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20p12.3 microdeletion predisposes to Wolff–Parkinson–White syndrome with variable neurocognitive deficits

Identifieur interne : 001445 ( Main/Corpus ); précédent : 001444; suivant : 001446

20p12.3 microdeletion predisposes to Wolff–Parkinson–White syndrome with variable neurocognitive deficits

Auteurs : S R Lalani ; J V Thakuria ; G F Cox ; X. Wang ; W. Bi ; M S Bray ; C. Shaw ; S W Cheung ; A C Chinault ; B A Boggs ; Z. Ou ; E K Brundage ; J R Lupski ; J. Gentile ; S. Waisbren ; A. Pursley ; L. Ma ; M. Khajavi ; G. Zapata ; R. Friedman ; J J Kim ; J A Towbin ; P. Stankiewicz ; S. Schnittger ; I. Hansmann ; T. Ai ; S. Sood ; X H Wehrens ; J F Martin ; J W Belmont ; L. Potocki

Source :

RBID : ISTEX:83785B14EAA8E305BD4E5BA4878032A7DE719691

Abstract

Background: Wolff–Parkinson–White syndrome (WPW) is a bypass re-entrant tachycardia that results from an abnormal connection between the atria and ventricles. Mutations in PRKAG2 have been described in patients with familial WPW syndrome and hypertrophic cardiomyopathy. Based on the role of bone morphogenetic protein (BMP) signalling in the development of annulus fibrosus in mice, it has been proposed that BMP signalling through the type 1a receptor and other downstream components may play a role in pre-excitation. Methods and results: Using the array comparative genomic hybridisation (CGH), we identified five individuals with non-recurrent deletions of 20p12.3. Four of these individuals had WPW syndrome with variable dysmorphisms and neurocognitive delay. With the exception of one maternally inherited deletion, all occurred de novo, and the smallest of these harboured a single gene, BMP2. In two individuals with additional features of Alagille syndrome, deletion of both JAG1 and BMP2 were identified. Deletion of this region has not been described as a copy number variant in the Database of Genomic Variants and has not been identified in 13 321 individuals from other cohort examined by array CGH in our laboratory. Conclusions: Our findings demonstrate a novel genomic disorder characterised by deletion of BMP2 with variable cognitive deficits and dysmorphic features and show that individuals bearing microdeletions in 20p12.3 often present with WPW syndrome.

Url:
DOI: 10.1136/jmg.2008.061002

Links to Exploration step

ISTEX:83785B14EAA8E305BD4E5BA4878032A7DE719691

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<name sortKey="Wang, X" sort="Wang, X" uniqKey="Wang X" first="X" last="Wang">X. Wang</name>
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<name sortKey="Bi, W" sort="Bi, W" uniqKey="Bi W" first="W" last="Bi">W. Bi</name>
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<name sortKey="Bray, M S" sort="Bray, M S" uniqKey="Bray M" first="M S" last="Bray">M S Bray</name>
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<name sortKey="Cheung, S W" sort="Cheung, S W" uniqKey="Cheung S" first="S W" last="Cheung">S W Cheung</name>
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<mods:affiliation>Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA</mods:affiliation>
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<name sortKey="Chinault, A C" sort="Chinault, A C" uniqKey="Chinault A" first="A C" last="Chinault">A C Chinault</name>
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<mods:affiliation>Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA</mods:affiliation>
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<mods:affiliation>Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA</mods:affiliation>
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<name sortKey="Ou, Z" sort="Ou, Z" uniqKey="Ou Z" first="Z" last="Ou">Z. Ou</name>
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<mods:affiliation>Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA</mods:affiliation>
</affiliation>
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<name sortKey="Brundage, E K" sort="Brundage, E K" uniqKey="Brundage E" first="E K" last="Brundage">E K Brundage</name>
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<mods:affiliation>Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA</mods:affiliation>
</affiliation>
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<name sortKey="Lupski, J R" sort="Lupski, J R" uniqKey="Lupski J" first="J R" last="Lupski">J R Lupski</name>
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<mods:affiliation>Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA</mods:affiliation>
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<name sortKey="Gentile, J" sort="Gentile, J" uniqKey="Gentile J" first="J" last="Gentile">J. Gentile</name>
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<name sortKey="Waisbren, S" sort="Waisbren, S" uniqKey="Waisbren S" first="S" last="Waisbren">S. Waisbren</name>
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<name sortKey="Pursley, A" sort="Pursley, A" uniqKey="Pursley A" first="A" last="Pursley">A. Pursley</name>
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<name sortKey="Ma, L" sort="Ma, L" uniqKey="Ma L" first="L" last="Ma">L. Ma</name>
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<mods:affiliation>Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA</mods:affiliation>
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<name sortKey="Friedman, R" sort="Friedman, R" uniqKey="Friedman R" first="R" last="Friedman">R. Friedman</name>
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<name sortKey="Kim, J J" sort="Kim, J J" uniqKey="Kim J" first="J J" last="Kim">J J Kim</name>
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<name sortKey="Towbin, J A" sort="Towbin, J A" uniqKey="Towbin J" first="J A" last="Towbin">J A Towbin</name>
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<name sortKey="Stankiewicz, P" sort="Stankiewicz, P" uniqKey="Stankiewicz P" first="P" last="Stankiewicz">P. Stankiewicz</name>
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<mods:affiliation>Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA</mods:affiliation>
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<name sortKey="Schnittger, S" sort="Schnittger, S" uniqKey="Schnittger S" first="S" last="Schnittger">S. Schnittger</name>
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<mods:affiliation>MLL Munich Leukemia Laboratory, Munich, Germany</mods:affiliation>
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<name sortKey="Hansmann, I" sort="Hansmann, I" uniqKey="Hansmann I" first="I" last="Hansmann">I. Hansmann</name>
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<name sortKey="Ai, T" sort="Ai, T" uniqKey="Ai T" first="T" last="Ai">T. Ai</name>
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<name sortKey="Sood, S" sort="Sood, S" uniqKey="Sood S" first="S" last="Sood">S. Sood</name>
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<name sortKey="Wehrens, X H" sort="Wehrens, X H" uniqKey="Wehrens X" first="X H" last="Wehrens">X H Wehrens</name>
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<name sortKey="Martin, J F" sort="Martin, J F" uniqKey="Martin J" first="J F" last="Martin">J F Martin</name>
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<name sortKey="Belmont, J W" sort="Belmont, J W" uniqKey="Belmont J" first="J W" last="Belmont">J W Belmont</name>
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<mods:affiliation>Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA</mods:affiliation>
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<name sortKey="Potocki, L" sort="Potocki, L" uniqKey="Potocki L" first="L" last="Potocki">L. Potocki</name>
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<title level="j">Journal of Medical Genetics</title>
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<div type="abstract">Background: Wolff–Parkinson–White syndrome (WPW) is a bypass re-entrant tachycardia that results from an abnormal connection between the atria and ventricles. Mutations in PRKAG2 have been described in patients with familial WPW syndrome and hypertrophic cardiomyopathy. Based on the role of bone morphogenetic protein (BMP) signalling in the development of annulus fibrosus in mice, it has been proposed that BMP signalling through the type 1a receptor and other downstream components may play a role in pre-excitation. Methods and results: Using the array comparative genomic hybridisation (CGH), we identified five individuals with non-recurrent deletions of 20p12.3. Four of these individuals had WPW syndrome with variable dysmorphisms and neurocognitive delay. With the exception of one maternally inherited deletion, all occurred de novo, and the smallest of these harboured a single gene, BMP2. In two individuals with additional features of Alagille syndrome, deletion of both JAG1 and BMP2 were identified. Deletion of this region has not been described as a copy number variant in the Database of Genomic Variants and has not been identified in 13 321 individuals from other cohort examined by array CGH in our laboratory. Conclusions: Our findings demonstrate a novel genomic disorder characterised by deletion of BMP2 with variable cognitive deficits and dysmorphic features and show that individuals bearing microdeletions in 20p12.3 often present with WPW syndrome.</div>
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<article-id pub-id-type="other">jmedgenet;46/3/168</article-id>
<article-id pub-id-type="other">jmedgenet;jmg.2008.061002</article-id>
<article-id pub-id-type="pmid">18812404</article-id>
<article-id pub-id-type="other">168</article-id>
<article-id pub-id-type="other">jmg.2008.061002</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject content-type="original">Original articles</subject>
</subj-group>
<subj-group subj-group-type="hwp-journal-coll">
<subject>Liver disease</subject>
</subj-group>
<subj-group subj-group-type="hwp-journal-coll">
<subject>Cardiomyopathy</subject>
</subj-group>
<subj-group subj-group-type="hwp-journal-coll">
<subject>Pancreas and biliary tract</subject>
</subj-group>
<subj-group subj-group-type="hwp-journal-coll">
<subject>Arrhythmias</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>20p12.3 microdeletion predisposes to Wolff–Parkinson–White syndrome with variable neurocognitive deficits</article-title>
<alt-title alt-title-type="running-head">Original article</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Lalani</surname>
<given-names>S R</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Thakuria</surname>
<given-names>J V</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Cox</surname>
<given-names>G F</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Wang</surname>
<given-names>X</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Bi</surname>
<given-names>W</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Bray</surname>
<given-names>M S</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Shaw</surname>
<given-names>C</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Cheung</surname>
<given-names>S W</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Chinault</surname>
<given-names>A C</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Boggs</surname>
<given-names>B A</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Ou</surname>
<given-names>Z</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Brundage</surname>
<given-names>E K</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Lupski</surname>
<given-names>J R</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Gentile</surname>
<given-names>J</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Waisbren</surname>
<given-names>S</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Pursley</surname>
<given-names>A</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Ma</surname>
<given-names>L</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Khajavi</surname>
<given-names>M</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Zapata</surname>
<given-names>G</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Friedman</surname>
<given-names>R</given-names>
</name>
<xref ref-type="aff" rid="aff4">4</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Kim</surname>
<given-names>J J</given-names>
</name>
<xref ref-type="aff" rid="aff4">4</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Towbin</surname>
<given-names>J A</given-names>
</name>
<xref ref-type="aff" rid="aff4">4</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Stankiewicz</surname>
<given-names>P</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Schnittger</surname>
<given-names>S</given-names>
</name>
<xref ref-type="aff" rid="aff5">5</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Hansmann</surname>
<given-names>I</given-names>
</name>
<xref ref-type="aff" rid="aff6">6</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Ai</surname>
<given-names>T</given-names>
</name>
<xref ref-type="aff" rid="aff7">7</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Sood</surname>
<given-names>S</given-names>
</name>
<xref ref-type="aff" rid="aff7">7</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Wehrens</surname>
<given-names>X H</given-names>
</name>
<xref ref-type="aff" rid="aff7">7</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Martin</surname>
<given-names>J F</given-names>
</name>
<xref ref-type="aff" rid="aff3">3</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Belmont</surname>
<given-names>J W</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Potocki</surname>
<given-names>L</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
<addr-line>Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA</addr-line>
</aff>
<aff id="aff2">
<label>2</label>
<addr-line>Division of Genetics, Children’s Hospital Boston, Boston, Massachusetts, USA</addr-line>
</aff>
<aff id="aff3">
<label>3</label>
<addr-line>Institute of Biosciences and Technology, Texas A&M System Health Science Center, Houston, Texas, USA</addr-line>
</aff>
<aff id="aff4">
<label>4</label>
<addr-line>Department of Cardiology, Baylor College of Medicine, Houston, Texas, USA</addr-line>
</aff>
<aff id="aff5">
<label>5</label>
<addr-line>MLL Munich Leukemia Laboratory, Munich, Germany</addr-line>
</aff>
<aff id="aff6">
<label>6</label>
<addr-line>Institut für Humangenetik und Medizinische Biologie, Halle/Saale, Germany</addr-line>
</aff>
<aff id="aff7">
<label>7</label>
<addr-line>Department of Molecular Physiology and Biophysics, Baylor College of Medicine, Houston, Texas, USA</addr-line>
</aff>
<author-notes>
<corresp>Dr S R Lalani, Department of Molecular and Human Genetics, One Baylor Plaza, BCM225, MARB, R713, Houston, Texas 77030, USA;
<email xlink:type="simple">seemal@bcm.tmc.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>3</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="epub-original">
<day>26</day>
<month>11</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="epub">
<day>23</day>
<month>9</month>
<year>2008</year>
</pub-date>
<volume>46</volume>
<volume-id pub-id-type="other">46</volume-id>
<volume-id pub-id-type="other">46</volume-id>
<issue>3</issue>
<issue-id pub-id-type="other">jmedgenet;46/3</issue-id>
<issue-id pub-id-type="other">3</issue-id>
<issue-id pub-id-type="other">46/3</issue-id>
<fpage>168</fpage>
<history>
<date date-type="received">
<day>11</day>
<month>6</month>
<year>2008</year>
</date>
<date date-type="rev-recd">
<day>14</day>
<month>8</month>
<year>2008</year>
</date>
<date date-type="accepted">
<day>26</day>
<month>8</month>
<year>2008</year>
</date>
</history>
<permissions>
<copyright-statement>2009 BMJ Publishing Group Ltd</copyright-statement>
<copyright-year>2009</copyright-year>
</permissions>
<self-uri content-type="pdf" xlink:role="full-text" xlink:href="jmedgenet-46-168.pdf"></self-uri>
<abstract>
<sec>
<title>Background:</title>
<p>Wolff–Parkinson–White syndrome (WPW) is a bypass re-entrant tachycardia that results from an abnormal connection between the atria and ventricles. Mutations in
<italic>PRKAG2</italic>
have been described in patients with familial WPW syndrome and hypertrophic cardiomyopathy. Based on the role of bone morphogenetic protein (BMP) signalling in the development of annulus fibrosus in mice, it has been proposed that BMP signalling through the type 1a receptor and other downstream components may play a role in pre-excitation.</p>
</sec>
<sec>
<title>Methods and results:</title>
<p>Using the array comparative genomic hybridisation (CGH), we identified five individuals with non-recurrent deletions of 20p12.3. Four of these individuals had WPW syndrome with variable dysmorphisms and neurocognitive delay. With the exception of one maternally inherited deletion, all occurred de novo, and the smallest of these harboured a single gene,
<italic>BMP2</italic>
. In two individuals with additional features of Alagille syndrome, deletion of both
<italic>JAG1</italic>
and
<italic>BMP2</italic>
were identified. Deletion of this region has not been described as a copy number variant in the Database of Genomic Variants and has not been identified in 13 321 individuals from other cohort examined by array CGH in our laboratory.</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>Our findings demonstrate a novel genomic disorder characterised by deletion of
<italic>BMP2</italic>
with variable cognitive deficits and dysmorphic features and show that individuals bearing microdeletions in 20p12.3 often present with WPW syndrome.</p>
</sec>
</abstract>
</article-meta>
</front>
</article>
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<name type="personal">
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<name type="personal">
<namePart type="given">M S</namePart>
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<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">S W</namePart>
<namePart type="family">Cheung</namePart>
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<role>
<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">A C</namePart>
<namePart type="family">Chinault</namePart>
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<namePart type="given">B A</namePart>
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<name type="personal">
<namePart type="given">E K</namePart>
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<roleTerm type="text">author</roleTerm>
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<roleTerm type="text">author</roleTerm>
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<name type="personal">
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<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">G</namePart>
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<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">R</namePart>
<namePart type="family">Friedman</namePart>
<affiliation>Department of Cardiology, Baylor College of Medicine, Houston, Texas, USA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">J J</namePart>
<namePart type="family">Kim</namePart>
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<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">J A</namePart>
<namePart type="family">Towbin</namePart>
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<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">P</namePart>
<namePart type="family">Stankiewicz</namePart>
<affiliation>Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">S</namePart>
<namePart type="family">Schnittger</namePart>
<affiliation>MLL Munich Leukemia Laboratory, Munich, Germany</affiliation>
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<roleTerm type="text">author</roleTerm>
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<roleTerm type="text">author</roleTerm>
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<namePart type="given">S</namePart>
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<roleTerm type="text">author</roleTerm>
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<namePart type="given">X H</namePart>
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<role>
<roleTerm type="text">author</roleTerm>
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<namePart type="given">J F</namePart>
<namePart type="family">Martin</namePart>
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<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">J W</namePart>
<namePart type="family">Belmont</namePart>
<affiliation>Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">L</namePart>
<namePart type="family">Potocki</namePart>
<affiliation>Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA</affiliation>
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<subject>
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<topic>Cardiomyopathy</topic>
</subject>
<subject>
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<topic>Pancreas and biliary tract</topic>
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<subject>
<genre>hwp-journal-coll</genre>
<topic>Arrhythmias</topic>
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<abstract>Background: Wolff–Parkinson–White syndrome (WPW) is a bypass re-entrant tachycardia that results from an abnormal connection between the atria and ventricles. Mutations in PRKAG2 have been described in patients with familial WPW syndrome and hypertrophic cardiomyopathy. Based on the role of bone morphogenetic protein (BMP) signalling in the development of annulus fibrosus in mice, it has been proposed that BMP signalling through the type 1a receptor and other downstream components may play a role in pre-excitation. Methods and results: Using the array comparative genomic hybridisation (CGH), we identified five individuals with non-recurrent deletions of 20p12.3. Four of these individuals had WPW syndrome with variable dysmorphisms and neurocognitive delay. With the exception of one maternally inherited deletion, all occurred de novo, and the smallest of these harboured a single gene, BMP2. In two individuals with additional features of Alagille syndrome, deletion of both JAG1 and BMP2 were identified. Deletion of this region has not been described as a copy number variant in the Database of Genomic Variants and has not been identified in 13 321 individuals from other cohort examined by array CGH in our laboratory. Conclusions: Our findings demonstrate a novel genomic disorder characterised by deletion of BMP2 with variable cognitive deficits and dysmorphic features and show that individuals bearing microdeletions in 20p12.3 often present with WPW syndrome.</abstract>
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<title>Journal of Medical Genetics</title>
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<titleInfo type="abbreviated">
<title>J Med Genet</title>
</titleInfo>
<genre type="Journal">journal</genre>
<identifier type="ISSN">0022-2593</identifier>
<identifier type="eISSN">1468-6244</identifier>
<identifier type="PublisherID">jmg</identifier>
<identifier type="PublisherID-hwp">jmedgenet</identifier>
<identifier type="PublisherID-nlm-ta">J Med Genet</identifier>
<part>
<date>2009</date>
<detail type="volume">
<caption>vol.</caption>
<number>46</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>3</number>
</detail>
<extent unit="pages">
<start>168</start>
</extent>
</part>
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<identifier type="istex">83785B14EAA8E305BD4E5BA4878032A7DE719691</identifier>
<identifier type="DOI">10.1136/jmg.2008.061002</identifier>
<identifier type="href">jmedgenet-46-168.pdf</identifier>
<identifier type="ArticleID">mg61002</identifier>
<identifier type="PMID">18812404</identifier>
<identifier type="local">jmedgenet;46/3/168</identifier>
<accessCondition type="use and reproduction" contentType="copyright">2009 BMJ Publishing Group Ltd</accessCondition>
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