Characterization of the chromosome 1q41q42.12 region, and the candidate gene DISP1, in patients with CDH.
Cytogenetic and molecular cytogenetic studies demonstrate association between congenital diaphragmatic hernia (CDH) and chromosome 1q41q42 deletions. In this study, we screened a large CDH cohort (N=179) for microdeletions in this interval by the multiplex ligation-dependent probe amplification (MLPA) technique, and also sequenced two candidate genes located therein, dispatched 1 (DISP1) and homo sapiens H2.0-like homeobox (HLX). MLPA analysis verified deletions of this region in two cases, an unreported patient with a 46,XY,del(1)(q41q42.13) karyotype and a previously reported patient with a Fryns syndrome phenotype [Kantarci et al., 2006]. HLX sequencing showed a novel but maternally inherited single nucleotide variant (c.27C>G) in a patient with isolated CDH, while DISP1 sequencing revealed a mosaic de novo heterozygous substitution (c.4412C>G; p.Ala1471Gly) in a male with a left-sided Bochdalek hernia plus multiple other anomalies. Pyrosequencing demonstrated the mutant allele was present in 43%, 12%, and 4.5% of the patient's lymphoblastoid, peripheral blood lymphocytes, and saliva cells, respectively. We examined Disp1 expression at day E11.5 of mouse diaphragm formation and confirmed its presence in the pleuroperitoneal fold, as well as the nearby lung which also expresses Sonic hedgehog (Shh). Our report describes the first de novo DISP1 point mutation in a patient with complex CDH. Combining this finding with Disp1 embryonic mouse diaphragm and lung tissue expression, as well as previously reported human chromosome 1q41q42 aberrations in patients with CDH, suggests that DISP1 may warrant further consideration as a CDH candidate gene.
Kantarci
Sibel
S
Pediatric Surgical Research Laboratories, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Ackerman
Kate G
KG
Russell
Meaghan K
MK
Longoni
Mauro
M
Sougnez
Carrie
C
Noonan
Kristin M
KM
Hatchwell
Eli
E
Zhang
Xiaoyun
X
Pieretti Vanmarcke
Rafael
R
Anyane-Yeboa
Kwame
K
Dickman
Paul
P
Wilson
Jay
J
Donahoe
Patricia K
PK
Pober
Barbara R
BR
D002648:Child; D002874:Chromosome Mapping; D002878:Chromosomes, Human, Pair 1; D000013:Congenital Abnormalities / Q000235:genetics*; D004247:DNA / Q000097:blood / Q000235:genetics / Q000302:isolation & purification; D017931:DNA Primers; D005260:Female; D053823:Hedgehog Proteins / Q000235:genetics; D006548:Hernia, Diaphragmatic / Q000235:genetics*; D006801:Humans; D017404:In Situ Hybridization, Fluorescence; D007231:Infant, Newborn; D007258:Informed Consent; D008168:Lung / Q000502:physiology; D008297:Male; D009030:Mosaicism; D017384:Sequence Deletion
D017931:DNA Primers; D053823:Hedgehog Proteins; C509239:SHH protein, human; D004247:DNA
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