Compound heterozygous Pkd1l1 variants in a family with two fetuses affected by heterotaxy and complex Chd

Anna Le Fevre1, Julia Baptista2, Sian Ellard2

  • 1Department of Clinical Genetics, University Hospitals Bristol, Bristol, UK.

Insights

Pathogenic variants in the PKD1L1 gene cause autosomal visceral heterotaxy type 8, a condition linked to congenital heart defects. This study identifies new PKD1L1 variants in a family, furthering understanding of this rare genetic disorder.

Area of Science:

  • Genetics
  • Developmental Biology
  • Medical Research

Background:

  • Heterotaxy and congenital heart defects (CHD) are associated with pathogenic variants in the PKD1L1 gene.
  • Autosomal visceral heterotaxy type 8 (MIM 617205) has been documented in only four individuals across three families.

Observation:

  • This report details a family with two affected fetuses presenting novel compound heterozygous pathogenic variants in the PKD1L1 gene.
  • The condition exhibits variable thoracic and abdominal situs, with diverse features of CHD and other anomalies within the family.

Findings:

  • PKD1L1 plays a crucial role in the ciliary sensation of nodal flow at the embryonic primitive node.
  • PKD1L1 is involved in restricting NODAL signaling to the left lateral plate mesoderm, essential for vertebrate laterality development.

Implications:

  • This expands the known genetic spectrum of autosomal visceral heterotaxy type 8.
  • Understanding PKD1L1's function provides insights into the genetic basis of laterality and associated congenital anomalies.

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