1. The pleiotropic spectrum of proximal 16p11.2 CNVs.
- Author
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Auwerx, Chiara, Kutalik, Zoltán, and Reymond, Alexandre
- Subjects
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PHENOTYPIC plasticity , *AUTISM spectrum disorders , *SYMPTOMS , *NEUROBEHAVIORAL disorders , *COMPLEX variables - Abstract
Recurrent genomic rearrangements at 16p11.2 BP4-5 represent one of the most common causes of genomic disorders. Originally associated with increased risk for autism spectrum disorder, schizophrenia, and intellectual disability, as well as adiposity and head circumference, these CNVs have since been associated with a plethora of phenotypic alterations, albeit with high variability in expressivity and incomplete penetrance. Here, we comprehensively review the pleiotropy associated with 16p11.2 BP4-5 rearrangements to shine light on its full phenotypic spectrum. Illustrating this phenotypic heterogeneity, we expose many parallels between findings gathered from clinical versus population-based cohorts, which often point to the same physiological systems, and emphasize the role of the CNV beyond neuropsychiatric and anthropometric traits. Revealing the complex and variable clinical manifestations of this CNV is crucial for accurate diagnosis and personalized treatment strategies for carrier individuals. Furthermore, we discuss areas of research that will be key to identifying factors contributing to phenotypic heterogeneity and gaining mechanistic insights into the molecular pathways underlying observed associations, while demonstrating how diversity in affected individuals, cohorts, experimental models, and analytical approaches can catalyze discoveries. [Display omitted] 16p11.2 BP4-5 copy-number variants lead to variable clinical presentation, ranging from neuropsychiatric to metabolic disorders. We review data from clinical and population cohorts to shed light on the spectrum of phenotypic alterations observed among carrier individuals and discuss areas of research that will be key to understanding phenotypic heterogeneity. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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