PMID- 26523152 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20151102 LR - 20200930 IS - 1755-8166 (Print) IS - 1755-8166 (Electronic) IS - 1755-8166 (Linking) VI - 8 DP - 2015 TI - Characterization of intragenic tandem duplication in the PAFAH1B1 gene leading to isolated lissencephaly sequence. PG - 84 LID - 10.1186/s13039-015-0186-8 [doi] LID - 84 AB - BACKGROUND: Genetic aberrations in PAFAH1B1 result in isolated lissencephaly sequence (ILS), a neuronal migration disorder associated with severe mental retardation and intractable epilepsy. Approximately 60 % of patients with ILS show a 17p13.3 deletion or an intragenic variation of PAFAH1B1 that can be identified by fluorescence in situ hybridization (FISH) analysis or gene sequencing. Using multiplex ligation-dependent probe amplification (MLPA), 40-80 % of the remaining patients show small genomic deletions or duplications of PAFAH1B1. The intragenic duplications within PAFAH1B1 are predicted to abolish the PAFAH1B1 function, although a detailed characterization of the duplication regions have not been reported. RESULTS: Here we describe a female patient with ILS occurring predominantly in the posterior brain regions. MLPA was used to identify a small duplication within PAFAH1B1. This result was confirmed by array-based comparative genomic hybridization analysis, revealing a duplication of the 29-kb region encompassing putative regulatory elements and exon 2 of PAFAH1B1. The region was characterized as an intragenic tandem duplication by sequencing, revealing a 28-bp microhomology sequence at the breakpoint junctions. Parental genetic testing confirmed that the tandem duplication occurred de novo. Reverse transcription-PCR on RNA extracted from peripheral blood leukocytes revealed that the expression level of PAFAH1B1 decreased to that in a patient with Miller-Dieker syndrome, a contiguous gene-deletion disorder characterized by classical lissencephaly and a facial dysmorphism. CONCLUSIONS: This study expanded the spectrum of PAFAH1B1 variants and identified a unique genomic architecture including microhomology sequences in PAFAH1B1 underlying an intragenic tandem duplication leading to ILS. FAU - Takahashi, Satoru AU - Takahashi S AD - Department of Pediatrics, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido 078-8510 Japan. FAU - Tanaka, Ryosuke AU - Tanaka R AD - Department of Pediatrics, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido 078-8510 Japan. FAU - Okano, Satomi AU - Okano S AD - Department of Pediatrics, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido 078-8510 Japan. FAU - Okayama, Akie AU - Okayama A AD - Department of Pediatrics, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido 078-8510 Japan. FAU - Suzuki, Nao AU - Suzuki N AD - Department of Pediatrics, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido 078-8510 Japan. FAU - Azuma, Hiroshi AU - Azuma H AD - Department of Pediatrics, Asahikawa Medical University, 2-1-1-1 Midorigaoka-Higashi, Asahikawa, Hokkaido 078-8510 Japan. LA - eng PT - Case Reports DEP - 20151031 PL - England TA - Mol Cytogenet JT - Molecular cytogenetics JID - 101317942 PMC - PMC4628255 OTO - NOTNLM OT - Duplication OT - Lissencephaly OT - Microhomology OT - Neuronal migration OT - PAFAH1B1 EDAT- 2015/11/03 06:00 MHDA- 2015/11/03 06:01 PMCR- 2015/10/31 CRDT- 2015/11/03 06:00 PHST- 2015/08/03 00:00 [received] PHST- 2015/10/17 00:00 [accepted] PHST- 2015/11/03 06:00 [entrez] PHST- 2015/11/03 06:00 [pubmed] PHST- 2015/11/03 06:01 [medline] PHST- 2015/10/31 00:00 [pmc-release] AID - 186 [pii] AID - 10.1186/s13039-015-0186-8 [doi] PST - epublish SO - Mol Cytogenet. 2015 Oct 31;8:84. doi: 10.1186/s13039-015-0186-8. eCollection 2015.