Prevalence of CNVs on the X chromosome in patients with neurodevelopmental disorders

CNVs on the X chromosome were identified in 33 patients (2.8%). Duplications and triplications (27 cases) were four times more common than deletions (6 cases). In 74% of patients, CNVs were of maternal origin; in 10% they were of paternal origin; and in 16% they arose de novo. The frequency of skewed X inactivation among family members who were healthy carriers of pathogenic and likely pathogenic CNVs and variants of uncertain significance (VUSs) on the X chromosome was 23%. For the first time, we reported several CNVs, including a pathogenic microdeletion at Xq26.1q26.2 involving the ARHGAP36 gene and a microduplication at Xp22.2 involving the OFD1 gene, CONCLUSIONS: This study expands on the frequency and spectrum of CNVs in patients with NDDs. Pathogenic variants on the X chromosome were present in 15% of cases, LP in 12%, VUS in 57%, and LB in 16% of cases. Previously unreported CNVs aid in the identification of new structural variants and genes associated with X-linked intellectual disability. We propose to consider the X-chromosome inactivation status when assessing the pathogenetic significance of CNVs using the ACMG algorithm (American College of Medical Genetics).

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Publication Details

Journal
Molecular Cytogenetics
Published
2025-02-21
DOI
https://doi.org/10.1186/s13039-025-00703-w
Citations
1
Primary Topic
Genetics and Neurodevelopmental Disorders
Type
article
Field-Weighted Citation Impact
1.82

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article

Prevalence of CNVs on the X chromosome in patients with neurodevelopmental disorders

А. А. Кашеварова, G. N. Seitova, A. A. Agafonova, Е. Н. Толмачева et al.
1 citations
Molecular Cytogenetics
Genetics and Neurodevelopmental Disorders
1.82
article

Prevalence of CNVs on the X chromosome in patients with neurodevelopmental disorders

А. А. Кашеварова, G. N. Seitova, A. A. Agafonova, Е. Н. Толмачева, E. O. Belyaeva, Ekaterina G. Ravzhaeva, И. Н. Лебедев, L. I. Minaycheva, Л. П. Назаренко, Nikolay Alekseevich Skryabin, Elizaveta A. Fonova, М. Е. Лопаткина, V. V. Petrova, Olga A. Salyukova, D. A. Fedotov, Oksana Yu. Vasilyeva, S. L. Vovk
article en
1 citations

Abstract

CNVs on the X chromosome were identified in 33 patients (2.8%). Duplications and triplications (27 cases) were four times more common than deletions (6 cases). In 74% of patients, CNVs were of maternal origin; in 10% they were of paternal origin; and in 16% they arose de novo. The frequency of skewed X inactivation among family members who were healthy carriers of pathogenic and likely pathogenic CNVs and variants of uncertain significance (VUSs) on the X chromosome was 23%. For the first time, we reported several CNVs, including a pathogenic microdeletion at Xq26.1q26.2 involving the ARHGAP36 gene and a microduplication at Xp22.2 involving the OFD1 gene, CONCLUSIONS: This study expands on the frequency and spectrum of CNVs in patients with NDDs. Pathogenic variants on the X chromosome were present in 15% of cases, LP in 12%, VUS in 57%, and LB in 16% of cases. Previously unreported CNVs aid in the identification of new structural variants and genes associated with X-linked intellectual disability. We propose to consider the X-chromosome inactivation status when assessing the pathogenetic significance of CNVs using the ACMG algorithm (American College of Medical Genetics).

Molecular CytogeneticsVol. 18(1)
Russian Academy of Sciences (RU), Research Institute of Medical Genetics of Russian Academy of Medical Sciences (RU), Tomsk National Research Medical Center (RU)
Nanomaterials Microdevices Research Center, Osaka Institute of Technology, Russian Science Foundation, Russian Academy of Sciences
Openalex Percentile: Top 18%
Genetics and Neurodevelopmental Disorders
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