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Published on: August 20, 2019
A novel stop-gain pathogenic variant in FLT4 and a nonsynonymous pathogenic variant in PTPN11 associated with
Avisa Tabib1, Taravat Talebi2, Serwa Ghasemi3
1Heart Valve Diseases Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Insights
This study identifies novel genetic variants in FLT4 and PTPN11 associated with congenital heart defects (CHDs). Whole-exome sequencing (WES) is a powerful tool for diagnosing CHDs with complex genetic causes.
Area of Science:
- Genetics
- Cardiology
- Developmental Biology
Background:
- Congenital heart defects (CHDs) are the most common birth malformations affecting the heart and great vessels.
- CHD complications vary based on defect type, impacting outcomes like birth weight, prematurity, and mortality.
Purpose of the Study:
- To investigate the genetic underpinnings of CHDs in unrelated families.
- To identify novel gene variants associated with congenital heart defects.
Main Methods:
- Whole-exome sequencing (WES) was employed on three unrelated pedigrees with CHDs.
- Candidate variants were confirmed using PCR-based Sanger sequencing and bioinformatics analysis.
Main Results:
- A novel stop-gain variant (c.C244T:p.R82X) in the FLT4 gene was identified.
- A nonsynonymous variant (c.C1403T:p.T468M) in the PTPN11 gene was also detected.
- FLT4, encoding vascular endothelial growth factor 3, is crucial for lymphatic development.
Conclusions:
- This research is the first to report a novel FLT4 gene variant linked to CHDs.
- A PTPN11 gene variant, encoding protein-tyrosine phosphatase, was identified.
- Whole-exome sequencing (WES) shows clinical utility in diagnosing genetic variants in heterogeneous diseases like CHDs.
Background:
Congenital heart defects (CHDs) are the most common congenital malformations, including structural malformations in the heart and great vessels. CHD complications such as low birth weight, prematurity, pregnancy termination, mortality, and morbidity depend on the type of defect.
Methods:
In the present research, genetic analyses via whole-exome sequencing (WES) was performed on 3 unrelated pedigrees with CHDs. The candidate variants were confirmed, segregated by PCR-based Sanger sequencing, and evaluated by bioinformatics analysis.
Results:
A novel stop-gain c.C244T:p.R82X variant in the FLT4 gene, as well as a nonsynonymous c.C1403T:p.T468M variant in the PTPN11 gene, was reported by WES. FLT4 encodes a receptor tyrosine kinase involved in lymphatic development and is known as vascular endothelial growth factor 3.
Conclusions:
We are the first to report a novel c.C244T variant in the FLT4 gene associated with CHDs. Using WES, we also identified a nonsynonymous variant affecting protein-tyrosine phosphatase, the non-receptor type 11 (PTPN11) gene. The clinical implementation of WES can determine gene variants in diseases with high genetic and phenotypic heterogeneity like CHDs.
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