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A genome-wide association study identifies two risk loci for congenital heart malformations in Han Chinese
Zhibin Hu1, Yongyong Shi, Xuming Mo
1State Key Laboratory of Reproductive Medicine, School of Public Health, Nanjing Medical University, Nanjing, China. zhibin_hu@njmu.edu.cn
Insights
This study identified common genetic variants associated with congenital heart malformation (CHM) in Han Chinese populations. These findings advance our understanding of the genetic basis of sporadic CHM.
Area of Science:
- Genetics
- Human Genetics
- Congenital Disorders
Background:
- Congenital heart malformation (CHM) is a leading cause of infant mortality.
- Identifying genetic factors, especially low-penetrance variants in sporadic CHM, remains a challenge.
Purpose of the Study:
- To identify common genetic variants linked to sporadic non-syndromic CHM in Han Chinese individuals.
Main Methods:
- A multistage genome-wide association study (GWAS) was conducted.
- The study included 4,225 CHM cases and 5,112 controls across multiple stages.
Main Results:
- Significant associations were found at 1p12 (near TBX15) and 4q31.1 (in MAML3).
- Specific variants rs2474937 and rs1531070 showed strong associations with CHM.
Conclusions:
- The study identified novel genetic variants contributing to CHM in Han Chinese populations.
- These findings expand the current knowledge of CHM genetic architecture.
Abstract:
Congenital heart malformation (CHM) is the most common form of congenital human birth anomaly and is the leading cause of infant mortality. Although some causative genes have been identified, little progress has been made in identifying genes in which low-penetrance susceptibility variants occur in the majority of sporadic CHM cases. To identify common genetic variants associated with sporadic non-syndromic CHM in Han Chinese populations, we performed a multistage genome-wide association study (GWAS) in a total of 4,225 CHM cases and 5,112 non-CHM controls. The GWAS stage included 945 cases and 1,246 controls and was followed by 2-stage validation with 2,160 cases and 3,866 controls. The combined analyses identified significant associations (P < 5.0 × 10⁻⁸) at 1p12 (rs2474937 near TBX15; odds ratio (OR) = 1.40; P = 8.44 × 10⁻¹⁰) and 4q31.1 (rs1531070 in MAML3; OR = 1.40; P = 4.99 × 10⁻¹²). These results extend current knowledge of genetic contributions to CHM in Han Chinese populations.
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