Detection of Copy Number Variations in Neurological Diseases using Exome Data of Consanguineous Families from North-West of Pakistan

Keywords

Copy Number Variation (CNV), CNVPytor, De Novo, Neurological disorders, Structural Variation.

How to Cite

Detection of Copy Number Variations in Neurological Diseases using Exome Data of Consanguineous Families from North-West of Pakistan. (2025). Pak-Euro Journal of Medical and Life Sciences, 8(4). https://doi.org/10.31580/4cy0m964

Abstract

The current study focusses screening for those pathogenic Copy Number Variations (CNVs) which are directly linked to neurogenetic disorders. CNVs are genomic structural variants, specifically those mutations having a length larger than 1000bps. Such variants may particularly be associated with a plethora of diseases, such as cancers and neurogenetic disorders. Similarly, CNVs, being the crucial parts genome, also have a number of other important roles in evolution and population diversity as well. Basically, these particular variations manifest as either deletions or duplications of sizable genomic regions. For the identification of these variants, we used Whole Exome Sequencing data to explore CNVs associated with neurological diseases in Pashtun families. To analyze the data, we employed CNVpytor to generate normalized read depth profiles for CNVs calling. The resulting variants were then visualized using the Integrative Genome Viewer (IGV). All identified CNVs were functionally annotated using tools like WANNOVAR and ClinCNV Viewer, with all statistical analyses carried out in R. From our dataset, we identified a total of 3,144 Copy Number Variants. To isolate high confidence variants, strict filtration criteria were applied, and these 3,144 CNVs were narrowed down to 245, which comprised of 93.1% deletions and 6.9% duplications. This study validates that Whole Exome Sequencing (WES) is a powerful tool for the identification of CNVs, especially those missed or pinpointed as uncertain by conventional diagnostic tests, which further enables more accurate genetic diagnosis and counselling for affected families.

References

1. MacDonald JR, Ziman R, Yuen RKC, Feuk L, Scherer SW. The Database of Ge-nomic Variants: a curated collection of structural variation in the human genome. Nu-cleic Acids Res. 2014;42(D1):D986–D992.

2. Pizzo L, Rudd MK. Structural variation interpretation in the genome sequencing era: Lessons from cytogenetics. Clin Chem. 2025;71(1):119–128.

3. Pös O, Radvanszky J, Buglyó G, Pös Z, Rusnakova D, Nagy B. DNA copy number variation: Main characteristics, evolutionary significance, and pathological aspects. Biomed J. 2021;44(5):548–559. doi:10.1016/j.bj.2021.02.003.

4. Demidov G, Yaldiz B, Garcia-Pelaez J, De Boer E, Schuermans N, Van De Vondel L. Comprehensive reanalysis for CNVs in ES data from unsolved rare disease cases results in new diagnoses. NPJ Genom Med. 2024;9(1):49. doi:10.1038/s41525-024-00436-6.

5. Pennings M, Meijer RPP, Gerrits M, Janssen J, Pfundt R, De Leeuw N. Copy number variants from 4800 exomes contribute to ~7% of genetic diagnoses in movement dis-orders, muscle disorders and neuropathies. Eur J Hum Genet. 2023;31(6):654–662. doi:10.1038/s41431-023-01312-0.

6. Hwang J, Byeon JH, Eun BL, Nam MH, Cho Y, Yun SG. Improving CNV detection performance except for software-specific problematic regions. Genes. 2026;17(1):105.

7. Demidov G, Yaldiz B, Garcia-Pelaez J, De Boer E, Schuermans N, Van de Vondel L, Paramonov I, Johansson LF, Musacchia F, Benetti E, Bullich G. Comprehensive rea-nalysis for CNVs in ES data from unsolved rare disease cases results in new diagno-ses. NPJ Genom Med. 2024;9(1):49.

8. Kuznetsov N, Daida K, Makarious MB, Al-Mubarak B, Atterling Brolin K, Malik L. CNV-Finder: Streamlining copy number variation discovery [Internet]. Bioinformat-ics; 2024 [cited 2025 Apr 5].

9. Munté E, Roca C, Del Valle J, Feliubadaló L, Pineda M, Gel B. Detection of germline CNVs from gene panel data: benchmarking the state of the art. Brief Bioinform. 2024;26(1):bbae645.

10. Bolger AM, Lohse M, Usadel B. Trimmomatic: a flexible trimmer for Illumina se-quence data. Bioinformatics. 2014;30(15):2114–2120.

11. Suvakov M, Panda A, Diesh C, Holmes I, Abyzov A. CNVpytor: a tool for copy number variation detection and analysis from read depth and allele imbalance in whole-genome sequencing. GigaScience. 2021;10(11):giab074.

12. Robinson JT, Thorvaldsdóttir H, Wenger AM, Zehir A, Mesirov JP. Variant review with the Integrative Genomics Viewer. Cancer Res. 2017;77(21):e31–e34.

13. Robinson JT, Thorvaldsdóttir H, Winckler W, Guttman M, Lander ES, Getz G, Mesirov JP. Integrative genomics viewer. Nat Biotechnol. 2011;29(1):24–26.

14. Chang X, Wang K. wANNOVAR: annotating genetic variants for personal genomes via the web. J Med Genet. 2012;49(7):433–436.

15. Macnee M, Pérez-Palma E, Brünger T, Klöckner C, Platzer K, Stefanski A, Montanucci L, Bayat A, Radtke M, Collins RL, Talkowski M, Blankenberg D, Møller RS, Lemke JR, Nothnagel M, May P, Lal D. CNV-ClinViewer: enhancing the clinical interpretation of large copy-number variants online. Bioinformatics. 2023;39(5).

16. Green RC, Berg JS, Grody WW, Kalia SS, Korf BR, Martin CL, McGuire AL, Nuss-baum RL, O’Daniel JM, Ormond KE, Rehm HL. ACMG recommendations for re-porting of incidental findings in clinical exome and genome sequencing. Genet Med. 2013;15(7):565–574.

17. Kushima I, Nakatochi M, Ozaki N. Copy number variations and human well-being: integrating psychiatric, physical, and socioeconomic perspectives. Biol Psychiatry. 2025;98(2):116–125.

18. Hahn E, Dharmadhikari AV, Markowitz AL, Estrine D, Quindipan C, Maggo SD, Sharma A, Lee B, Maglinte DT, Shams S, Deardorff MA. Copy number variant anal-ysis improves diagnostic yield in a diverse pediatric exome sequencing cohort. NPJ Genom Med. 2025;10(1):16.

19. Tilemis FN, Marinakis NM, Veltra D, Svingou M, Kekou K, Mitrakos A, Tzetis M, Kosma K, Makrythanasis P, Traeger-Synodinos J, Sofocleous C. Germline CNV de-tection through whole-exome sequencing (WES) data analysis enhances resolution of rare genetic diseases. Genes. 2023;14(7):1490.

20. Atik T, Avci Durmusalioglu E, Isik E, Kose M, Kanmaz S, Aykut A, Durmaz A, Ozkinay F, Cogulu O. Diagnostic yield of exome sequencing-based copy number var-iation analysis in Mendelian disorders: a clinical application. BMC Med Genomics. 2024;17(1):239.

21. Malmgren H, Kvarnung M, Gustafsson P, Anderlid BM, Arthur C, Carlsten J, De Geer K, Ehn E, Grigelioniené G, Hammarsjö A, Helgadottir HT. Diagnostic yield of 1000 trio analyses with exome and genome sequencing in a clinical setting. Front Genet. 2025;16:1580879.

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