Genomic rearrangements including submicroscopic deletions, duplications, and inversions are being recognized as important mutational mechanisms involved in several aspects of genome evolution, susceptibility to traits, and human genomic disorders (
1–
6). Although the segmental aneuploidy usually involves several genes, only a small subset of these genes convey phenotypes as a function of copy number alteration (i.e., variation from the normal 2 copies with 1 present on each chromosome homologue); such genes are referred to as dosage-sensitive genes. Genomic disorders (
6) are frequent conditions (~1 per 1,000 births) (
7) that result from genomic imbalance due to DNA rearrangements. The resulting phenotypes can be ascribed to 1 or more dosage-sensitive gene(s) present in the rearranged interval. The rearrangements that are large enough to be visualized by high-resolution cytogenetic techniques and comprise multiple unrelated contiguous genes are referred to as contiguous gene syndromes (CGSs). Such conditions often present complex phenotypes that can include specific neurobehavioral traits (
8,
9). However, establishing a correlation between each phenotypic feature and the particular dosage-sensitive gene has often been a major challenge due to the usually large number of genes mapping within or around the rearranged genomic interval. Murine models have proven to be extremely valuable for the identification of the predominant responsible gene(s) (
10).
New duplication syndromes continue to be described (
11), but in virtually none of these has the exact dosage-sensitive gene or genes been elucidated. In some cases a unique dosage-sensitive gene within the rearranged interval can give a phenotype when either present in 3 copies or haploinsufficient. This is the case for 2 reciprocal rearrangement syndromes, Charcot-Marie-Tooth disease type 1A (CMT1A; associated with a 1.4-Mb microduplication in 17p12) and hereditary neuropathy with liability to pressure palsies (HNPP; associated with the reciprocal microdeletion), that are both dysmyelinating peripheral neuropathies that result from an altered dosage of a single gene within a rearranged genomic fragment:
PMP22, which encodes peripheral myelin protein (
12). In contrast, it is possible that more than 1 dosage-sensitive gene within the rearranged region or different genes can convey a distinct phenotype with duplication versus deletion or with parent-of-origin effects when deletions are inherited from the mother versus the father. In Angelman syndrome (associated with maternal deletion of 15q11–q13) and Prader-Willi syndrome (resulting from deletion of the equivalent paternal genomic interval), the responsible dosage-sensitive gene is not the same, despite the fact that the same genomic region is involved. E6-associated ubiquitin–protein ligase gene,
UBE3A, is responsible for the Angelman phenotype, while it has been proven that it is not the dosage-sensitive gene that causes the Prader-Willi phenotype (
13).
Smith-Magenis syndrome (SMS) and dup(17)(p11.2p11.2) represent reciprocal CGSs, associated with a deletion and duplication of a 3.7-Mb interval within chromosome 17 band p11.2, respectively. The SMS (~1 per 25,000 births) phenotype includes craniofacial abnormalities, brachydactyly, obesity, behavioral abnormalities, seizures, sleep abnormalities, and mental retardation. While a commonly deleted region of approximately 3.7 Mb is present in the majority of SMS patients (>70%–80%) (
14), an approximately 1.1-Mb SMS critical region was defined, and it includes 23 genes (
15). Recently, haploinsufficiency of 1 of these 23 genes,
retinoic acid inducible 1 (
RAI1), was associated with most features of SMS (
16–
18), suggesting that it is the dosage-sensitive gene within this genomic region responsible for SMS. Whereas the responsible dosage-sensitive gene in individuals with a deletion can be identified through rare individuals with frameshift or nonsense alleles, finding the dosage-sensitive gene for a duplication syndrome poses additional challenges. The dup(17)(p11.2p11.2) clinical presentation includes learning disabilities, attention deficit disorder, autistic and obsessive-compulsive behaviors, short stature (below the 50th percentile), reduced body weight, malocclusion, and dental abnormalities (
19). The dosage-sensitive gene(s) responsible for this syndrome remain unidentified.
Human chromosome 17p11.2 is syntenic to the 32- to 34-cM region of murine chromosome 11, in which 19 genes are conserved in order and orientation (Figure ) (
15). Using chromosome engineering (
20), we generated a mouse model for dup(17)(p11.2p11.2) syndrome,
Dp(11)17/+, and a mouse model for SMS,
Df(11)17/+, heterozygous for either a duplication or deletion (deficiency), respectively, of an approximately 3-Mb mouse genomic interval that is syntenic to the SMS critical region (
21).
Dp(11)17/+ mice are significantly leaner than wild-type mice (
21), hyperactive, and exhibit impaired contextual fear conditioning (
22).
Df(11)17/+ mice manifest craniofacial abnormalities, marked obesity, seizures, hypoactivity, and circadian rhythm alteration (
21,
22). Normal gene dosage in this specific genomic interval in
Dp(11)17/
Df(11)17 compound heterozygous mice was able to rescue the obesity, craniofacial, and seizure phenotypes (
21) (Supplemental Table 1; supplemental material available online with this article; doi:10.1172/JCI28953DS1). The goals of the present study were to determine (a) whether the behavioral phenotypes observed in
Dp(11)17/+ mice are due to a gene dosage effect; and (b) whether there is a specific gene whose copy number variation is responsible for the phenotype observed in
Dp(11)17/+ mice.