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High-risk genes involved in common septal defects of congenital heart disease
S Chaithra1, Swati Agarwala1, N B Ramachandra1
1Department of Studies in Genetics and Genomics, University of Mysore, Manasagangotri, Mysuru 570 006, India.
Insights
This study identifies GATA4 and MYH6 as high-risk genes contributing to congenital heart septation defects. Genetic variations in these genes were found in patients with ventricular septal defects, aiding understanding of heart development.
Area of Science:
- Genetics
- Cardiology
- Developmental Biology
Background:
- Congenital heart disease (CHD) encompasses septation defects like atrial septal defect (ASD), ventricular septal defect (VSD), and atrioventricular septal defect (AVSD).
- Genetic factors critically influence heart development, and their disruption leads to CHD.
- Identifying high-risk genes is crucial for understanding the etiology of septal defects.
Purpose of the Study:
- To identify high-risk genes associated with common septal defects in congenital heart disease.
- To validate identified genes using genetic data from Indian patient samples.
Main Methods:
- Comprehensive literature search and WebGestalt analysis to identify potential high-risk genes.
- In silico validation of candidate genes using whole-exome sequencing data from 16 Indian samples (13 VSD, 3 Tetralogy of Fallot).
Main Results:
- Three variations in the GATA4 gene (c.C1223A, c.C602A, c.C1220A) and one variation in the MYH6 gene (c.G3883C) were identified.
- These variations were found in two cases of ventricular septal defects (VSD).
- Findings support GATA4 and MYH6 as significant risk genes for septal defects.
Conclusions:
- GATA4 and MYH6 are confirmed as high-risk genes implicated in the pathogenesis of septal defects.
- This research enhances the understanding of genetic contributions to heart development and septal defect formation.
- Further investigation into interacting proteins within these genetic pathways is warranted.
Abstract:
The septation defect is one of the main categories of congenital heart disease (CHD). They can affect the septation of the atria leading to atrial septal defect (ASD), septation of ventricles leading to ventricular septal defect (VSD), and formation of the central part of the heart leading to atrioventricular septal defect (AVSD). Disruption of critical genetic factors involved in the proper development of the heart structure leads to CHD manifestation. Because of this, to identify the high-risk genes involved in common septal defects, a comprehensive search of the literature with the help of databases and the WebGestalt analysis tool was performed. The high-risk genes identified in the analysis were checked in 16 Indian whole-exome sequenced samples, including 13 VSD and three Tetralogy of Fallot for in silico validation. This data revealed three variations in GATA4, i.e., c.C1223A at exon 6: c.C602A and c.C1220A at exon 7; and one variation in MYH6, i.e., c.G3883C at exon 28 in two VSD cases. This study supports previously published studies that suggested GATA4 and MYH6 as the high-risk genes responsible for septal defects. Thus, this study contributes to a better understanding of the genes involved in heart development by identifying the high-risk genes and interacting proteins in the pathway.
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