Comprehensive variant calling from whole‐genome sequencing identifies a complex inversion that disrupts ZFPM2 in familial congenital diaphragmatic hernia

Abstract Background Genetic disorders contribute to significant morbidity and mortality in critically ill newborns. Despite advances in genome sequencing technologies, a majority of neonatal cases remain unsolved. Complex structural variants (SVs) often elude conventional genome sequencing variant c...

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Main Authors: Thomas J. Nicholas, Najla Al‐Sweel, Andrew Farrell, Rong Mao, Pinar Bayrak‐Toydemir, Christine E. Miller, Dawn Bentley, Rachel Palmquist, Barry Moore, Edgar J. Hernandez, Michael J. Cormier, Eric Fredrickson, Katherine Noble, Shawn Rynearson, Carson Holt, Mary Anne Karren, Joshua L. Bonkowsky, Martin Tristani‐Firouzi, Mark Yandell, Gabor Marth, Aaron R. Quinlan, Luca Brunelli, Reha M. Toydemir, Brian J. Shayota, John C. Carey, Steven E. Boyden, Sabrina Malone Jenkins
Format: Article
Language:English
Published: Wiley 2022-04-01
Series:Molecular Genetics & Genomic Medicine
Online Access:https://doi.org/10.1002/mgg3.1888
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author Thomas J. Nicholas
Najla Al‐Sweel
Andrew Farrell
Rong Mao
Pinar Bayrak‐Toydemir
Christine E. Miller
Dawn Bentley
Rachel Palmquist
Barry Moore
Edgar J. Hernandez
Michael J. Cormier
Eric Fredrickson
Katherine Noble
Shawn Rynearson
Carson Holt
Mary Anne Karren
Joshua L. Bonkowsky
Martin Tristani‐Firouzi
Mark Yandell
Gabor Marth
Aaron R. Quinlan
Luca Brunelli
Reha M. Toydemir
Brian J. Shayota
John C. Carey
Steven E. Boyden
Sabrina Malone Jenkins
author_facet Thomas J. Nicholas
Najla Al‐Sweel
Andrew Farrell
Rong Mao
Pinar Bayrak‐Toydemir
Christine E. Miller
Dawn Bentley
Rachel Palmquist
Barry Moore
Edgar J. Hernandez
Michael J. Cormier
Eric Fredrickson
Katherine Noble
Shawn Rynearson
Carson Holt
Mary Anne Karren
Joshua L. Bonkowsky
Martin Tristani‐Firouzi
Mark Yandell
Gabor Marth
Aaron R. Quinlan
Luca Brunelli
Reha M. Toydemir
Brian J. Shayota
John C. Carey
Steven E. Boyden
Sabrina Malone Jenkins
author_sort Thomas J. Nicholas
collection DOAJ
description Abstract Background Genetic disorders contribute to significant morbidity and mortality in critically ill newborns. Despite advances in genome sequencing technologies, a majority of neonatal cases remain unsolved. Complex structural variants (SVs) often elude conventional genome sequencing variant calling pipelines and will explain a portion of these unsolved cases. Methods As part of the Utah NeoSeq project, we used a research‐based, rapid whole‐genome sequencing (WGS) protocol to investigate the genomic etiology for a newborn with a left‐sided congenital diaphragmatic hernia (CDH) and cardiac malformations, whose mother also had a history of CDH and atrial septal defect. Results Using both a novel, alignment‐free and traditional alignment‐based variant callers, we identified a maternally inherited complex SV on chromosome 8, consisting of an inversion flanked by deletions. This complex inversion, further confirmed using orthogonal molecular techniques, disrupts the ZFPM2 gene, which is associated with both CDH and various congenital heart defects. Conclusions Our results demonstrate that complex structural events, which often are unidentifiable or not reported by clinically validated testing procedures, can be discovered and accurately characterized with conventional, short‐read sequencing and underscore the utility of WGS as a first‐line diagnostic tool.
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spelling doaj.art-1827760dc59544598719c7df6f5aa0f22022-12-21T19:00:38ZengWileyMolecular Genetics & Genomic Medicine2324-92692022-04-01104n/an/a10.1002/mgg3.1888Comprehensive variant calling from whole‐genome sequencing identifies a complex inversion that disrupts ZFPM2 in familial congenital diaphragmatic herniaThomas J. Nicholas0Najla Al‐Sweel1Andrew Farrell2Rong Mao3Pinar Bayrak‐Toydemir4Christine E. Miller5Dawn Bentley6Rachel Palmquist7Barry Moore8Edgar J. Hernandez9Michael J. Cormier10Eric Fredrickson11Katherine Noble12Shawn Rynearson13Carson Holt14Mary Anne Karren15Joshua L. Bonkowsky16Martin Tristani‐Firouzi17Mark Yandell18Gabor Marth19Aaron R. Quinlan20Luca Brunelli21Reha M. Toydemir22Brian J. Shayota23John C. Carey24Steven E. Boyden25Sabrina Malone Jenkins26Department of Human Genetics, Utah Center for Genetic Discovery University of Utah Salt Lake City USAARUP Laboratories Salt Lake City USADepartment of Human Genetics, Utah Center for Genetic Discovery University of Utah Salt Lake City USAARUP Laboratories Salt Lake City USAARUP Laboratories Salt Lake City USAARUP Laboratories Salt Lake City USADivision of Neonatology, Department of Pediatrics University of Utah School of Medicine Salt Lake City USADivision of Pediatric Neurology, Department of Pediatrics University of Utah School of Medicine Salt Lake City USADepartment of Human Genetics, Utah Center for Genetic Discovery University of Utah Salt Lake City USADepartment of Human Genetics, Utah Center for Genetic Discovery University of Utah Salt Lake City USADepartment of Human Genetics, Utah Center for Genetic Discovery University of Utah Salt Lake City USAARUP Laboratories Salt Lake City USAARUP Laboratories Salt Lake City USADepartment of Human Genetics, Utah Center for Genetic Discovery University of Utah Salt Lake City USADepartment of Human Genetics, Utah Center for Genetic Discovery University of Utah Salt Lake City USADepartment of Human Genetics, Utah Center for Genetic Discovery University of Utah Salt Lake City USADivision of Pediatric Neurology, Department of Pediatrics University of Utah School of Medicine Salt Lake City USADivision of Pediatric Cardiology, Department of Pediatrics University of Utah School of Medicine Salt Lake City USADepartment of Human Genetics, Utah Center for Genetic Discovery University of Utah Salt Lake City USADepartment of Human Genetics, Utah Center for Genetic Discovery University of Utah Salt Lake City USADepartment of Human Genetics, Utah Center for Genetic Discovery University of Utah Salt Lake City USADivision of Neonatology, Department of Pediatrics University of Utah School of Medicine Salt Lake City USAARUP Laboratories Salt Lake City USADivision of Medical Genetics, Department of Pediatrics University of Utah School of Medicine Salt Lake City USADivision of Medical Genetics, Department of Pediatrics University of Utah School of Medicine Salt Lake City USADepartment of Human Genetics, Utah Center for Genetic Discovery University of Utah Salt Lake City USADivision of Neonatology, Department of Pediatrics University of Utah School of Medicine Salt Lake City USAAbstract Background Genetic disorders contribute to significant morbidity and mortality in critically ill newborns. Despite advances in genome sequencing technologies, a majority of neonatal cases remain unsolved. Complex structural variants (SVs) often elude conventional genome sequencing variant calling pipelines and will explain a portion of these unsolved cases. Methods As part of the Utah NeoSeq project, we used a research‐based, rapid whole‐genome sequencing (WGS) protocol to investigate the genomic etiology for a newborn with a left‐sided congenital diaphragmatic hernia (CDH) and cardiac malformations, whose mother also had a history of CDH and atrial septal defect. Results Using both a novel, alignment‐free and traditional alignment‐based variant callers, we identified a maternally inherited complex SV on chromosome 8, consisting of an inversion flanked by deletions. This complex inversion, further confirmed using orthogonal molecular techniques, disrupts the ZFPM2 gene, which is associated with both CDH and various congenital heart defects. Conclusions Our results demonstrate that complex structural events, which often are unidentifiable or not reported by clinically validated testing procedures, can be discovered and accurately characterized with conventional, short‐read sequencing and underscore the utility of WGS as a first‐line diagnostic tool.https://doi.org/10.1002/mgg3.1888
spellingShingle Thomas J. Nicholas
Najla Al‐Sweel
Andrew Farrell
Rong Mao
Pinar Bayrak‐Toydemir
Christine E. Miller
Dawn Bentley
Rachel Palmquist
Barry Moore
Edgar J. Hernandez
Michael J. Cormier
Eric Fredrickson
Katherine Noble
Shawn Rynearson
Carson Holt
Mary Anne Karren
Joshua L. Bonkowsky
Martin Tristani‐Firouzi
Mark Yandell
Gabor Marth
Aaron R. Quinlan
Luca Brunelli
Reha M. Toydemir
Brian J. Shayota
John C. Carey
Steven E. Boyden
Sabrina Malone Jenkins
Comprehensive variant calling from whole‐genome sequencing identifies a complex inversion that disrupts ZFPM2 in familial congenital diaphragmatic hernia
Molecular Genetics & Genomic Medicine
title Comprehensive variant calling from whole‐genome sequencing identifies a complex inversion that disrupts ZFPM2 in familial congenital diaphragmatic hernia
title_full Comprehensive variant calling from whole‐genome sequencing identifies a complex inversion that disrupts ZFPM2 in familial congenital diaphragmatic hernia
title_fullStr Comprehensive variant calling from whole‐genome sequencing identifies a complex inversion that disrupts ZFPM2 in familial congenital diaphragmatic hernia
title_full_unstemmed Comprehensive variant calling from whole‐genome sequencing identifies a complex inversion that disrupts ZFPM2 in familial congenital diaphragmatic hernia
title_short Comprehensive variant calling from whole‐genome sequencing identifies a complex inversion that disrupts ZFPM2 in familial congenital diaphragmatic hernia
title_sort comprehensive variant calling from whole genome sequencing identifies a complex inversion that disrupts zfpm2 in familial congenital diaphragmatic hernia
url https://doi.org/10.1002/mgg3.1888
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