[Research progress on genetic and epigenetic mechanisms in congenital heart disease]

Guangfeng Tian1, Hui Gao1, Shasha Hu1

  • 1Department of Cardiovascular and Thoracic Surgery, the Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310052, China.

Insights

Congenital heart disease (CHD) arises from abnormal embryonic heart development. Genetic and epigenetic factors, including mutations and copy number variations, are implicated, requiring further research for early diagnosis and personalized treatments.

Area of Science:

  • Cardiology
  • Genetics
  • Developmental Biology

Background:

  • Congenital heart disease (CHD) encompasses birth defects in heart and blood vessel development during embryogenesis.
  • The etiology of CHD is complex, involving intricate genetic and epigenetic mechanisms.
  • Current diagnostic and therapeutic strategies primarily utilize established genetic mechanisms like chromosome abnormalities and gene mutations.

Purpose of the Study:

  • To review the intricate relationship between genetic and epigenetic modifications and the occurrence of CHD.
  • To explore the roles of chromosomal abnormalities, gene mutations, copy number variations, and epigenetic modifications in CHD.
  • To provide a foundation for advancing early diagnosis and individualized therapy for CHD.

Main Methods:

  • Literature review and synthesis of existing research on CHD etiology.
  • Analysis of genetic and epigenetic factors contributing to congenital heart defects.
  • Examination of the clinical applications and research gaps in CHD diagnosis and treatment.

Main Results:

  • Genetic factors such as chromosomal abnormalities and gene mutations are established contributors to CHD.
  • Epigenetic modifications, including nucleic acid alterations and non-coding RNAs, are increasingly recognized for their role in CHD.
  • Significant research is still needed to translate these genetic and epigenetic findings into clinical practice for CHD.

Conclusions:

  • Genetic and epigenetic alterations are fundamental to the development of CHD.
  • Further investigation into these mechanisms is crucial for developing novel diagnostic tools and personalized treatment strategies for CHD.
  • This review highlights the potential for a deeper understanding of CHD etiology to revolutionize patient care.

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