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2008 Barcelona - European Society of Human Genetics

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Concurrent Symposia 0<br />

use <strong>of</strong> positional information . By linking differentiation programs to<br />

cell positions on a coordinate system, an assembly <strong>of</strong> cells can be<br />

programmed to develop into well-defined spatial patterns that are not<br />

easily perturbed by the removal or addition <strong>of</strong> cells . In contrast to embryonic<br />

development, the higher-order patterns <strong>of</strong> cellular specialization<br />

in adult animals and mechanisms <strong>of</strong> their maintenance are less<br />

well understood . Here I discuss progress in using genomic expression<br />

programs to understand the organization and mechanisms <strong>of</strong> pattern<br />

formation and maintenance in mammalian epithelia .<br />

The major themes are the encoding positional identity in one class <strong>of</strong><br />

cells and the transfer <strong>of</strong> this information by epithelial-mesenchymal<br />

interaction; the role <strong>of</strong> chromatin modifications in the fidelity <strong>of</strong> transcriptional<br />

memory, and the discovery <strong>of</strong> a class <strong>of</strong> long non-coding<br />

RNAs that regulate chromosomal domains <strong>of</strong> chromatin modification<br />

to enable position-specific gene expression.<br />

s07.2<br />

Rapid high-resolution identification <strong>of</strong> balanced genomic<br />

rearrangements by 4c technology<br />

M. Simonis 1 , P. Klous 1 , R. Galjaard 2 , E. Rijkers 3 , F. Grosveld 1 , J. Meijerink 4 , W.<br />

deLaat 1 ;<br />

1 Department <strong>of</strong> Cell Biology, Erasmus MC, Rotterdam, Netherlands, 2 Department<br />

<strong>of</strong> Clinical <strong>Genetics</strong>, Erasmus MC, Rotterdam, Netherlands, 3 Department<br />

<strong>of</strong> Biochemistry, Erasmus MC, Rotterdam, Netherlands, 4 Department <strong>of</strong> Pediatric<br />

Oncology, Erasmus MC, Rotterdam, Netherlands.<br />

The architecture <strong>of</strong> DNA in the cell nucleus is an emerging key contributor<br />

to genome function . To better understand how DNA is folded<br />

inside the cell nucleus, we recently developed 4C technology . 4C<br />

technology is a high-throughput technique that combines 3C (chromosome<br />

conformation capture) technology with tailored micro-arrays to<br />

uniquely allow for an unbiased genome-wide search for DNA loci that<br />

interact in the nuclear space (Simonis et al ., Nature <strong>Genetics</strong> 2006) .<br />

It is based on formaldehyde cross-linking and capturing <strong>of</strong> in vivo interacting<br />

DNA elements, which are subsequently ligated to each other<br />

and PCR amplified.<br />

Here, we will show that 4C technology is also a powerful technique<br />

for the accurate identification <strong>of</strong> balanced and unbalanced genomic<br />

rearrangements . Balanced chromosomal rearrangements (inversions,<br />

translocations) frequently occur in the human population and<br />

can cause disease, but techniques for their rapid and accurate identification<br />

are missing. 4C technology accurately reconstructs at least<br />

5-10 megabases <strong>of</strong> the one-dimensional chromosome sequence map<br />

around the selected genomic viewpoint . Changes in this physical map<br />

as a result <strong>of</strong> genomic rearrangements are therefore identified by 4C<br />

technology . We demonstrate that 4C detects balanced inversions and<br />

translocations, but also unbalanced rearrangements like deletions, at<br />

a resolution (~7kb) that allows immediate sequencing <strong>of</strong> the breakpoints.<br />

Breakpoints are identified even when they are 4 megabases<br />

away from the genomic viewpoint . We have applied 4C to samples<br />

from patients with congenital malformations and with T cell acute lymphoblastic<br />

leukemia (T-ALL). Using 4C, we have identified novel rearrangements<br />

underlying T-ALL . We will show that balanced rearrangements<br />

are identified also if they occur in a small subpopulation <strong>of</strong> cells.<br />

4C technology therefore <strong>of</strong>fers a novel high-resolution genomic approach<br />

that can efficiently identify balanced genomic rearrangements.<br />

s07.3<br />

Integrative genomic approaches for the identification <strong>of</strong><br />

regulatory variation underlying disease risk<br />

J. Blangero;<br />

Dept. <strong>of</strong> <strong>Genetics</strong>, Southwest Foundation for Biomedical Research, San Antonio,<br />

TX.<br />

s08.1<br />

Deciphering Developmental Disorders<br />

N. Carter;<br />

Wellcome Trust Sanger Institute, Genome Campus, Cambridge, United Kingdom.<br />

Genetically determined disorders <strong>of</strong> development result in malformations<br />

(e .g . congenital heart defects), a dysmorphic appearance (i .e .<br />

unusual crani<strong>of</strong>acial appearance) and/or neurodevelopmental disability<br />

. They have a pr<strong>of</strong>ound effect on the life and health <strong>of</strong> the individual<br />

and <strong>of</strong> their family . Many developmental disorders are caused by gene<br />

mutations or larger chromosome rearrangements affecting gene copy<br />

number or regulation . However, in spite <strong>of</strong> expert clinical assessment<br />

and conventional chromosome analysis, most children with developmental<br />

disorders remain undiagnosed and indeed are undiagnosable<br />

using this methodology .<br />

Recently it has become possible to screen patients for submicroscopic<br />

chromosome imbalance (microdeletions and microduplications) and to<br />

identify mutations in genes on a genome-wide scale . The application<br />

<strong>of</strong> comparative genomic hybridisation to DNA microarrays (array-CGH)<br />

has revolutionised our ability to identify small chromosome imbalances<br />

down to a few Kb not only in patients but also as normal copy number<br />

variation in unaffected individuals . A number <strong>of</strong> clinical laboratory<br />

centres worldwide are now applying genomic microarray technology<br />

to investigate a small proportion <strong>of</strong> patients with developmental delay,<br />

learning disability and congenital malformation . However the sporadic<br />

nature and rarity <strong>of</strong> the majority <strong>of</strong> these cases limits the ability <strong>of</strong> the<br />

individual clinician, working in isolation, to interpret the molecular findings<br />

from genome-wide array analysis . There is a great need for international<br />

collaboration to report and catalogue genotype-phenotype<br />

correlations such that clusters <strong>of</strong> individuals sharing similar genomic<br />

rearrangements and phenotypes can be identified. To facilitate such<br />

international collaboration, we have developed the DECIPHER database<br />

with the general aim <strong>of</strong> providing a clinical and research tool to:<br />

a . Aid in the interpretation <strong>of</strong> data from genomic microarray analysis<br />

e .g . the differentiation between pathogenic and polymorphic copy<br />

number changes<br />

b . Utilise the human genome map via the Ensembl genome browser<br />

to define genes involved in a specific microdeletion, microduplication,<br />

translocation or inversion<br />

c . Facilitate collaboration between clinical geneticists and molecular<br />

cytogeneticists using the world-wide-web to accelerate progress in the<br />

delineation <strong>of</strong> new syndromes and <strong>of</strong> gene function<br />

s08.2<br />

Processes <strong>of</strong> allelic and ectopic recombination in the human<br />

genome<br />

A. J. Jeffreys, I. L. Berg, M. C. Ergoren, K. G. Lam, V. E. Lawson, C. A. May,<br />

R. Neumann, L. Odenthal-Hesse, S. Sarbajna, A. Webb;<br />

Department <strong>of</strong> <strong>Genetics</strong>, University <strong>of</strong> Leicester, Leicester, United Kingdom.<br />

Single molecule typing <strong>of</strong> sperm DNA allows very high resolution analysis<br />

<strong>of</strong> meiotic recombination events in human DNA and has revealed<br />

narrow crossover hotspots dominating the allelic recombination landscape,<br />

at locations that in general correlate well with regions <strong>of</strong> breakdown<br />

<strong>of</strong> linkage disequilibrium . All 36 hotspots characterised to date<br />

by sperm typing show a very similar morphology but vary hugely in<br />

recombination activity . Polymorphism between men in activity at specific<br />

hotspots is common, consistent with rapid evolutionary turnover<br />

<strong>of</strong> hotspots, but curiously appears to be restricted to less active hotspots,<br />

at least half <strong>of</strong> which show either quantitative variation or complete<br />

on/<strong>of</strong>f polymorphism . These polymorphisms help identify local<br />

DNA sequence determinants and other factors that appear to influence<br />

hotspot activity . Single DNA molecule methods have also been developed<br />

to explore ectopic recombination between locally repeated DNA<br />

sequences. Analysis <strong>of</strong> the α-globin gene cluster has revealed recombinational<br />

exchanges between the duplicated α-γλοβιν γενεs leading<br />

to apparently reciprocal duplications and deletions, though with some<br />

evidence for an additional minor pathway <strong>of</strong> intramolecular deletion .<br />

These exchanges are surprisingly common, contrasting sharply with<br />

the rarity <strong>of</strong> rearranged chromosomes in most human populations and<br />

implying significant selection pressure against these rearrangements,<br />

despite the lack <strong>of</strong> obvious phenotypic effect in individuals carrying<br />

these copy number variants . Unlike recombination at allelic crossover<br />

hotspots, exchanges between α-globin genes are not restricted to meiosis<br />

but also arise mitotically to give various classes <strong>of</strong> rearrangement<br />

whose frequencies can be erratically inflated by mutational mosaicism,<br />

even in the germline . Similar analysis <strong>of</strong> Lepore-type deletions in the<br />

β-globin gene cluster has provided further support for distinct allelic<br />

and ectopic recombination pathways, with evidence that a very active<br />

allelic recombination hotspot within the cluster is not responsible for<br />

driving ectopic exchanges .

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