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Paramagnetic Relaxation Enhancement for Detecting and Characterizing Self-Associations of Intrinsically Disordered Proteins
Published on: September 23, 2021
CHARGE: an association or a syndrome?
1Ufuk University Faculty of Medicine, Department of Pediatric Surgery, Ankara, Turkey. ademirtola@yahoo.com
Insights
Genetic mutations in the chromodomain helicase DNA binding protein 7 (CHD7) gene are the primary cause of CHARGE syndrome. Haploinsufficiency of CHD7 leads to developmental errors, explaining the condition's complex symptoms.
Area of Science:
- Genetics
- Developmental Biology
- Medical Genetics
Background:
- CHARGE association is a rare condition with multiple congenital anomalies requiring a multidisciplinary approach.
- Accurate diagnosis is crucial for pediatric surgery and otorhinolaryngology due to associated surgical anomalies.
Purpose of the Study:
- To present the latest evidence on the genetic basis of CHARGE.
Main Methods:
- A computed literature review was conducted.
- Databases used included PubMed and OMIM.
Main Results:
- Heterozygous mutations in the chromodomain helicase DNA binding protein 7 (CHD7) gene were identified in two-thirds of CHARGE patients.
- CHD7 gene haploinsufficiency causes prenatal and postnatal developmental regulation errors, aligning with the broad spectrum of CHARGE phenotypes.
Conclusions:
- CHD7 gene haploinsufficiency is the likely genetic basis for CHARGE.
- Evidence suggests CHARGE should be classified as a syndrome rather than an association, despite the genetic basis remaining unknown in one-third of cases.
Introduction:
CHARGE "association" is a rare clinical entity with multiple congenital anomalies that necessitates a multidisciplinary approach. Its diagnosis is important not only for the pediatric surgery practice but also for the otorhinolaryngology practice as it complicates with a number of major surgical anomalies. The aim of this paper is to present the latest evidences on the genetic basis of the disease.
Materials And Methods:
In order to evaluate, a computed literature review was undertaken using PubMed and OMIM databases.
Results:
Heterozygous mutations within the chromodomain helicase DNA binding protein 7 (CHD7) were reported in every two of three CHARGE patients. CHD protein family is located on chromosome 8q11.2 and is known to regulate chromatin remodeling which plays an essential role in the developmental gene expression. That is why the haploinsufficiency of CHD7 gene due to heterozygous mutations results in not only the postnatal but also the prenatal developmental regulation errors. The wide expression of this gene in the prenatal period overlaps with the broad spectrum of the phenotypic symptoms of the disease.
Conclusion:
CHD7 gene haploinsufficiency is expected to be the underlying basis of CHARGE. Even though the genetic basis is unsolved in one-third of the patients, the current evidence supports the term "syndrome" rather than an "association" should be more appropriate for CHARGE.
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