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Updated: May 17, 2026

Array Comparative Genomic Hybridization (Array CGH) for Detection of Genomic Copy Number Variants
Published on: February 21, 2015
De novo copy number variants are associated with congenital diaphragmatic hernia
Lan Yu1, Julia Wynn, Lijiang Ma
1Department of Pediatrics, Columbia University Medical Center, New York, New York 10032, USA.
Insights
Chromosomal anomalies are linked to congenital diaphragmatic hernia (CDH). This study identified specific genes, such as FOXC1 and FOXF2, involved in diaphragm development, offering new insights into CDH aetiology.
Area of Science:
- Genetics and Developmental Biology
- Medical Genetics
Background:
- Congenital diaphragmatic hernia (CDH) is a significant birth defect with unknown causes.
- Genetic factors, including chromosomal anomalies, are implicated in CDH development.
Purpose of the Study:
- To investigate the frequency of chromosomal anomalies and copy number variants (CNVs) in CDH patients.
- To identify candidate genes contributing to the aetiology of CDH.
Main Methods:
- Analyzed 256 parent-child trios with CDH using cytogenetic and microarray analysis.
- Prioritized genes within identified CNV segments and performed gene enrichment analysis.
Main Results:
- Identified chromosomal anomalies in 6.3% of CDH patients, including de novo CNVs.
- Highlighted candidate genes like FOXC1, FOXF2, PDGFA, and TBX1 involved in diaphragm development.
- Gene enrichment analysis revealed significant pathways related to tissue development and DNA binding transcription factor activity.
Conclusions:
- Chromosomal anomalies play a role in the aetiology of CDH.
- Identified a set of candidate genes for further investigation in CDH pathogenesis.
Background:
Congenital diaphragmatic hernia (CDH) is a common birth defect with significant morbidity and mortality. Although the aetiology of CDH remains poorly understood, studies from animal models and patients with CDH suggest that genetic factors play an important role in the development of CDH. Chromosomal anomalies have been reported in CDH.
Methods:
In this study, the authors investigated the frequency of chromosomal anomalies and copy number variants (CNVs) in 256 parent-child trios of CDH using clinical conventional cytogenetic and microarray analysis. The authors also selected a set of CDH related training genes to prioritise the genes in those segmental aneuploidies and identified the genes and gene sets that may contribute to the aetiology of CDH.
Results:
The authors identified chromosomal anomalies in 16 patients (6.3%) of the series including three aneuploidies, two unbalanced translocation, and 11 patients with de novo CNVs ranging in size from 95 kb to 104.6 Mb. The authors prioritised the genes in the CNV segments and identified KCNA2, LMNA, CACNA1S, MYOG, HLX, LBR, AGT, GATA4, SOX7, HYLS1, FOXC1, FOXF2, PDGFA, FGF6, COL4A1, COL4A2, HOMER2, BNC1, BID, and TBX1 as genes that may be involved in diaphragm development. Gene enrichment analysis identified the most relevant gene ontology categories as those involved in tissue development (p=4.4×10(-11)) or regulation of multicellular organismal processes (p=2.8×10(-10)) and 'receptor binding' (p=8.7×10(-14)) and 'DNA binding transcription factor activity' (p=4.4×10(-10)).
Conclusions:
The present findings support the role of chromosomal anomalies in CDH and provide a set of candidate genes including FOXC1, FOXF2, PDGFA, FGF6, COL4A1, COL4A2, SOX7, BNC1, BID, and TBX1 for further analysis in CDH.
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