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. 2022 Apr;23(2):137-149.
doi: 10.1007/s10048-022-00689-2. Epub 2022 Mar 24.

Detection of copy number variants and genes by chromosomal microarray in an Emirati neurodevelopmental disorders cohort

Nasna Nassir  1 , Isra Sati  2   3 , Shaiban Al Shaibani  1 , Awab Ahmed  1 , Omar Almidani  4 , Hosneara Akter  5 , Marc Woodbury-Smith  6 , Ahmad Abou Tayoun  1   7 , Mohammed Uddin  8   9 , Ammar Albanna  10   11
Affiliations

Detection of copy number variants and genes by chromosomal microarray in an Emirati neurodevelopmental disorders cohort

Nasna Nassir et al. Neurogenetics. 2022 Apr.

Abstract

Copy number variations (CNVs) are highly implicated in the etiology of neurodevelopmental disorders (NDDs), and chromosomal microarray analysis (CMA) has been recommended as a first-tier test for many NDDs. We undertook a study to identify clinically relevant CNVs and genes in an ethnically homogenous population of the United Arab Emirates. We genotyped 98 patients with NDDs using genome-wide chromosomal microarray analysis, and observed 47.1% deletion and 52.9% duplication CNVs, of which 11.8% are pathogenic, 23.5% are likely pathogenic, and 64.7% VOUS. The average size of copy number losses (3.9 Mb) was generally higher than of gains (738.4 kb). Analysis of VOUS CNVs for constrained genes (enrichment for brain critical exons and high pLI genes) yielded 7 unique genes. Among these 7 constrained genes, we propose FNTA and PXK as potential candidate genes for neurodevelopmental disorders, which warrants further investigation. Thirty-two overlapping CNVs (Decipher and ClinVar) containing the FNTA gene were previously identified in NDD patients and 6 overlapping CNVs (Decipher and ClinVar) containing the PXK gene were previously identified in NDD patients. Our study supports the utility of CMA for CNV profiling which aids in precise genetic diagnosis and its integration into therapeutics and management of NDD patients.

Keywords: Autism spectrum disorder; Chromosomal microarray; Copy number variations; Global delay; Speech delay.

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