A common molecular mechanism underlies two phenotypically distinct 17p13.1 microdeletion syndromes.
DNA copy-number variations (CNVs) underlie many neuropsychiatric conditions, but they have been less studied in cancer. We report the association of a 17p13.1 CNV, childhood-onset developmental delay (DD), and cancer. Through a screen of over 4000 patients with diverse diagnoses, we identified eight probands harboring microdeletions at TP53 (17p13.1). We used a purpose-built high-resolution array with 93.75% breakpoint accuracy to fine map these microdeletions. Four patients were found to have a common phenotype including DD, hypotonia, and hand and foot abnormalities, constituting a unique syndrome. Notably, these patients were not affected with cancer. Moreover, none of the TP53-deletion patients affected with cancer (n = 4) had neurocognitive impairments. DD patients have larger deletions, which encompass but do not disrupt TP53, whereas cancer-affected patients harbor CNVs with at least one breakpoint within TP53. Most 17p13.1 deletions arise by Alu-mediated nonallelic homologous recombination. Furthermore, we identify a critical genomic region associated with DD and containing six underexpressed genes. We conclude that, although they overlap, 17p13.1 CNVs are associated with distinct phenotypes depending on the position of the breakpoint with respect to TP53. Further, detailed characterization of breakpoints revealed a common formation signature. Future studies should consider whether other loci in the genome also give rise to phenotypically distinct disorders by means of a common mechanism, resulting in a similar formation signature.
The Hospital for Sick Children, Toronto, ON, Canada.
Adam
A
Shlien
Berivan
B
Baskin
Maria Isabel W
MI
Achatz
Dimitrios J
DJ
Stavropoulos
Kim E
KE
Nichols
Louanne
L
Hudgins
Chantal F
CF
Morel
Margaret P
MP
Adam
Nataliya
N
Zhukova
Lianne
L
Rotin
Ana
A
Novokmet
Harriet
H
Druker
Mary
M
Shago
Peter N
PN
Ray
Pierre
P
Hainaut
David
D
Malkin
D000328:Adult; D002648:Child; D002675:Child, Preschool; D002872:Chromosome Deletion; D002886:Chromosomes, Human, Pair 17; D056915:DNA Copy Number Variations; D002658:Developmental Disabilities / Q000235:genetics; D016158:Genes, p53; D006801:Humans; D009369:Neoplasms / Q000235:genetics*; D010641:Phenotype; D013577:Syndrome