Decreased Amino Acid Concentrations are Involved in Congenital Heart Disease

Guangrui Lai1, Xiaoming Li2, Bijun Zhang1

  • 1Department of Clinical Genetics, Shengjing Hospital of China Medical University, Shenyang, China.

Insights

Amino acids (AAs) decreased in amniotic fluid of fetuses with congenital heart disease (CHD). This reduction may impact insulin-like growth factor type 1 receptor (IGF1R) expression, potentially affecting heart development.

Area of Science:

  • Biochemistry
  • Developmental Biology
  • Genetics

Background:

  • Congenital heart disease (CHD) is a prevalent malformation in China.
  • The role of amniotic fluid (AF) composition in fetal development, particularly in CHD, requires further investigation.

Purpose of the Study:

  • To investigate alterations in amino acid (AA) concentrations in the amniotic fluid (AF) of fetuses with CHD.
  • To determine the relationship between AF AAs and the insulin-like growth factor type 1 receptor (IGF1R) pathway.

Main Methods:

  • Analysis of AF samples from pregnancies with and without CHD using liquid chromatography-tandem mass spectrometry for AA quantification.
  • Quantification of IGF axis-related proteins and epigenetic markers (P300) in AF.
  • Western blot analysis to confirm IGF1R and P300 expression.
  • In vitro experiments culturing H9C2 cells with altered AA concentrations.

Main Results:

  • A significant decrease in most AAs was observed in the AF of fetuses with CHD.
  • Reduced levels of P300 and IGF1R were found in the CHD group.
  • Lowering AA concentrations in cell cultures decreased P300 and IGF1R expression and histone acetylation of the IGF1R promoter.

Conclusions:

  • Decreased AA levels in AF are associated with CHD.
  • AAs may influence IGF1R expression via the P300 protein, suggesting a role in fetal heart development.
Abstract

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