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Identifying candidate genes for 2p15p16.1 microdeletion syndrome using clinical, genomic, and functional analysis
Hani Bagheri, … , Cheryl Y. Gregory-Evans, Evica Rajcan-Separovic
Hani Bagheri, … , Cheryl Y. Gregory-Evans, Evica Rajcan-Separovic
Published March 17, 2016
Citation Information: JCI Insight. 2016;1(3):e85461. https://doi.org/10.1172/jci.insight.85461.
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Categories: Research Article Genetics

Identifying candidate genes for 2p15p16.1 microdeletion syndrome using clinical, genomic, and functional analysis

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Abstract

The 2p15p16.1 microdeletion syndrome has a core phenotype consisting of intellectual disability, microcephaly, hypotonia, delayed growth, common craniofacial features, and digital anomalies. So far, more than 20 cases of 2p15p16.1 microdeletion syndrome have been reported in the literature; however, the size of the deletions and their breakpoints vary, making it difficult to identify the candidate genes. Recent reports pointed to 4 genes (XPO1, USP34, BCL11A, and REL) that were included, alone or in combination, in the smallest deletions causing the syndrome. Here, we describe 8 new patients with the 2p15p16.1 deletion and review all published cases to date. We demonstrate functional deficits for the above 4 candidate genes using patients’ lymphoblast cell lines (LCLs) and knockdown of their orthologs in zebrafish. All genes were dosage sensitive on the basis of reduced protein expression in LCLs. In addition, deletion of XPO1, a nuclear exporter, cosegregated with nuclear accumulation of one of its cargo molecules (rpS5) in patients’ LCLs. Other pathways associated with these genes (e.g., NF-κB and Wnt signaling as well as the DNA damage response) were not impaired in patients’ LCLs. Knockdown of xpo1a, rel, bcl11aa, and bcl11ab resulted in abnormal zebrafish embryonic development including microcephaly, dysmorphic body, hindered growth, and small fins as well as structural brain abnormalities. Our multifaceted analysis strongly implicates XPO1, REL, and BCL11A as candidate genes for 2p15p16.1 microdeletion syndrome.

Authors

Hani Bagheri, Chansonette Badduke, Ying Qiao, Rita Colnaghi, Iga Abramowicz, Diana Alcantara, Christopher Dunham, Jiadi Wen, Robert S. Wildin, Malgorzata J.M. Nowaczyk, Jennifer Eichmeyer, Anna Lehman, Bruno Maranda, Sally Martell, Xianghong Shan, Suzanne M.E. Lewis, Mark O’Driscoll, Cheryl Y. Gregory-Evans, Evica Rajcan-Separovic

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Figure 1

Physical features of the 2p15p16.1 microdeletion carriers.

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Physical features of the 2p15p16.1 microdeletion carriers.
Images of the...
Images of the patients in cases 2, 3, 4, 7, and 8 illustrating the craniofacial and digital abnormalities seen in 2p15p16.1 microdeletion syndrome. All patients had microcephaly and/or head shape abnormalities (except case 4), and at least 1 unique facial feature including hypertelorism, epicanthal folds, telecanthus, short/downslanting palpebral fissure, ptosis, and abnormal nasal root. Digital anomalies were also a common feature in these patients.
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