Mechanisms for Nonrecurrent Genomic Rearrangements Associated with CMT1A or HNPP: Rare CNVs as a Cause for Missing Heritability  Feng Zhang, Pavel Seeman,

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Mechanisms for Nonrecurrent Genomic Rearrangements Associated with CMT1A or HNPP: Rare CNVs as a Cause for Missing Heritability  Feng Zhang, Pavel Seeman, Pengfei Liu, Marian A.J. Weterman, Claudia Gonzaga-Jauregui, Charles F. Towne, Sat Dev Batish, Els De Vriendt, Peter De Jonghe, Bernd Rautenstrauss, Klaus-Henning Krause, Mehrdad Khajavi, Jan Posadka, Antoon Vandenberghe, Francesc Palau, Lionel Van Maldergem, Frank Baas, Vincent Timmerman, James R. Lupski  The American Journal of Human Genetics  Volume 86, Issue 6, Pages 892-903 (June 2010) DOI: 10.1016/j.ajhg.2010.05.001 Copyright © 2010 The American Society of Human Genetics Terms and Conditions

Figure 1 Oligonucleotide aCGH Analysis of Simple Nonrecurrent Genomic Rearrangements of 17p12 Associated with CMT1A or HNPP Above, for reference, is a horizontal line showing the 1.4 Mb common CMT1A- or HNPP-associated rearrangement region and its flanking sequences on human chromosome 17 with cytogenetic bands depicted above and Megabase (Mb) genomic coordinates (NCBI build 36) below. Locations of the PMP22 gene, the distal and proximal CMT1A-REPs, and LCR17pA are shown. The black horizontal bar shows the location and size of common recurrent 17p12 rearrangements (both deletion and duplication) associated with CMT1A or HNPP. To the left are laboratory identification numbers of the subjects with nonrecurrent 17p12 rearrangements. The green (loss), black (no change), and red (gain) dots show the relative intensities (deviation from the horizontal line of log2Ratio = zero) and genomic locations of the oligonucleotide probes employed in our aCGH assay. The regions that lack unique probes correspond to the LCRs. The regions with copy number gains are indicated in red horizontal bars, and the losses are shown in green. Related subjects: deletions B273.1 and B273.2; duplications C3159 and C4316. The blue vertical lines indicate the location of the PMP22 gene. The arrow indicates the copy number change caused by known polymorphism in the control DNA (NA15510). The American Journal of Human Genetics 2010 86, 892-903DOI: (10.1016/j.ajhg.2010.05.001) Copyright © 2010 The American Society of Human Genetics Terms and Conditions

Figure 2 CMT1A-Associated 17p12 Duplications Exclusive of the PMP22 Coding Region but Involving the Potential Upstream Regulatory Sequence (A) Two duplications (red bars) of the upstream region of PMP22 were identified in subject SPR1 and related subjects SD11 and SD14. The SRO involves the TEKT3 and CDRT4 genes, whereas PMP22 is intact and has normal copy number. Both the noncoding exons (1A and 1B) and coding exons (2 to 5) are shown. Three ultra CNSs associated with conserved human transcription factor binding sites were present in SRO. (B) The information of CNS size, lod score, and transcription factor binding site was provided. Details are provided in Figures S2 and S3. The American Journal of Human Genetics 2010 86, 892-903DOI: (10.1016/j.ajhg.2010.05.001) Copyright © 2010 The American Society of Human Genetics Terms and Conditions

Figure 3 Oligonucleotide aCGH Analysis Revealed Complex Genomic Rearrangements in 17p12 (A) Subjects C1292 and C2405 are related (C2405 is the sister of C1292's maternal grandfather). Two proposed FoSTeS events (FoSTeS × 2) consistent with this complex rearrangement were shown. (B) In C3011, the 17p CGH array (4 × 44k format) revealed additional duplications in 17p11.2 that is not covered by the CMT1A array (8 × 15k format). Rearrangement abbreviations: nml, normal; dup, duplication. This complex rearrangement can be alternatively interpreted as duplication-normal-duplication-normal-duplication or duplication-normal-duplication that is accompanied by an inversion polymorphism mediated by NAHR between two inverted LCRs (distal and proximal SMS-REPs). The American Journal of Human Genetics 2010 86, 892-903DOI: (10.1016/j.ajhg.2010.05.001) Copyright © 2010 The American Society of Human Genetics Terms and Conditions

Figure 4 Oligonucleotide aCGH Analysis of Exonic Rearrangements of PMP22 The deleted regions are shadowed. Below, the locations of the PMP22 gene and its coding exons (2 to 5) are shown. Exon 4 is deleted in subject SPR2. Both subjects A23 and A29 have deletions of exons 1–3. The American Journal of Human Genetics 2010 86, 892-903DOI: (10.1016/j.ajhg.2010.05.001) Copyright © 2010 The American Society of Human Genetics Terms and Conditions