Abstract

Sequencing technology is increasingly demonstrating the impact of genomic copy number variation (CNV) on phenotypes. Opposing variation in growth, head size, cognition and behaviour is known to result from deletions and reciprocal duplications of some genomic regions. We propose normative inversion of face shape, opposing difference from a matched norm, as a basis for investigating the effects of gene dosage on craniofacial development. We use dense surface modelling techniques to match any face (or part of a face) to a facial norm of unaffected individuals of matched age, sex and ethnicity and then we reverse the individual’s face shape differences from the matched norm to produce the normative inversion. We demonstrate for five genomic regions, 4p16.3, 7q11.23, 11p15, 16p13.3 and 17p11.2, that such inversion for individuals with a duplication or (epi)-mutation produces facial forms remarkably similar to those associated with a deletion or opposite (epi-)mutation of the same region, and vice versa. The ability to visualise and quantify face shape effects of gene dosage is of major benefit for determining whether a CNV is the cause of the phenotype of an individual and for predicting reciprocal consequences. It enables face shape to be used as a relatively simple and inexpensive functional analysis of the gene(s) involved.Electronic supplementary materialThe online version of this article (doi:10.1007/s00439-014-1455-z) contains supplementary material, which is available to authorized users.

Highlights

  • In recent years, genome-wide screening technologies have helped identify large numbers of genomic structural variants (GSVs)

  • The features of the normative inversions of their faces strongly resemble those of Williams-Beuren syndrome

  • To test normative face inversion further, the procedure was repeated for individuals with duplications of 4p16.3, 16p13.3 and 17p11.1, and with Beckwith-Wiedemann syndrome caused by H19 hypermethylation

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Summary

Introduction

Genome-wide screening technologies have helped identify large numbers of genomic structural variants (GSVs). CNVs of the 7q11.23 Williams-Beuren syndrome (OMIM: #194050) region cause neuro developmental disorders with a multifaceted phenotype and variable expressivity. The 7q11.23 reciprocal duplication results in different facial dysmorphism, low sociability and prominent speech delay (Schubert 2009; Merla et al 2010). This deletionduplication opposing nature of a phenotype occurs for 17p11.2. The reciprocal duplication causes Potocki-Lupski syndrome where behaviour is characterized by autism spectrum disorders. Hypomethylation of imprinting control region 1 at 11p15 and maternal duplication of 11p15 have been described as major (epi) genetic disturbances in Silver-Russell syndrome (OMIM: # 180860) resulting in severe undergrowth. Opposite (epi)-mutations involved in Beckwith-Wiedemann syndrome (OMIM: # 130650) cause overgrowth, suggesting that Silver-Russell and Beckwith-Wiedemann syndromes are genetically and clinically opposite (Eggermann 2009)

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