Copyright © 2008 The American Society of Human Genetics. All rights reserved.
The American Journal of Human Genetics, Volume 82, Issue 1, 181-187, 10 January 2008

doi:10.1016/j.ajhg.2007.08.001

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Autosomal-Dominant Microtia Linked to Five Tandem Copies of a Copy-Number-Variable Region at Chromosome 4p16

Irina Balikova1Kevin Martens1Cindy Melotte1Mustapha Amyere2Steven Van Vooren3Yves Moreau3David Vetrie4Heike Fiegler4Nigel P. Carter4Thomas Liehr5Miikka Vikkula2Gert Matthijs1Jean-Pierre Fryns1Ingele Casteels6Koen Devriendt1 and Joris Robert Vermeesch1Go To Corresponding Author 

1 Center for Human Genetics, University of Leuven, 3000 Leuven, Belgium
2 Laboratory of Human Molecular Genetics, Université Catholique de Louvain, B-1200 Brussels, Belgium
3 Department of Electrical Engineering, University of Leuven, 3000 Leuven, Belgium
4 The Wellcome Trust Sanger Institute, Hinxton, Cambridge CB10 1SA, United Kingdom
5 Institute of Human Genetics and Anthropology, Friedrich-Schiller-Universität, D-07740 Jena, Germany
6 Department of Ophthalmology, University of Leuven, 3000 Leuven, Belgium

Corresponding author


Abstract

Recently, large-scale benign copy-number variations (CNVs)—encompassing over 12% of the genome and containing genes considered to be dosage tolerant for human development—were uncovered in the human population. Here we present a family with a novel autosomal-dominantly inherited syndrome characterized by microtia, eye coloboma, and imperforation of the nasolacrimal duct. This phenotype is linked to a cytogenetically visible alteration at 4pter consisting of five copies of a copy-number-variable region, encompassing a low-copy repeat (LCR)-rich sequence. We demonstrate that the ∼750 kb amplicon occurs in exact tandem copies. This is the first example of an amplified CNV associated with a Mendelian disorder, a discovery that implies that genome screens for genetic disorders should include the analysis of so-called benign CNVs and LCRs.


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