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Array Comparative Genomic Hybridization Array CGH for Detection of Genomic Copy Number Variants
Published on: February 21, 2015
DNA copy number variations and craniofacial abnormalities in 1,457 children with neurodevelopmental disorders
Dandan Wu1, Ran Chen2, Jerry Zhang3
1Child Mental Health Deparment, Children's Hospital of Nanjing Medical University, NanjingJiangsu, 210008, China.
Insights
Whole-exome sequencing identified DNA copy number variations (CNVs) in children with neurodevelopmental disorders and craniofacial abnormalities. Pathogenic CNVs were more prevalent in children with craniofacial features, suggesting their role in these conditions.
Area of Science:
- Genetics
- Pediatrics
- Medical Diagnostics
Background:
- Investigating genetic factors in pediatric neurodevelopmental disorders (NDDs).
- Examining the link between DNA copy number variations (CNVs) and craniofacial abnormalities in children.
Purpose of the Study:
- To identify DNA copy number variations (CNVs) in children with NDDs and craniofacial abnormalities.
- To determine the association between specific CNVs and the severity of craniofacial features.
Main Methods:
- Whole-exome sequencing on 1,457 children with unexplained NDDs.
- Sanger sequencing for validation and pedigree analysis.
- Utilized a sign-scoring scale to quantify craniofacial characteristics.
Main Results:
- Identified genetic variations in 36.78% of children; 29.29% had CNVs (microdeletions and microduplications).
- Pathogenic CNVs were significantly more common in children with craniofacial abnormalities (P < 0.05).
- Microdeletions showed a stronger association with craniofacial anomalies than microduplications.
Conclusions:
- Whole-exome sequencing demonstrates a high diagnostic yield for children with combined NDDs and craniofacial issues.
- Recommends whole-exome sequencing for accurate diagnosis of neurogenetic disorders presenting with these combined features.
Background:
This study aimed to investigate deoxyribonucleic acid (DNA) copy number variations (CNVs) in children with neurodevelopmental disorders and their association with craniofacial abnormalities.
Methods:
A total of 1,457 children who visited the Child Health Department of our hospital for unexplained Neurodevelopmental disorders (NDDs) between November 2019 and December 2022 were enrolled. Peripheral venous blood samples (2 mL) were collected from the children and their parents for whole-exome sequencing. Positive results were verified through Sanger sequencing for locus and pedigree validation. Simultaneously, a specific sign-scoring scale was created to evaluate characteristics related to the developments of eyes, nose, ears, eyebrows, head, mouth, face, trunk, limbs, and reproductive, urinary, and cardiovascular systems.
Results:
A total of 536 children (36.78%, 536/1,457) were found to have genetic variations, with 379 (70.71%, 379/536) exhibiting pathogenic monogenic mutations. Furthermore, 157 children (29.29%, 157/536) harbored DNA copy number variants, encompassing microdeletions (68.15%, 107/157) and microduplications (31.85%, 50/157). Regarding the pathogenicity of CNVs, 91 (57.96%, 91/157) were identified as pathogenic, 28 (17.83%, 28/157) as variants of uncertain clinical significance (VOUS), and 38 (24.20%, 38/157) as benign according to the American College of Medical Genetics and Genomics (ACMG).Using a specific sign-scoring scale, the proportion of pathogenic CNVs in children graded 1 point or higher (64%, 58/91) was significantly higher than that of non-pathogenic CNVs (43%, 29/66) (P < 0.05). Furthermore, the proportion of microdeletions in children graded 1 point or higher (60.75%, 65/107) was significantly higher than those carrying microduplications (44%, 22/50) (P < 0.05). The proportion of pathogenic microdeletions in children graded 1 point or higher (73.43%,47/64) was significantly higher than those carrying pathogenic microduplications (40.74%, 11/27) (P < 0.05).
Conclusion:
The positive rate of whole-exome sequencing for children with combined craniofacial abnormalities and NDDs exceeds the international average in our study cohort. Thus, whole-exome sequencing may be recommended for precise diagnosis of neurogenetic diseases in such cases.
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