title: Refinement and discovery of new hotspots of copy-number variation associated with autism spectrum disorder.
abstract: Rare copy-number variants (CNVs) have been implicated in autism and intellectual disability. These variants are large and affect many genes but lack clear specificity toward autism as opposed to developmental-delay phenotypes. We exploited the repeat architecture of the genome to target segmental duplication-mediated rearrangement hotspots (n = 120, median size 1.78 Mbp, range 240 kbp to 13 Mbp) and smaller hotspots flanked by repetitive sequence (n = 1,247, median size 79 kbp, range 3-96 kbp) in 2,588 autistic individuals from simplex and multiplex families and in 580 controls. Our analysis identified several recurrent large hotspot events, including association with 1q21 duplications, which are more likely to be identified in individuals with autism than in those with developmental delay (p = 0.01; OR = 2.7). Within larger hotspots, we also identified smaller atypical CNVs that implicated CHD1L and ACACA for the 1q21 and 17q12 deletions, respectively. Our analysis, however, suggested no overall increase in the burden of smaller hotspots in autistic individuals as compared to controls. By focusing on gene-disruptive events, we identified recurrent CNVs, including DPP10, PLCB1, TRPM1, NRXN1, FHIT, and HYDIN, that are enriched in autism. We found that as the size of deletions increases, nonverbal IQ significantly decreases, but there is no impact on autism severity; and as the size of duplications increases, autism severity significantly increases but nonverbal IQ is not affected. The absence of an increased burden of smaller CNVs in individuals with autism and the failure of most large hotspots to refine to single genes is consistent with a model where imbalance of multiple genes contributes to a disease state.
authors: Department of Genome Sciences, University of Washington, Seattle, WA 98195, USA.
authors: Santhosh
authors: S
authors: Girirajan
authors: Megan Y
authors: MY
authors: Dennis
authors: Carl
authors: C
authors: Baker
authors: Maika
authors: M
authors: Malig
authors: Bradley P
authors: BP
authors: Coe
authors: Catarina D
authors: CD
authors: Campbell
authors: Kenneth
authors: K
authors: Mark
authors: Tiffany H
authors: TH
authors: Vu
authors: Can
authors: C
authors: Alkan
authors: Ze
authors: Z
authors: Cheng
authors: Leslie G
authors: LG
authors: Biesecker
authors: Raphael
authors: R
authors: Bernier
authors: Evan E
authors: EE
authors: Eichler
mesh_terms: D016022:Case-Control Studies; D002648:Child; D002659:Child Development Disorders, Pervasive / Q000235:genetics*; D002872:Chromosome Deletion; D058674:Chromosome Duplication / Q000235:genetics; D056915:DNA Copy Number Variations / Q000235:genetics*; D005091:Exons / Q000235:genetics; D015321:Gene Rearrangement / Q000235:genetics; D056726:Genetic Association Studies; D020022:Genetic Predisposition to Disease; D015894:Genome, Human / Q000235:genetics; D006801:Humans; D010641:Phenotype; D056916:Segmental Duplications, Genomic / Q000235:genetics*
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