Abstract
The mechanism of chromosomal rearrangement associated with inverted–duplication–deletion (INV–DUP–DEL) pattern formation has been investigated by many researchers, and several possible mechanisms have been proposed. Currently, fold-back and subsequent dicentric chromosome formation has been established as non-recurrent INV–DUP–DEL pattern formation mechanisms. In the present study, we analyzed the breakpoint junctions of INV–DUP–DEL patterns in five patients using long-read whole-genome sequencing and detected 2.2–6.1 kb copy-neutral regions in all five patients. At the end of the INV–DUP–DEL, two patients exhibited chromosomal translocations, which are recognized as telomere capture, and one patient showed direct telomere healing. The remaining two patients had additional small-sized intrachromosomal segments at the end of the derivative chromosomes. These findings have not been previously reported but they may only be explained by the presence of telomere capture breakage. Further investigations are required to better understand the mechanisms underlying this finding.
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Data availability
Data supporting the findings of this study are available from the corresponding author upon reasonable request.
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Acknowledgements
We would like to express our gratitude to the patients and their families for their cooperation. We also thank M. Kiyooka and W. Chen for the PacBio sequencing and GeneBay, Inc. for the Nanopore PromethION sequencing.
Funding
This study was supported by JSPS KAKENHI, Grant Numbers 21K07873 (JSPS) and 16H06279 (PAGS).
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TY designed the study. KSY organized the study and drafted the manuscript. TT, NO, EN, AN, IT, YS, and MS contributed to acquisition of data. YM and AT analyzed the data. HK reviewed the manuscript critically. All authors contributed to the data interpretation. All authors agree to be accountable for all aspects of the work and ensure that questions related to the accuracy or integrity of any part of the study are appropriately investigated and resolved.
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Shimojima Yamamoto, K., Tamura, T., Okamoto, N. et al. Identification of small-sized intrachromosomal segments at the ends of INV–DUP–DEL patterns. J Hum Genet 68, 751–757 (2023). https://doi.org/10.1038/s10038-023-01181-x
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DOI: https://doi.org/10.1038/s10038-023-01181-x