RT Journal A1 Mohajeri, Kiana A1 Cantsilieris, Stuart A1 Huddleston, John A1 Nelson, Bradley J. A1 Coe, Bradley P. A1 Campbell, Catarina D. A1 Baker, Carl A1 Harshman, Lana A1 Munson, Katherine M. A1 Kronenberg, Zev N. A1 Kremitzki, Milinn A1 Raja, Archana A1 Catacchio, Claudia Rita A1 Graves, Tina A. A1 Wilson, Richard K. A1 Ventura, Mario A1 Eichler, Evan E. T1 Interchromosomal core duplicons drive both evolutionary instability and disease susceptibility of the Chromosome 8p23.1 region JF Genome Research JO Genome Research YR 2016 FD November 01 VO 26 IS 11 SP 1453 OP 1467 DO 10.1101/gr.211284.116 UL http://genome.cshlp.org/content/26/11/1453.abstract AB Recurrent rearrangements of Chromosome 8p23.1 are associated with congenital heart defects and developmental delay. The complexity of this region has led to inconsistencies in the current reference assembly, confounding studies of genetic variation. Using comparative sequence-based approaches, we generated a high-quality 6.3-Mbp alternate reference assembly of an inverted Chromosome 8p23.1 haplotype. Comparison with nonhuman primates reveals a 746-kbp duplicative transposition and two separate inversion events that arose in the last million years of human evolution. The breakpoints associated with these rearrangements map to an ape-specific interchromosomal core duplicon that clusters at sites of evolutionary inversion (P = 7.8 × 10−5). Refinement of microdeletion breakpoints identifies a subgroup of patients that map to the same interchromosomal core involved in the evolutionary formation of the duplication blocks. Our results define a higher-order genomic instability element that has shaped the structure of specific chromosomes during primate evolution contributing to rearrangements associated with inversion and disease.