Contribution of rare inherited and de novo variants in 2,871 congenital heart disease probands.

Contribution of rare inherited and de novo variants in 2,871 congenital heart disease probands.
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DOI:
10.1038/ng.3970
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发表时间:
2017-11
期刊:
影响因子:
30.8
通讯作者:
Brueckner M
Brueckner M
中科院分区:
生物学1区
文献类型:
--
作者:
Jin SC;Homsy J;Zaidi S;Lu Q;Morton S;DePalma SR;Zeng X;Qi H;Chang W;Sierant MC;Hung WC;Haider S;Zhang J;Knight J;Bjornson RD;Castaldi C;Tikhonoa IR;Bilguvar K;Mane SM;Sanders SJ;Mital S;Russell MW;Gaynor JW;Deanfield J;Giardini A;Porter GA Jr;Srivastava D;Lo CW;Shen Y;Watkins WS;Yandell M;Yost HJ;Tristani-Firouzi M;Newburger JW;Roberts AE;Kim R;Zhao H;Kaltman JR;Goldmuntz E;Chung WK;Seidman JG;Gelb BD;Seidman CE;Lifton RP;Brueckner M

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先天性心脏病(CHD)是出生缺陷导致死亡的主要原因。对2,871名CHD先证者(包括2,645名父母-后代三人组)的单个队列进行外显子组测序,发现1.8%的罕见遗传突变,包括GDF 1中的隐性创始者突变,占Ashkenazim中重度CHD的约5%,MYH 6中的隐性基因型占Shone复合体的约11%,显性FLT 4突变占法洛四联症的2.3%。新生突变(DNM)占8%的病例,包括约3%的孤立性CHD患者和约28%的神经发育和心外先天性异常。7个基因超过了全基因组显著性阈值,12个先前与CHD无关的基因具有> 70%的疾病相关概率;推断约440个基因中的DNM有助于CHD。在先心病和自闭症的先证者中,具有破坏性DNM的基因之间存在惊人的重叠。
Congenital heart disease (CHD) is the leading cause of mortality from birth defects. 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 ~5% of severe CHD in Ashkenazim, recessive genotypes in MYH6 accounting for ~11% 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 ~3% of isolated CHD patients and ~28% 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 ~440 genes are inferred to contribute to CHD. There was striking overlap between genes with damaging DNMs in probands with CHD and autism.
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