Abstract
Williams–Beuren syndrome (WBS; OMIM no. 194050) is a multisystemic neurodevelopmental disorder caused by a hemizygous deletion of 1.55 Mb on chromosome 7q11.23 spanning 28 genes. Haploinsufficiency of the ELN gene was shown to be responsible for supravalvular aortic stenosis and generalized arteriopathy, whereas LIMK1, CLIP2, GTF2IRD1 and GTF2I genes were suggested to be linked to the specific cognitive profile and craniofacial features. These insights for genotype–phenotype correlations came from the molecular and clinical analysis of patients with atypical deletions and mice models. Here we report a patient showing mild WBS physical phenotype and normal IQ, who carries a shorter 1 Mb atypical deletion. This rearrangement does not include the GTF2IRD1 and GTF2I genes and only partially the BAZ1B gene. Our results are consistent with the hypothesis that hemizygosity of the GTF2IRD1 and GTF2I genes might be involved in the facial dysmorphisms and in the specific motor and cognitive deficits observed in WBS patients.
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References
Bayes M, Magano LF, Rivera N, Flores R, Perez Jurado LA : Mutational mechanisms of Williams-Beuren syndrome deletions. Am J Hum Genet 2003; 73: 131–151.
Cairo S, Merla G, Urbinati F, Ballabio A, Reymond A : WBSCR14, a gene mapping to the Williams–Beuren syndrome deleted region, is a new member of the Mlx transcription factor network. Hum Mol Genet 2001; 10: 617–627.
Merla G, Ucla C, Guipponi M, Reymond A : Identification of additional transcripts in the Williams-Beuren syndrome critical region. Hum Genet 2002; 110: 429–438.
Micale L, Fusco C, Augello B et al: Williams-Beuren syndrome TRIM50 encodes an E3 ubiquitin ligase. Eur J Hum Genet 2008; 16: 1038–1049.
Osborne LR, Mervis CB : Rearrangements of the Williams-Beuren syndrome locus: molecular basis and implications for speech and language development. Expert Rev Mol Med 2007; 9: 1–16.
Somerville MJ, Mervis CB, Young EJ et al: Severe expressive-language delay related to duplication of the Williams-Beuren locus. N Engl J Med 2005; 353: 1694–1701.
Osborne LR, Li M, Pober B et al: A 1.5 million-base pair inversion polymorphism in families with Williams-Beuren syndrome. Nat Genet 2001; 29: 321–325.
Tam E, Young EJ, Morris CA et al: The common inversion of the Williams-Beuren syndrome region at 7q11.23 does not cause clinical symptoms. Am J Med Genet A 2008; 146A: 1797–1806.
Stromme P, Bjornstad PG, Ramstad K : Prevalence estimation of Williams syndrome. J Child Neurol 2002; 17: 269–271.
Ferrero GB, Biamino E, Sorasio L et al: Presenting phenotype and clinical evaluation in a cohort of 22 Williams-Beuren syndrome patients. Eur J Med Genet 2007; 50: 327–337.
Bellugi U, Lichtenberger L, Jones W, Lai Z, St George M : I. The neurocognitive profile of Williams Syndrome: a complex pattern of strengths and weaknesses. J Cogn Neurosci 2000; 12 (Suppl 1): 7–29.
Meyer-Lindenberg A, Mervis CB, Berman KF : Neural mechanisms in Williams syndrome: a unique window to genetic influences on cognition and behaviour. Nat Rev Neurosci 2006; 7: 380–393.
Selicorni A, Fratoni A, Pavesi MA, Bottigelli M, Arnaboldi E, Milani D : Thyroid anomalies in Williams syndrome: investigation of 95 patients. Am J Med Genet A 2006; 140: 1098–1101.
Tassabehji M : Williams-Beuren syndrome: a challenge for genotype-phenotype correlations. Hum Mol Genet 2003; 12 (Spec No 2): R229–R237.
Marshall CR, Young EJ, Pani AM et al: Infantile spasms is associated with deletion of the MAGI2 gene on chromosome 7q11.23–q21.11. Am J Hum Genet 2008; 83: 106–111.
Francke U : Williams-Beuren syndrome: genes and mechanisms. Hum Mol Genet 1999; 8: 1947–1954.
Metcalfe K, Rucka AK, Smoot L et al: Elastin: mutational spectrum in supravalvular aortic stenosis. Eur J Hum Genet 2000; 8: 955–963.
Heller R, Rauch A, Luttgen S, Schroder B, Winterpacht A : Partial deletion of the critical 1.5 Mb interval in Williams-Beuren syndrome. J Med Genet 2003; 40: e99.
Hirota H, Matsuoka R, Chen XN et al: Williams syndrome deficits in visual spatial processing linked to GTF2IRD1 and GTF2I on chromosome 7q11.23. Genet Med 2003; 5: 311–321.
Hoogenraad CC, Koekkoek B, Akhmanova A et al: Targeted mutation of Cyln2 in the Williams syndrome critical region links CLIP-115 haploinsufficiency to neurodevelopmental abnormalities in mice. Nat Genet 2002; 32: 116–127.
Howald C, Merla G, Digilio MC et al: Two high throughput technologies to detect segmental aneuploidies identify new Williams-Beuren syndrome patients with atypical deletions. J Med Genet 2006; 43: 266–273.
Morris CA, Mervis CB, Hobart HH et al: GTF2I hemizygosity implicated in mental retardation in Williams syndrome: genotype-phenotype analysis of five families with deletions in the Williams syndrome region. Am J Med Genet A 2003; 123: 45–59.
Tassabehji M, Carette M, Wilmot C, Donnai D, Read AP, Metcalfe K : A transcription factor involved in skeletal muscle gene expression is deleted in patients with Williams syndrome. Eur J Hum Genet 1999; 7: 737–747.
Tassabehji M, Hammond P, Karmiloff-Smith A et al: GTF2IRD1 in craniofacial development of humans and mice. Science 2005; 310: 1184–1187.
Livak KJ, Schmittgen TD : Analysis of relative gene expression data using real-time quantitative PCR and the 2(−Delta Delta C(T)) Method. Methods 2001; 25: 402–408.
Tassabehji M, Metcalfe K, Karmiloff-Smith A et al: Williams syndrome: use of chromosomal microdeletions as a tool to dissect cognitive and physical phenotypes. Am J Hum Genet 1999; 64: 118–125.
van Hagen JM, van der Geest JN, van der Giessen RS et al: Contribution of CYLN2 and GTF2IRD1 to neurological and cognitive symptoms in Williams Syndrome. Neurobiol Dis 2007; 26: 112–124.
Gagliardi C, Bonaglia MC, Selicorni A, Borgatti R, Giorda R : Unusual cognitive and behavioural profile in a Williams syndrome patient with atypical 7q11.23 deletion. J Med Genet 2003; 40: 526–530.
Edelmann L, Prosnitz A, Pardo S et al: An atypical deletion of the Williams-Beuren syndrome interval implicates genes associated with defective visuospatial processing and autism. J Med Genet 2007; 44: 136–143.
Dai L, Bellugi U, Chen XN et al: Is it Williams syndrome? GTF2IRD1 implicated in visual-spatial construction and GTF2I in sociability revealed by high resolution arrays. Am J Med Genet A 2009; 149A: 302–314.
Karmiloff-Smith A, Grant J, Ewing S et al: Using case study comparisons to explore genotype-phenotype correlations in Williams-Beuren syndrome. J Med Genet 2003; 40: 136–140.
Boddaert N, Mochel F, Meresse I et al: Parieto-occipital grey matter abnormalities in children with Williams syndrome. Neuroimage 2006; 30: 721–725.
Karmiloff-Smith A, Tyler LK, Voice K et al: Linguistic dissociations in Williams syndrome: evaluating receptive syntax in on-line and off-line tasks. Neuropsychologia 1998; 36: 343–351.
Merla G, Howald C, Henrichsen CN et al: Submicroscopic deletion in patients with Williams-Beuren syndrome influences expression levels of the nonhemizygous flanking genes. Am J Hum Genet 2006; 79: 332–341.
Gray V, Karmiloff-Smith A, Funnell E, Tassabehji M : In-depth analysis of spatial cognition in Williams syndrome: a critical assessment of the role of the LIMK1 gene. Neuropsychologia 2006; 44: 679–685.
Bayarsaihan D, Dunai J, Greally JM et al: Genomic organization of the genes Gtf2ird1, Gtf2i, and Ncf1 at the mouse chromosome 5 region syntenic to the human chromosome 7q11.23 Williams syndrome critical region. Genomics 2002; 79: 137–143.
Roy AL, Du H, Gregor PD, Novina CD, Martinez E, Roeder RG : Cloning of an inr- and E-box-binding protein, TFII-I, that interacts physically and functionally with USF1. EMBO J 1997; 16: 7091–7104.
Thompson PD, Webb M, Beckett W et al: GTF2IRD1 regulates transcription by binding an evolutionarily conserved DNA motif ‘′GUCE’. FEBS Lett 2007; 581: 1233–1242.
Chimge NO, Makeyev AV, Ruddle FH, Bayarsaihan D : Identification of the TFII-I family target genes in the vertebrate genome. Proc Natl Acad Sci USA 2008; 105: 9006–9010.
Enkhmandakh B, Makeyev AV, Erdenechimeg L et al: Essential functions of the Williams-Beuren syndrome-associated TFII-I genes in embryonic development. Proc Natl Acad Sci USA 2009; 106: 181–186.
Palmer SJ, Tay ES, Santucci N et al: Expression of Gtf2ird1, the Williams syndrome-associated gene, during mouse development. Gene Expr Patterns 2007; 7: 396–404.
Ashe A, Morgan DK, Whitelaw NC et al: A genome-wide screen for modifiers of transgene variegation identifies genes with critical roles in development. Genome Biol 2008; 9: R182.
Acknowledgements
We are grateful to the family who participated in the study. This work was supported by grants from the Jérôme Lejeune Foundation, the Telethon Action Suisse Foundation, the Novartis Foundation, the Swiss National Science Foundation and the European commission (anEUploidy grant 037627) to AR, by grants from the Italian Ministry of Health (Ricerca Corrente 2007–09), the Fondazione Banca del Monte di Foggia ‘Domenico Siniscalco Ceci’, the Italian Telethon Foundation (Grant N. GGP06122), the Jérôme Lejeune Foundation and Italian Foreign Office to GM, Compagnia di San Paolo and Fondazione CRT, Torino to GBF.
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Ferrero, G., Howald, C., Micale, L. et al. An atypical 7q11.23 deletion in a normal IQ Williams–Beuren syndrome patient. Eur J Hum Genet 18, 33–38 (2010). https://doi.org/10.1038/ejhg.2009.108
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DOI: https://doi.org/10.1038/ejhg.2009.108
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