Abstract
Congenital motor nystagmus (CMN) is characterized by early-onset bilateral ocular oscillations without other ocular deficits. To date, mutations in only one gene have been identified to be responsible for CMN, i.e., FRMD7 for X-linked CMN. Four loci for autosomal dominant CMN, including NYS7 (OMIM 614826), have been mapped but the causative genes have yet to be identified. NYS7 was mapped to 1q32.1 based on independent genome-wide linkage scan on two large families with CMN. In this study, mutations in all known protein-coding genes, both intronic sequence with predicted effect and coding sequence, in the linkage interval were excluded by whole-genome sequencing. Then, long-read genome sequencing based on the Nanopore platform was performed with a sample from each of the two families. Two deletions with an overlapping region of 775,699 bp, located in a region without any known protein-coding genes, were identified in the two families in the linkage region. The two deletions as well as their breakpoints were confirmed by Sanger sequencing and co-segregated with CMN in the two families. The 775,699 bp deleted region contains uncharacterized non-protein-coding expressed sequences and pseudogenes but no protein-coding genes. However, Hi-C data predicted that the deletions span two topologically associated domains and probably lead to a change in the 3D genomic architecture. These results provide novel evidence of a strong association between structural variations in non-coding genomic regions and human hereditary diseases like CMN with a potential mechanism involving changes in 3D genome architecture, which provides clues regarding the molecular pathogenicity of CMN.
Highlights
Nystagmus is a condition characterized by involuntary oscillation of eyes
Pathogenic variants for the two families were analyzed according to their respective linkage intervals based on whole-genome sequencing on HiSeq platform
No potential pathogenic single-nucleotide variants (SNVs) or insertions and deletions (InDels) were detected in either intronic sequence with predicted effect or coding region of the protein-coding genes located inside the two linkage intervals
Summary
Onset in the first 6 months of life, has been reported to occur in 1 of 821 live births (Nash et al 2017). It is a common sign of some ocular. Congenital motor nystagmus (CMN), termed as idiopathic infantile nystagmus, occurs without other ocular sensory deficits and is one of the most common types of infantile nystagmus, accounting for approximately 31.0% of the total cases (Nash et al 2017). Four are autosomal dominant, namely, NYS2 (OMIM 164100, 6p12) (Kerrison et al 1996), NYS3 (OMIM 608345, 7p11.2) (Klein et al 1998), NYS4 (OMIM 193003, 13q31–q33) (Ragge et al 2003), and NYS7 (OMIM 614826, 1q31.3–q32.1) (Li et al 2012; Xiao et al 2012); while the other two are X-linked, that is, NYS1 (OMIM310700, Xq26.2)
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