Supplemental datasets for 'Distinct mechanisms of CNV formation at the human 15q13.3 locus'
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Supplementary data for Höps et al. (2026), “Distinct mechanisms of CNV formation at the human 15q13.3 locus” (preprint: https://doi.org/10.64898/2026.03.03.709017). Contents: Raw sequencing data and derived assemblies for the 15q13.3 region: raw reads (sequencing/fastq) aligned reads (sequencing/bam) local assemblies (assembly/fasta) assembly visualizations (assembly/plots) Abstract: Human chromosome 15q13.3 is a hotspot for recurrent pathogenic copy number variants (CNVs) associated with schizophrenia, developmental delay and epilepsy. We generated long-read genome assemblies for 10 patient-parent trios and compared them to 581 population controls from diverse ancestry where this complex region is fully resolved. We find that both the long (“BP4-BP5”) and short (“CHRNA7”) forms of 15q13.3 CNVs arise predominantly by non-allelic homologous recombination (NAHR) whose susceptibility has been promoted by large inversion polymorphisms. While three BP4-BP5 breakpoints cluster in a 2 kbp PRDM9-enriched recombination hotspot, most CNVs are structurally distinct and affect the disease-relevant genes ARHGAP11B and CHRFAM7A differentially. Population analyses reveal at least 18 distinct structural haplotypes in 15q13.3 and show that the BP4-BP5 CNV is stratified more than 10-fold depending on ancestry, with 68.4% of Europeans but only 5.1% of East Asians predisposed. Comparison to six ape species indicates that the duplication architecture promoting instability expanded recently and is largely human-specific.



