Phenotypic shift in copy number variants: Evidence in 16p11.2 duplication syndrome.
Phenotypic shift in copy number variants: Evidence in 16p11.2 duplication syndrome.
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DOI:
10.1016/j.gim.2022.09.011
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发表时间:
2023-01
影响因子:
8.8
通讯作者:
Ledbetter, David H.
中科院分区:
文献类型:
--
作者:
Taylor, Cora M.;Finucane, Brenda M.;Moreno-De-Luca, Andres;Walsh, Lauren K.;Martin, Christa Lese;Ledbetter, David H.
Recurrent 16p11.2 duplications produce a wide range of clinical outcomes with varying impacts on cognition and social functioning. Family-based studies of copy number variants (CNV) have revealed significant contributions of genomic background on variable expressivity. In this study, we measured the phenotypic impact of 16p11.2 duplications and quantified the modulating effect of familial background on cognitive and social outcomes. Genomic and clinical data were ascertained from 41 probands with a 16p11.2 duplication and their first-degree relatives. Paired comparisons were completed to determine the duplication’s impact on expected versus actual performance on standardized tests of intelligence (IQ) and social functioning (SRS-2). Intraclass correlations (ICCs) between relatives and probands were also calculated. Cognitive and social functioning were significantly lower among individuals with 16p11.2 duplications compared to their CNV-negative relatives, while ICCs between the groups remained high for full-scale IQ and SRS-2 scores. 16p11.2 duplications confer deleterious effects on cognition and social functioning, while familial background significantly influences phenotypic expression of these traits. Understanding variable expressivity in CNV disorders has implications for anticipatory clinical care, particularly for individuals who receive a genetic diagnosis at an early age, long before the full scope of manifestations becomes evident.
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