A transcript map of the newly defined 165 kb Wolf-Hirschhorn syndrome critical region
A transcript map of the newly defined 165 kb Wolf-Hirschhorn syndrome critical regionTracy J. Wright1, Darrell O. Ricke1, Karen Denison1, Simone Abmayr1, Philip D. Cotter2, Kurt Hirschhorn2,3, Mauri Keinänen4, Donna McDonald-McGinn5, Mirja Somer6, Nancy Spinner5, Theresa Yang-Feng7, Elaine Zackai5 and Michael R. Altherr1,8,*
1Genomics Group, Life Sciences Division, MS M888, Los Alamos National Laboratory, Los Alamos, NM 87545, USA, 2Department of Human Genetics and 3Department of Pediatrics, Mount Sinai School of Medicine, New York, NY 10029-6574, USA, 4Medix Clinical Laboratory, Nihtisillankuja 1, FIN-02630, Espoo, Finland, 5Department of Genetics, Wood Building, Children's Hospital, Philadelphia, PA 19104-4301, USA, 6Department of Medical Genetics, The Family Federation of Finland, PO Box 849, FIN-00101, Helsinki, Finland, 7Department of Genetics, Yale University, Box 3333, New Haven, CT 06510, USA and 8Department of Biological Chemistry, University of California at Irvine, Irvine, CA 92717, USA
Received September 12, 1996;Revised and Accepted November 20, 1996
Wolf-Hirschhorn syndrome (WHS) is a multiple malformation syndrome characterised by mental and developmental defects resulting from the absence of a segment of one chromosome 4 short arm (4p16.3). Due to the complex and variable expression of this disorder, it is thought that the WHS is a contiguous gene syndrome with an undefined number of genes contributing to the phenotype. In an effort to identify genes that contribute to human development and whose absence results in this syndrome, we have utilised a series of landmark cosmids to characterise a collection of WHS patient derived cell lines. Fluorescence in situ hybridisation with these cosmids was used to refine the WHS critical region (WHSCR) to 260 kb. The genomic sequence of this region is available and analysis of this sequence through BLAST detected several cDNA clones in the dbEST data base. A total of nine independent cDNAs, and their predicted translation products, from this analysis show no significant similarity to members of DNA or protein databases. Furthermore, these genes have been localised within the WHS critical region and reveal an interesting pattern of transcriptional organisation. A previously published report of apatient with proximal 4p- syndrome further refines the WHSCR to 165 kb defined by the loci D4S166 and D4S3327. This work provides the starting point to understand how multiple genes or other mechanisms can contribute to the complex phenotype associated with the Wolf-Hirschhorn syndrome.
The Wolf-Hirschhorn syndrome (WHS) is a multiple malformation syndrome characterised by mental and developmental defects resulting from the partial deletion of the short arm of one chromosome 4 (4p16.3). WHS patients exhibit a constellation of symptoms including severe growth deficiency, severe to profound mental retardation with onset of convulsions by the second year of life, microcephaly, sacral dimples and characteristic facial features which include prominent glabella, hypertelorism, (`Greek helmet appearance') micrognathia, highly arched eyebrows, down-turned `carp' mouth and simple, lobeless ears. Other anomalies may include a variety of midline closure defects (cleft lip or palate, hypospadias, cryptorchidism), flexion/contracture deformities of hands and feet, skeletal defects (scoliosis, kyphosis), heart defects, hemangiomas, hypoplastic nipples and eye defects (microphthalmia, iris defects, cataracts, strabismus (1 -3 ).
The WHS phenotype was originally associated with cytogenetically observable alterations in the karyotype resulting from the terminal deletion of one 4p (4 -5 ). Subsequently, molecular techniques have been utilised to confirm the diagnosis of WHS where standard karyotype analysis failed to show a cryptic translocation (6 ) and small terminal or interstitial deletions (7 -8 ). These molecular analyses have been facilitated by the extensive physical maps and cloned resources available for 4p16.3 (9 -11 ). These resources have provided the basis on which to build the molecular foundation for this syndrome.
Previous studies excluded D4S43 and D4S168 from the critical region (12 -13 ). Due to the abundant cloned resources from this region of the genome, a large number of potential coding sequences have been identified (14 -17 ). In addition, one characterised gene, FGFR3, has been localised into this region. Overall, the region appears to be gene dense. Consequently, several potential coding sequences are present in this genomic segment that might contribute to the WHS phenotype.
As the critical region for this syndrome decreases, the number of patients that contribute to refining the region is significantly reduced. To expedite this process we had previously chosen a series of `landmark' cosmids for the analysis of patient cell lines by fluorescence in situ hybridisation (FISH) that extend across the terminal 4.5 Mb segment of 4p (13 ). Using this approach we have characterised one new patient and have further characterised three other patients. These analyses refine both the proximal and the distal boundaries of the WHS critical region (WHSCR).
The newly defined WHSCR is found in a region which has been sequenced. This genomic sequence was utilised to identify potential coding sequences and to build a transcription map of this contiguous gene syndrome.
To expedite the localisation of deletion breakpoints in WHS patients, a series of landmark cosmids were employed to scan the genomic region from MSX1 to the subtelomeric locus D4F26 (13 ; Fig. 1 a). Cosmids were chosen which spanned this area with an average distance of 560 kb between loci. Following this preliminary analysis a second round of FISH was carried out using a series of overlapping cosmids which mapped between the landmarks (11 ; Fig. 1 b). This allowed localisation of the breakpoints to a specific cosmid within the region.
The newly defined 260 kb WHSCR falls entirely within a 2 Mb cosmid contig (11 ) which has been sequenced by the Sanger Centre, UK. Sequences from the cosmids within the WHSCR and flanking region were aligned to form a contiguous sequence of the region. In light of continuing discussions of sequence data quality requirements by the Genome community, it is worth noting that we identified two inconsistencies in this data set. First, there are documented gaps in the sequence of the contig that render it less than complete. Second and probably most importantly for our analyses, five indel (base insertion or deletion ambiguity) errors were identified in a 7 kb overlap linking two clones (accession nos Z67997 and Z68226). Regardless of these minor problems, this sequence provides a wealth of information for analysis. The genomic sequence of this WHSCR was analysed through BLAST, Fasta and GRAIL using the programme Sequence Comparison ANalysis (SCAN; 18 ). A total of 42 cDNA clones were identified in dbEST. Alignment of both the 5' and 3' sequence in combination with the analysis of the position of the 3' sequence and the direction of transcription identified a total of nine independent sequences. One cDNA clone representing each set of sequence was chosen for further analysis. These cDNAs, and their predicted translation products, show no significant similarity to members of other DNA or protein databases. These clones were localised back to a specific cosmid using two different methods. Individual cDNAs were hybridised to EcoRI digests of cosmids within the critical region. In addition, the sequence from dbEST was analysed against the genomic sequence of the region using BLAST. Clones from TIGR (The Institute for Genomic Research) were sequenced with one primer and this sequence was localised to the genomic sequence (Table 1 ). Clones from the IMAGE consortium have been sequenced from both the 5' and 3' direction (Table 1 ). Thus a definitive position for the 3' and 5' ends of the IMAGE clones was derived (Table 1 ). This enabled the transcriptional orientation of these cDNA clones to be determined (Fig. 2 ). The results from the two techniques were compared to ensure that there were no discrepancies. Localisation of these cDNAs back to the cosmids provides a transcript map for the WHSCR (Fig. 2 ).
Cell line CM was derived from a WHS patient previously described in detail (12 ). She was noted to have microcephaly, a broad forehead with a prominent glabella, broad nose with a prominent nasal bridge and a short philtrum. Development was delayed and she developed a seizure disorder at 1 year. Previous analysis demonstrated that she had a terminal deletion of 4p16.3 with the breakpoint lying between D4S43 and D4S166.
Cell line HHW1839 was derived from a previously described WHS patient (26 ). He was described as having `Greek helmet appearance' with hypertelorism, down slanting to palpebral fissures, micrognathia and a high arched palate. Development was delayed and he was admitted for seizure control at 18 months.
Cell line LGL7447 was derived from a previously described WHS patient (27 ). She was described as having triangular facies, broad and prominent forehead, hypertelorism, antimongoloid slanting of the eyes, high nasal bridge with a broad nose and short philtrum. She had growth retardation and moderate developmental delay. Prometaphase studies showed a deletion between 4p15.32 and 4p16.3. FISH analysis showed that the loci D4F26 and D4S96 were intact in this patient.
Cell line MS2505 was derived from a 3 year old male with WHS. He had short stature, microcephaly, mild `Greek helmet appearance', seizures beginning at age 1 year, hypospadias and global delay.
A series of previously chosen landmark cosmids from 4p16.3 were utilised for FISH (13 ). Cosmids L228a7 (D4S81), L21f12 (D4S180), L247f6 (D4S182) and 33c6 (D4S43) spanning the published contig were obtained from the original flow sorted chromosome 4 arrayed library (11 ,28 ). Additionally, five other cosmids were obtained that provide landmarks for the remainder of 4pter: pC385.12 (containing the FGFR3 gene; 13 ), pC678 (D4S96; 2 ), CD2 (D4S90; 21 ), and pC847.351 (D4F26; 29 ). A cosmid containing the MSX1 gene, pWEHx712, was the most proximal marker used (30 ). Following FISH analysis with landmark cosmids, an additional round of analysis was carried out using a series of overlapping clones mapping between the landmark cosmids (11 ).
When STSs for a specific locus were available, the cosmid DNAs were verified by PCR amplification (31 ).
FISH was performed essentially as described (32 ). Biotinylated clone DNA (0.2 µg) was mixed with human Cot-1 fraction DNA to suppress repetitive sequences or block non-specific hybridisation. Hybridisation was detected using successive rounds of fluorescein (FITC) avidin D and biotinylated goat anti-avidin D (Vector Laboratories, Burlingame, CA).
Cosmids from the 2 Mb contig of 4p16.3 (11 ) have been sequenced by the Sanger Centre, UK. The WHSCR now falls completely within this sequenced region. The cosmid sequences were compared against the GenBank (33 ), GenPept, PIR (34 ), SWISS-PROT (35 ), dbEST (database for `Expressed Sequence Tags') (36 ) and REPEAT databases with BLAST (37 -38 ) and Fasta (39 ) on local sequence analysis servers. These search results were integrated together with LANL's Sequence Comparison ANalysis (SCAN) programme (18 ). The SCAN programme reduced the results of the BLAST analysis to a summary report. Sequence similarity to repetitive sequences were listed by the best identity to the query sequence. To improve the detection of coding and repetitive sequences, SCAN parsed available annotation for GenBank and SWISS-PROT sequences. The SCAN results were reviewed from the text summary report and the WWW HTML summary report.
The WHSCR was analysed with XGRAIL (40 ) version 1.3c to identify potential exons. The sequences were aligned using the GCG LineUp program (41 ). The two sequence gaps within cosmid 174g8 were represented by the predicted gap sizes in the alignment. These gaps were converted to poly(C) regions by XGRAIL to eliminate exon predictions within the gaps.
cDNAs identified using SCAN were obtained from either IMAGE (42 ) or TIGR (43 ). Clones were grown under selective conditions and DNA was extracted using the Qiagen midi prep kit. cDNA clones were sized by double digestion of the clone to isolate the insert. Clones were localised by labeling linearised cDNAs using ECL (Amersham) and hybridisation to EcoRI digests of those cosmids from the WHSCR.
cDNAs from IMAGE have been sequenced from both the 3' and 5' ends of the clone. cDNAs from TIGR have been sequenced from one end. Sequence from these clones was localised within the WHSCR using BLAST (37 -38 ).
Funding for this project was provided by the US Department of Energy under contract # W-7405-ENG-36 (DR, MRA), the Los Alamos National Laboratory Directed Research and Development Fund (TW, KD, SA, MRA) and a grant from The Lehman Brothers Foundation (KH). We thank Dr Norman Doggett for his valuable comments during the preparation of the manuscript. We wish to acknowledge Dr John J. Wasmuth for his support, critical comments and enthusiasm in the formative stages of this project. The authors are grateful to Irina Gershin, Lisa Gibson and Nancy Owens for outstanding technical assistance.
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