Article

Double complex mutations involving F8 and FUNDC2 caused by distinct break-induced replication.

Molecular Pathology Laboratory, Canterbury Health Laboratories, Christchurch, New Zealand.
Human Mutation (impact factor: 5.69). 01/2008; 28(12):1198-206. DOI:10.1002/humu.20591 pp.1198-206
Source: PubMed

ABSTRACT Genomic rearrangements are a well-recognized cause of genetic disease and can be formed by a variety of mechanisms. We report a complex rearrangement causing severe hemophilia A, identified and further characterized using a range of PCR-based methods, and confirmed using array-comparative genomic hybridization (array-CGH). This rearrangement consists of a 15.5-kb deletion/16-bp insertion located 0.6 kb from a 28.1-kb deletion/263-kb insertion at Xq28 and is one of the most complex rearrangements described at a DNA sequence level. We propose that the rearrangement was generated by distinct but linked cellular responses to double strand breakage, namely break-induced replication (BIR) and a novel model of break-induced serial replication slippage (SRS). The copy number of several genes is affected by this rearrangement, with deletion of part of the Factor VIII gene (F8, causing hemophilia A) and the FUNDC2 gene, and duplication of the TMEM185A, HSFX1, MAGEA9, and MAGEA11 genes. As the patient exhibits no clinically detectable phenotype other than hemophilia A, it appears that the biological effects of the other genes involved are not dosage-dependent. This investigation has provided novel insights into processes of DNA repair including BIR and the first description of SRS during repair in a pathological context.

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Keywords

15.5-kb deletion/16-bp insertion
 
array-comparative genomic hybridization
 
biological effects
 
break-induced replication
 
break-induced serial replication slippage
 
cellular responses
 
clinically detectable phenotype
 
double strand breakage
 
Factor VIII gene
 
first description
 
genes
 
genetic disease
 
HSFX1
 
MAGEA11 genes
 
novel insights
 
novel model
 
patient exhibits
 
PCR-based methods
 
severe hemophilia
 
well-recognized cause