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Published on: February 5, 2021
Genetic aspects of human congenital diaphragmatic hernia
1Center for Human Genetics, Massachusetts General Hospital, Boston, MA 02114, USA. pober.barbara@mgh.harvard.edu
Insights
Congenital diaphragmatic hernia (CDH) is a birth defect impacting 1 in 3000 babies. Research is exploring its genetic causes and developmental origins to improve treatments for this condition.
Area of Science:
- Developmental Biology
- Genetics
- Perinatal Medicine
Background:
- Congenital diaphragmatic hernia (CDH) is a significant congenital malformation affecting approximately 1 in 3000-4000 live births.
- CDH is associated with considerable perinatal mortality and morbidity.
- Current research focuses on understanding the genetic and pathophysiological underpinnings of CDH to develop improved therapeutic strategies.
Purpose of the Study:
- To review diaphragm development and relevant model organism research for human CDH.
- To describe key human phenotypes associated with CDH.
- To provide guidance on the diagnostic evaluation of fetuses and infants with CDH.
Main Methods:
- Literature review of diaphragm development.
- Summary of model organism studies relevant to CDH.
- Description of human CDH phenotypes.
- Recommendations for diagnostic evaluation.
Main Results:
- CDH is a genetically determined condition with etiological heterogeneity.
- Understanding diaphragm development and genetics is crucial for therapeutic advancements.
- Accurate diagnostic evaluation is essential for managing CDH.
Conclusions:
- CDH is a complex congenital disorder with diverse genetic influences.
- Further research into developmental pathways and genetic factors is warranted.
- Standardized diagnostic approaches are recommended for affected infants and fetuses.
Abstract:
Congenital diaphragmatic hernia (CDH) is a common major malformation affecting 1/3000-1/4000 births, which continues to be associated with significant perinatal mortality. Much current research is focused on elucidating the genetics and pathophysiology contributing to CDH to develop more effective therapies. The latest data suggest that many cases of CDH are genetically determined and also indicate that CDH is etiologically heterogeneous. The present review will provide a brief summary of diaphragm development and model organism work most relevant to human CDH and will primarily describe important human phenotypes associated with CDH and also provide recommendations for diagnostic evaluation of a fetus or infant with CDH.
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