Williams syndrome (WMS) is a most compelling model of human cognition, of h
uman genome organization, and of evolution. Due to a deletion in chromosome
band 7q11.23, subjects have cardiovascular, connective tissue, and neurode
velopmental deficits. Given the striking peaks and valleys in neurocognitio
n including deficits in visual-spatial and global processing, preserved lan
guage and face processing, hypersociability, and heightened affect, the goa
l of this work has been to identify the genes that are responsible, the cau
se of the deletion, and its origin in primate evolution. To do this, we hav
e generated an integrated physical, genetic, and transcriptional map of the
WMS and flanking regions using multicolor metaphase and interphase fluores
cence in situ hybridization (FISH) of bacterial artificial chromosomes (BAC
s) and P1 artificial chromosomes (PACs), BAC end sequencing, PCR gene marke
r and microsatellite, large-scale sequencing, cDNA library, and database an
alyses. The results indicate the genomic organization of the WMS region as
two nested duplicated regions flanking a largely single-copy region. There
are at least two common deletion breakpoints, one in the centromeric and at
least two in the telomeric repeated regions. Clones anchoring the unique t
o the repeated regions are defined along with three new pseudogene families
. Primate studies indicate an evolutionary hot spot for chromosomal inversi
on in the WMS region. A cognitive phenotypic map of WMS is presented, which
combines previous data with five further WMS subjects and three atypical W
MS subjects with deletions; two larger (deleted for D7S489L) and one smalle
r, deleted for genes telomeric to FZD9, through LIMK1, but not WSCR1 or tel
omeric. The results establish regions and consequent gene candidates for WM
S features including mental retardation, hypersociability, and facial featu
res. The approach provides the basis for defining pathways linking genetic
underpinnings with the neuroanatomical, functional, and behavioral conseque
nces that result in human cognition.