Abstract
Chromosome 15q11q13 is among the least stable regions in the genome due to its highly complex genomic architecture. Low copy repeat elements at 15q13.3 facilitate recurrent copy number variants (CNVs), with deletions established as pathogenic and CHRNA7 implicated as a candidate gene. However, the pathogenicity of duplications of CHRNA7 is unclear, as they are found in affected probands as well as in reportedly healthy parents and unaffected control individuals. We evaluated 18 children with microduplications involving CHRNA7, identified by clinical chromosome microarray analysis (CMA). Comprehensive phenotyping revealed high prevalence of developmental delay/intellectual disability, autism spectrum disorder, and attention deficit/hyperactivity disorder. As CHRNA7 duplications are the most common CNVs identified by clinical CMA, this study provides anticipatory guidance for those involved with care of affected individuals.
Similar content being viewed by others
References
Bernier, R., Steinman, K. J., Reilly, B., Wallace, A. S., Sherr, E. H., Pojman, N., et al. (2015). Clinical phenotype of the recurrent 1q21.1 copy-number variant. Genetics in Medicine: Official Journal of the American College of Medical Genetics. doi:10.1038/gim.2015.78.
Flomen, R., Collier, D., Osborne, S., Munro, J., Breen, G., & Clair, S. T. (2006). Association study of CHRFAM7A copy number and 2 bp deletion polymorphisms with schizophrenia and bipolar affective disorder. American Journal of Medical Genetics Part B, Neuropsychiatric Genetics: The Official Publication of the International Society of Psychiatric Genetics, 141B(6), 571–575. doi:10.1002/ajmg.b.30306.
Gillentine, M. A., & Schaaf, C. P. (2015). The human clinical phenotypes of altered CHRNA7 copy number. Biochemical Pharmacology, 97(4), 352–362. doi:10.1016/j.bcp.2015.06.012.
Girirajan, S., & Eichler, E. (2010). Phenotypic variability and genetic susceptibility to genomic disorders. Human Molecular Genetics, 19(R2), R176–87. doi:10.1093/hmg/ddq366.
Girirajan, S., Rosenfeld, J. A., Coe, B. P., Parikh, S., Friedman, N., Goldstein, A., et al. (2012). Phenotypic heterogeneity of genomic disorders and rare copy-number variants. The New England Journal of Medicine, 367(14), 1321–1331. doi:10.1056/NEJMoa1200395.
Hanson, E., Nasir, R. H., Fong, A., Lian, A., Hundley, R., Shen, Y., et al. (2010). Cognitive and behavioral characterization of 16p11.2 deletion syndrome. Journal of Developmental and Behavioral Pediatrics: JDBP, 31(8), 649–657. doi:10.1097/DBP.0b013e3181ea50ed.
Helbig, I., Mefford, H. C., Sharp, A. J., Guipponi, M., Fichera, M., Franke, A., et al. (2009). 15q13.3 microdeletions increase risk of idiopathic generalized epilepsy. Nature Genetics, 41(2), 160–162. doi:10.1038/ng.292.
Lowther, C., Costain, G., Stavropoulos, D., Melvin, R., Silversides, C., Andrade, D., et al. (2014). Delineating the 15q13.3 microdeletion phenotype: A case series and comprehensive review of the literature. Genetics in Medicine: Official Journal of the American College of Medical Genetics. doi:10.1038/gim.2014.83.
Männik, K., Mägi, R., Macé, A., Cole, B., Guyatt, A. L., Shihab, H. A., et al. (2015). Copy number variations and cognitive phenotypes in unselected populations. JAMA: The Journal of the American Medical Association, 313(20), 2044–2054. doi:10.1001/jama.2015.4845.
Mathews, C. A., & Reus, V. I. (2001). Assortative mating in the affective disorders: A systematic review and meta-analysis. Comprehensive Psychiatry, 42(4), 257–262. doi:10.1053/comp.2001.24575.
Rozycka, A., Dorszewska, J., Steinborn, B., Lianeri, M., Winczewska-Wiktor, A., Sniezawska, A., et al. (2013). Association study of the 2-bp deletion polymorphism in exon 6 of the CHRFAM7A gene with idiopathic generalized epilepsy. DNA and Cell Biology, 32(11), 640–647. doi:10.1089/dna.2012.1880.
Shinawi, M., Schaaf, C. P., Bhatt, S. S., Xia, Z., Patel, A., Cheung, S. W., et al. (2009). A small recurrent deletion within 15q13.3 is associated with a range of neurodevelopmental phenotypes. Nature Genetics, 41(12), 1269–1271. doi:10.1038/ng.481.
Sinkus, M. L., Graw, S., Freedman, R., Ross, R. G., Lester, H. A., & Leonard, S. (2015). The human CHRNA7 and CHRFAM7A genes: A review of the genetics, regulation, and function. Neuropharmacology, 96(Pt B), 274–288. doi:10.1016/j.neuropharm.2015.02.006.
Soler-Alfonso, C., Carvalho, C., Ge, J., Roney, E., Bader, P., Kolodziejska, K., et al. (2014). CHRNA7 triplication associated with cognitive impairment and neuropsychiatric phenotypes in a three-generation pedigree. European Journal of Human Genetics: EJHG. doi:10.1038/ejhg.2013.302.
Stefansson, H., Meyer-Lindenberg, A., Steinberg, S., Magnusdottir, B., Morgen, K., Arnarsdottir, S., et al. (2014). CNVs conferring risk of autism or schizophrenia affect cognition in controls. Nature, 505(7483), 361–366. doi:10.1038/nature12818.
Szafranski, P., Schaaf, C. P., Person, R. E., Gibson, I. B., Xia, Z., Mahadevan, S., et al. (2010). Structures and molecular mechanisms for common 15q13.3 microduplications involving CHRNA7: Benign or pathological? Human Mutation, 31(7), 840–850. doi:10.1002/humu.21284.
Williams, N. M., Franke, B., Mick, E., Anney, R. J., Freitag, C. M., Gill, M., et al. (2012). Genome-wide analysis of copy number variants in attention deficit hyperactivity disorder: The role of rare variants and duplications at 15q13.3. The American Journal of Psychiatry, 169(2), 195–204. doi:10.1176/appi.ajp.2011.11060822.
Williams, N. M., Zaharieva, I., Martin, A., Langley, K., Mantripragada, K., Fossdal, R., et al. (2010). Rare chromosomal deletions and duplications in attention-deficit hyperactivity disorder: A genome-wide analysis. Lancet, 376(9750), 1401–1408. doi:10.1016/S0140-6736(10)61109-9.
Ziats, M. N., Goin-Kochel, R. P., Berry, L. N., Ali, M., Ge, J., Guffey, D., et al. (2016). The complex behavioral phenotype of 15q13.3 microdeletion syndrome. Genetics in Medicine: Official Journal of the American College of Medical Genetics. doi:10.1038/gim.2016.9.
Acknowledgments
This work was generously supported by the Doris Duke Charitable Foundation Grant #2011034. The project was supported in part by IDDRC Grant Number 1U54 HD083092 from the Eunice Kennedy Shriver National Institute of Child Health & Human Development. Cores: Tissue culture core, translational core. Miss Gillentine was supported by Grant Number T32GM008307 from the National Institute of General Medical Sciences. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of General Medical Sciences or the National Institutes of Health. Dr. Schaaf was generously supported by the Joan and Stanford Alexander Family.
Author Contributions
MAG drafted the manuscript and performed statistical analysis, LNB and RPGK performed behavioral assays on probands, MAA helped in recruitment of probands and obtaining clinical data, JG performed MLPA, DG performed statistical analyses, JAR performed database analysis and helped with patient recruitment, VH, MP, MS, BHG, AL, SRL, JR, MC, and TG helped in recruitment of probands from their institutions, CGM provided guidance in statistical analysis, PS and ALB participated in study design and coordination, CPS conceived of the study, and participated in its design and coordination and helped to draft the manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
All authors declare that they have no conflict of interest.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Additional information
The original version of this article was revised: The author name T. Grebe was misspelled as T. Greb. This has been corrected in this version.
An erratum to this article is available at http://dx.doi.org/10.1007/s10803-017-3047-y.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Gillentine, M.A., Berry, L.N., Goin-Kochel, R.P. et al. The Cognitive and Behavioral Phenotypes of Individuals with CHRNA7 Duplications. J Autism Dev Disord 47, 549–562 (2017). https://doi.org/10.1007/s10803-016-2961-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-016-2961-8