Correlation between large rearrangements and patient phenotypes in NF1 deletion syndrome: an update and review

Abstract About 5–10% of neurofibromatosis type 1 (NF1) patients exhibit large genomic germline deletions that remove the NF1 gene and its flanking regions. The most frequent NF1 large deletion is 1.4 Mb, resulting from homologous recombination between two low copy repeats. This “type-1” deletion is...

Full description

Bibliographic Details
Main Authors: Laurence Pacot, Milind Girish, Samantha Knight, Gill Spurlock, Vinod Varghese, Manuela Ye, Nick Thomas, Eric Pasmant, Meena Upadhyaya
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Medical Genomics
Subjects:
Online Access:https://doi.org/10.1186/s12920-024-01843-5
_version_ 1797266537793454080
author Laurence Pacot
Milind Girish
Samantha Knight
Gill Spurlock
Vinod Varghese
Manuela Ye
Nick Thomas
Eric Pasmant
Meena Upadhyaya
author_facet Laurence Pacot
Milind Girish
Samantha Knight
Gill Spurlock
Vinod Varghese
Manuela Ye
Nick Thomas
Eric Pasmant
Meena Upadhyaya
author_sort Laurence Pacot
collection DOAJ
description Abstract About 5–10% of neurofibromatosis type 1 (NF1) patients exhibit large genomic germline deletions that remove the NF1 gene and its flanking regions. The most frequent NF1 large deletion is 1.4 Mb, resulting from homologous recombination between two low copy repeats. This “type-1” deletion is associated with a severe clinical phenotype in NF1 patients, with several phenotypic manifestations including learning disability, a much earlier development of cutaneous neurofibromas, an increased tumour risk, and cardiovascular malformations. NF1 adjacent co-deleted genes could act as modifier loci for the specific clinical manifestations observed in deleted NF1 patients. Furthermore, other genetic modifiers (such as CNVs) not located at the NF1 locus could also modulate the phenotype observed in patients with large deletions. In this study, we analysed 22 NF1 deletion patients by genome-wide array-CGH with the aim (1) to correlate deletion length to observed phenotypic features and their severity in NF1 deletion syndrome, and (2) to identify whether the deletion phenotype could also be modulated by copy number variations elsewhere in the genome. We then review the role of co-deleted genes in the 1.4 Mb interval of type-1 deletions, and their possible implication in the main clinical features observed in this high-risk group of NF1 patients.
first_indexed 2024-04-25T01:02:16Z
format Article
id doaj.art-00e14880f9e04229be07b7265bb4d185
institution Directory Open Access Journal
issn 1755-8794
language English
last_indexed 2024-04-25T01:02:16Z
publishDate 2024-03-01
publisher BMC
record_format Article
series BMC Medical Genomics
spelling doaj.art-00e14880f9e04229be07b7265bb4d1852024-03-10T12:24:00ZengBMCBMC Medical Genomics1755-87942024-03-0117111210.1186/s12920-024-01843-5Correlation between large rearrangements and patient phenotypes in NF1 deletion syndrome: an update and reviewLaurence Pacot0Milind Girish1Samantha Knight2Gill Spurlock3Vinod Varghese4Manuela Ye5Nick Thomas6Eric Pasmant7Meena Upadhyaya8Fédération de Génétique et Médecine Génomique, Hôpital Cochin, DMU BioPhyGen, AP-HP, Centre-Université Paris CitéSchool of Clinical Medicine, University of CambridgeSchool of Clinical Medicine, University of CambridgeCardiff UniversityAll Wales Medical Genomics ServiceInstitut Cochin, Inserm U1016, CNRS UMR8104, Université Paris Cité, CARPEMSchool of Clinical Medicine, University of CambridgeFédération de Génétique et Médecine Génomique, Hôpital Cochin, DMU BioPhyGen, AP-HP, Centre-Université Paris CitéDivision of Cancer and Genetics, Institute of Medical Genetics, Cardiff UniversityAbstract About 5–10% of neurofibromatosis type 1 (NF1) patients exhibit large genomic germline deletions that remove the NF1 gene and its flanking regions. The most frequent NF1 large deletion is 1.4 Mb, resulting from homologous recombination between two low copy repeats. This “type-1” deletion is associated with a severe clinical phenotype in NF1 patients, with several phenotypic manifestations including learning disability, a much earlier development of cutaneous neurofibromas, an increased tumour risk, and cardiovascular malformations. NF1 adjacent co-deleted genes could act as modifier loci for the specific clinical manifestations observed in deleted NF1 patients. Furthermore, other genetic modifiers (such as CNVs) not located at the NF1 locus could also modulate the phenotype observed in patients with large deletions. In this study, we analysed 22 NF1 deletion patients by genome-wide array-CGH with the aim (1) to correlate deletion length to observed phenotypic features and their severity in NF1 deletion syndrome, and (2) to identify whether the deletion phenotype could also be modulated by copy number variations elsewhere in the genome. We then review the role of co-deleted genes in the 1.4 Mb interval of type-1 deletions, and their possible implication in the main clinical features observed in this high-risk group of NF1 patients.https://doi.org/10.1186/s12920-024-01843-5Neurofibromatosis type 1NF1DeletionCNVGenotype-phenotype correlation
spellingShingle Laurence Pacot
Milind Girish
Samantha Knight
Gill Spurlock
Vinod Varghese
Manuela Ye
Nick Thomas
Eric Pasmant
Meena Upadhyaya
Correlation between large rearrangements and patient phenotypes in NF1 deletion syndrome: an update and review
BMC Medical Genomics
Neurofibromatosis type 1
NF1
Deletion
CNV
Genotype-phenotype correlation
title Correlation between large rearrangements and patient phenotypes in NF1 deletion syndrome: an update and review
title_full Correlation between large rearrangements and patient phenotypes in NF1 deletion syndrome: an update and review
title_fullStr Correlation between large rearrangements and patient phenotypes in NF1 deletion syndrome: an update and review
title_full_unstemmed Correlation between large rearrangements and patient phenotypes in NF1 deletion syndrome: an update and review
title_short Correlation between large rearrangements and patient phenotypes in NF1 deletion syndrome: an update and review
title_sort correlation between large rearrangements and patient phenotypes in nf1 deletion syndrome an update and review
topic Neurofibromatosis type 1
NF1
Deletion
CNV
Genotype-phenotype correlation
url https://doi.org/10.1186/s12920-024-01843-5
work_keys_str_mv AT laurencepacot correlationbetweenlargerearrangementsandpatientphenotypesinnf1deletionsyndromeanupdateandreview
AT milindgirish correlationbetweenlargerearrangementsandpatientphenotypesinnf1deletionsyndromeanupdateandreview
AT samanthaknight correlationbetweenlargerearrangementsandpatientphenotypesinnf1deletionsyndromeanupdateandreview
AT gillspurlock correlationbetweenlargerearrangementsandpatientphenotypesinnf1deletionsyndromeanupdateandreview
AT vinodvarghese correlationbetweenlargerearrangementsandpatientphenotypesinnf1deletionsyndromeanupdateandreview
AT manuelaye correlationbetweenlargerearrangementsandpatientphenotypesinnf1deletionsyndromeanupdateandreview
AT nickthomas correlationbetweenlargerearrangementsandpatientphenotypesinnf1deletionsyndromeanupdateandreview
AT ericpasmant correlationbetweenlargerearrangementsandpatientphenotypesinnf1deletionsyndromeanupdateandreview
AT meenaupadhyaya correlationbetweenlargerearrangementsandpatientphenotypesinnf1deletionsyndromeanupdateandreview