / genetics
  • Exome Sequencing*
  • Female
  • Genes, Recessive / genetics
  • Humans
  • Infant
  • Male
  • Mutation / genetics
  • Neurodevelopmental Disorders / epidemiology
  • Neurodevelopmental Disorders / genetics*
  • Neurodevelopmental Disorders / physiopathology
  • Nuclear Pore Complex Proteins / genetics*
  • Nuclear Receptor Co-Repressor 1 / genetics*
  • Penetrance
  • Young Adult

Substances

  • NCOR1 protein, human
  • NUP214 protein, human
  • Nuclear Pore Complex Proteins
  • Nuclear Receptor Co-Repressor 1