Contribution of rare inherited and de novo variants in 2,871 congenital heart disease probands.
Nat Genet
; 49(11): 1593-1601, 2017 Nov.
Article
em En
| MEDLINE
| ID: mdl-28991257
ABSTRACT
Congenital heart disease (CHD) is the leading cause of mortality from birth defects. Here, exome sequencing of a single cohort of 2,871 CHD probands, including 2,645 parent-offspring trios, implicated rare inherited mutations in 1.8%, including a recessive founder mutation in GDF1 accounting for â¼5% of severe CHD in Ashkenazim, recessive genotypes in MYH6 accounting for â¼11% of Shone complex, and dominant FLT4 mutations accounting for 2.3% of Tetralogy of Fallot. De novo mutations (DNMs) accounted for 8% of cases, including â¼3% of isolated CHD patients and â¼28% with both neurodevelopmental and extra-cardiac congenital anomalies. Seven genes surpassed thresholds for genome-wide significance, and 12 genes not previously implicated in CHD had >70% probability of being disease related. DNMs in â¼440 genes were inferred to contribute to CHD. Striking overlap between genes with damaging DNMs in probands with CHD and autism was also found.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transtorno Autístico
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Cadeias Pesadas de Miosina
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Predisposição Genética para Doença
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Miosinas Cardíacas
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Receptor 3 de Fatores de Crescimento do Endotélio Vascular
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Fator 1 de Diferenciação de Crescimento
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Cardiopatias Congênitas
Tipo de estudo:
Etiology_studies
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Observational_studies
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Risk_factors_studies
Limite:
Adult
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Child
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Female
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Humans
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Male
Idioma:
En
Revista:
Nat Genet
Assunto da revista:
GENETICA MEDICA
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Estados Unidos