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Updated: May 30, 2025

Closure of a Patent Foramen Ovale PFO: An Intervention Sequence
Published on: December 23, 2022
Genetic variation in patent foramen ovale: a case-control genome-wide association study
Bosi Dong1, Yajiao Li2, Fandi Ai3
1Department of Neurology, West China Hospital of Sichuan University, Chengdu, China.
This study identified genetic variants associated with patent foramen ovale (PFO), a congenital heart defect. These findings offer insights into PFO pathogenesis and heart development.
Area of Science:
- Genetics
- Cardiology
- Developmental Biology
Background:
- Patent foramen ovale (PFO) is a congenital heart defect characterized by abnormal atrial hemodynamics.
- Genetic factors are implicated in the etiology of PFO, but specific common variants remain largely unidentified.
Purpose of the Study:
- To conduct a genome-wide association study (GWAS) to identify common genetic variants associated with PFO.
- To explore the role of these variants in heart development.
Main Methods:
- Whole genome sequencing was performed on a discovery cohort of 3,227 Chinese participants with PFO.
- Associated single-nucleotide polymorphisms (SNPs) were validated, and expression quantitative trait loci (eQTL) analysis was conducted.
- Single-cell sequencing was used to evaluate gene expression during human fetal heart development.
Main Results:
- Four high-risk variants (rs1227675732, rs62206790, rs879176184, rs13115019) and one protective variant (rs57922961) for PFO were identified.
- These variants were replicated in an independent validation cohort.
- Single-cell sequencing revealed significant expression changes in genes such as CNOT2, KCNMB4, MLLT10, IGBP1, and FRG1 during heart development.
Conclusions:
- The identified genetic loci provide potential insights into the pathogenesis of PFO.
- This research contributes to a better understanding of the genetic basis of heart development.
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