2015
DOI: 10.1002/humu.22929
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Mechanisms for the Generation of Two Quadruplications Associated with Split-Hand Malformation

Abstract: Germline copy-number variants (CNVs) involving quadruplications are rare and the mechanisms generating them are largely unknown. Previously, we reported a 20-week gestation fetus with split-hand malformation; clinical microarray detected two maternally inherited triplications separated by a copy-number neutral region at 17p13.3, involving BHLHA9 and part of YWHAE. Here, we describe an 18-month-old male sibling of the previously described fetus with split-hand malformation. Custom high-density array and digital… Show more

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Cited by 16 publications
(19 citation statements)
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References 20 publications
(27 reference statements)
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“…In addition, droplet digital PCR (ddPCR) can further distinguish amplification and copy number gains beyond duplication [e.g. triplication, quadruplication(Gu et al 2016)]. Moreover, based on the advances in SNP calling from next-generation sequencing data (Nielsen et al 2011), CNVs can easily be detected by particular algorithms with an adequate read depth (Goodwin et al 2016; Hormozdiari et al 2009; Iossifov et al 2014).…”
Section: Discussionmentioning
confidence: 99%
“…In addition, droplet digital PCR (ddPCR) can further distinguish amplification and copy number gains beyond duplication [e.g. triplication, quadruplication(Gu et al 2016)]. Moreover, based on the advances in SNP calling from next-generation sequencing data (Nielsen et al 2011), CNVs can easily be detected by particular algorithms with an adequate read depth (Goodwin et al 2016; Hormozdiari et al 2009; Iossifov et al 2014).…”
Section: Discussionmentioning
confidence: 99%
“…They can be formed in a single mutational event during DNA repair by iterative template switching within stretches of microhomology . Additionally, CGRs may expand, that is, triplication‐normal‐triplication pattern to quadruplication‐normal‐quadruplication pattern . CGRs, in particular triplications, can be associated with extended regions of segmental copy‐number‐neutral absence of heterozygosity (AOH) or regional uniparental disomy (UPD).…”
Section: Upstream Mechanisms: Genomic Instability Predisposes To Genomentioning
confidence: 99%
“…34,45 Additionally, CGRs may expand, that is, triplication-normal-triplication pattern to quadruplication-normal-quadruplication pattern. 46 CGRs, in particular triplications, can be associated with extended regions of segmental copy-number-neutral absence of heterozygosity (AOH) or regional uniparental disomy (UPD). Template switches between homologs vs sister chromatids, during repair of double-stranded DNA breaks or during mitotic crossing-over, have been implicated in such rearrangements.…”
Section: Complex Rearrangementsmentioning
confidence: 99%
“…The number of positive and negative droplets that contain a target template is used to calculate the concentration of the target and reference DNA sequences and their Poisson-based 95% confidence interval (Hindson, et al 2011). The ddPCR methodology can readily distinguish duplication, triplication and even quadruplication of a locus (Gu, et al 2016). …”
Section: Methodsmentioning
confidence: 99%