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Published on: May 5, 2018
Genetic basis of congenital cardiovascular malformations
Seema R Lalani1, John W Belmont1
1Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Insights
Genetic factors are crucial in cardiovascular malformations, a significant birth defect. Advances in genomic studies are identifying genes involved in cardiac development, aiding in understanding complex causes.
Area of Science:
- Genetics
- Developmental Biology
- Cardiology
Background:
- Cardiovascular malformations are a major class of birth defects with complex etiologies.
- Genetic factors are strongly implicated in the development of these conditions.
- Improved medical care has led to a growing population of adult survivors.
Purpose of the Study:
- To review progress in identifying causative genes for syndromic and Mendelian forms of heart malformations.
- To highlight the role of genomic disorders in congenital heart defects.
- To discuss the implications of genetic discoveries for understanding cardiac development and susceptibility.
Main Methods:
- Review of genetic discoveries over the last 15 years.
- Characterization of genes involved in syndromic and Mendelian heart malformations.
- Analysis of genomic disorders contributing to congenital heart defects.
Main Results:
- Numerous genes have been identified, encoding proteins essential for cardiac development (transcription factors, chromatin regulators, etc.).
- Genomic disorders are recognized as significant contributors to congenital heart defects.
- Progress has been made in understanding the genetic basis of rare and syndromic forms of heart malformations.
Conclusions:
- Genome-wide sequencing holds promise for elucidating genetic causes of cardiac developmental disorders.
- Comprehensive genetic studies are essential for understanding gene-gene and gene-environment interactions in congenital heart defects.
- Continued genetic research is vital for improving diagnosis and potential interventions for cardiovascular malformations.
Abstract:
Cardiovascular malformations are a singularly important class of birth defects and due to dramatic improvements in medical and surgical care, there are now large numbers of adult survivors. The etiologies are complex, but there is strong evidence that genetic factors play a crucial role. Over the last 15 years there has been enormous progress in the discovery of causative genes for syndromic heart malformations and in rare families with Mendelian forms. The rapid characterization of genomic disorders as major contributors to congenital heart defects is also notable. The genes identified encode many transcription factors, chromatin regulators, growth factors and signal transduction proteins- all unified by their required roles in normal cardiac development. Genome-wide sequencing of the coding regions promises to elucidate genetic causation in several disorders affecting cardiac development. Such comprehensive studies evaluating both common and rare variants would be essential in characterizing gene-gene interactions, as well as in understanding the gene-environment interactions that increase susceptibility to congenital heart defects.
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