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Updated: Nov 2, 2025

Analysis of Congenital Heart Defects in Mouse Embryos Using Qualitative and Quantitative Histological Methods
Published on: March 10, 2020
[Association between maternal reduced folate carrier gene polymorphisms and congenital heart disease in offspring: a
Jia-Bi Qin1, Xiao-Qi Sheng, Ting-Ting Wang
1Guangdong Provincial People's Hospital/Guangdong Academy of Medical Sciences, Guangzhou 510100, China.
Insights
Maternal genetic variations in the reduced folate carrier (RFC) gene are linked to an increased risk of congenital heart disease (CHD) in infants. Gene interactions also play a significant role in CHD development.
Area of Science:
- Genetics
- Pediatrics
- Molecular Biology
Background:
- Congenital heart disease (CHD) is a significant global health concern in newborns.
- The role of maternal genetic factors, specifically gene polymorphisms, in CHD etiology requires further investigation.
- The reduced folate carrier (RFC) gene is crucial for folate transport, essential for fetal development.
Purpose of the Study:
- To investigate the association between maternal reduced folate carrier (RFC) gene polymorphisms and the risk of congenital heart disease (CHD) in offspring.
- To explore potential gene-gene interactions among RFC gene single nucleotide polymorphisms (SNPs) in relation to CHD risk.
Main Methods:
- A hospital-based case-control study involving 683 infants with CHD and 740 healthy controls.
- Maternal venous blood samples were collected for genetic polymorphism detection using logistic regression analysis.
- Generalized multifactor dimensionality reduction was employed to analyze gene-gene interactions.
Main Results:
- Maternal RFC gene polymorphisms at rs2236484 and rs2330183 were significantly associated with an increased risk of CHD.
- Specific RFC haplotypes (G-G and T-G) in mothers were linked to a higher risk of CHD in their offspring.
- Significant gene-gene interactions between RFC gene SNPs were observed in relation to CHD development.
Conclusions:
- Maternal RFC gene polymorphisms are significantly associated with the risk of congenital heart disease in offspring.
- Interactions between different single nucleotide polymorphisms (SNPs) within the RFC gene contribute to CHD risk.
- These findings highlight the importance of maternal genetic factors in CHD etiology.
Objective:
To study the association between maternal reduced folate carrier (RFC) gene polymorphisms and congenital heart disease (CHD) in offspring.
Methods:
A hospital-based case-control study was conducted. The mothers of 683 infants with CHD who attended the Department of Cardiothoracic Surgery, Hunan Children's Hospital, from November 2017 to March 2020 were enrolled as the case group. The mothers of 740 healthy infants without any deformity who attended the hospital during the same period of time were enrolled as the control group. A questionnaire survey was performed to collect the exposure data of subjects. Venous blood samples of 5 mL were collected from the mothers for genetic polymorphism detection. A multivariate logistic regression analysis was used to evaluate the association of RFC gene polymorphisms and their haplotypes with CHD. A generalized multifactor dimensionality reduction method was used to analyze gene-gene interactions.
Results:
After control for confounding factors, the multivariate logistic regression analysis showed that maternal RFC gene polymorphisms at rs2236484 (AG vs AA:OR=1.91, 95%CI:1.45-2.51; GG vs AA: OR=1.96, 95%CI:1.40-2.75) and rs2330183 (CT vs CC:OR=1.39, 95%CI:1.06-1.83) were significantly associated with the risk of CHD in offspring. The haplotypes of G-G (OR=1.21, 95%CI:1.03-1.41) and T-G (OR=1.25, 95%CI:1.07-1.46) in mothers significantly increased the risk of CHD in offspring. The interaction analysis showed significant gene-gene interactions between different SNPs of the RFC gene in CHD (P < 0.05).
Conclusions:
Maternal RFC gene polymorphisms and interactions between different SNPs are significantly associated with the risk of CHD in offspring.
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