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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.
Abstract:
Heterotaxy and congenital heart defects associated with pathogenic variants in the PKD1L1 gene (autosomal visceral heterotaxy type 8, MIM 617205) has been reported in only four individuals from three unrelated families. We describe a further family with two affected fetuses and novel compound heterozygous pathogenic variants in PKD1L1. PKD1L1 has been shown to function in the ciliary sensation of nodal flow at the embryo primitive node and in the restriction of NODAL signalling to the left lateral. plate mesoderm, mechanisms involved in the development of laterality in vertebrates. Individuals affected with this autosomal recessive condition have variable thoracic and abdominal situs. Features of CHD and other anomalies vary between and within families.
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