학술논문

De novo copy number variants identify new genes and loci in isolated sporadic tetralogy of Fallot.
Document Type
Article
Source
Nature Genetics. Aug2009, Vol. 41 Issue 8, p931-935. 5p. 1 Diagram, 3 Charts, 1 Graph.
Subject
*TETRALOGY of Fallot
*CONGENITAL heart disease
*GENE expression
*GENETIC mutation
*CLINICAL trials
Language
ISSN
1061-4036
Abstract
Tetralogy of Fallot (TOF), the most common severe congenital heart malformation, occurs sporadically, without other anomaly, and from unknown cause in 70% of cases. Through a genome-wide survey of 114 subjects with TOF and their unaffected parents, we identified 11 de novo copy number variants (CNVs) that were absent or extremely rare (<0.1%) in 2,265 controls. We then examined a second, independent TOF cohort (n = 398) for additional CNVs at these loci. We identified CNVs at chromosome 1q21.1 in 1% (5/512, P = 0.0002, OR = 22.3) of nonsyndromic sporadic TOF cases. We also identified recurrent CNVs at 3p25.1, 7p21.3 and 22q11.2. CNVs in a single subject with TOF occurred at six loci, two that encode known (NOTCH1, JAG1) disease-associated genes. Our findings predict that at least 10% (4.5–15.5%, 95% confidence interval) of sporadic nonsyndromic TOF cases result from de novo CNVs and suggest that mutations within these loci might be etiologic in other cases of TOF. [ABSTRACT FROM AUTHOR]