Two novel and functional DNA sequence variants within an upstream enhancer of the human NKX2-5 gene in ventricular

Wenhui Huang1, Haihong Meng, Yuangang Qiao

  • 1Shandong Provincial Key Laboratory of Cardiac Disease Diagnosis and Treatment, Jining Medical University Affiliated Hospital, Jining Medical University, Jining, Shandong 272029, China.

Gene
|May 7, 2013
PubMed

Insights

Genetic variants in an NKX2-5 gene enhancer may contribute to congenital heart defects like ventricular septal defect (VSD). This finding could inform new therapies for adult congenital heart disease (CHD).

Area of Science:

  • Cardiovascular Genetics
  • Developmental Biology
  • Molecular Cardiology

Background:

  • Congenital heart disease (CHD) has high mortality due to late complications, often linked to unknown genetic factors.
  • The NKX2-5 gene is crucial for heart development and function; mutations are associated with various CHDs, including ventricular septal defect (VSD).
  • NKX2-5 acts as a dosage-sensitive regulator, suggesting altered gene expression levels may influence CHD development via gene regulatory networks.

Purpose of the Study:

  • To genetically and functionally analyze an upstream enhancer of the NKX2-5 gene in patients with VSD.
  • To investigate the role of DNA sequence variants (DSVs) in this enhancer in the development of VSD.

Main Methods:

  • Genomic DNA analysis of large cohorts of VSD patients (n=340) and controls (n=347).
  • Identification and characterization of novel heterozygous DNA sequence variants (DSVs) in the NKX2-5 upstream enhancer.
  • Functional assessment of identified DSVs using enhancer activity assays.

Main Results:

  • Two novel heterozygous DSVs (g.17483576C>G and g.17483564C>T) were identified in three VSD patients but not in controls.
  • These two DSVs significantly reduced the enhancer activity (P<0.01).
  • A third novel heterozygous DSV (g.17483557Ins) was found at similar frequencies in both VSD patients and controls (P>0.05).

Conclusions:

  • The identified DSVs within the NKX2-5 upstream enhancer may contribute to a subset of VSD cases.
  • These genetic findings highlight the importance of regulatory elements in CHD pathogenesis.
  • Understanding genetic causes of CHD can guide the development of novel therapeutic strategies for adult patients.