دورية أكاديمية

CRELD1 variants are associated with bicuspid aortic valve in Turner syndrome

التفاصيل البيبلوغرافية
العنوان: CRELD1 variants are associated with bicuspid aortic valve in Turner syndrome
المؤلفون: Pinnaro, Catherina T., Beck, Chloe B., Major, Heather J., Darbro, Benjamin W.
المساهمون: Foundation for the National Institutes of Health, National Institute of Child Health and Human Development
المصدر: Human Genetics ; volume 142, issue 4, page 523-530 ; ISSN 0340-6717 1432-1203
بيانات النشر: Springer Science and Business Media LLC
سنة النشر: 2023
مصطلحات موضوعية: Genetics (clinical), Genetics
الوصف: Turner syndrome (TS) is a chromosomal disorder caused by complete or partial loss of the second sex chromosome and exhibits phenotypic heterogeneity, even after accounting for mosaicism and karyotypic variation. Congenital heart defects (CHD) are found in up to 45 percent of girls with TS and span a phenotypic continuum of obstructive left-sided lesions, with bicuspid aortic valve (BAV) being the most common. Several recent studies have demonstrated a genome-wide impact of X chromosome haploinsufficiency, including global hypomethylation and altered RNA expression. The presence of such broad changes to the TS epigenome and transcriptome led others to hypothesize that X chromosome haploinsufficiency sensitizes the TS genome, and several studies have demonstrated that a second genetic hit can modify disease susceptibility in TS. The objective of this study was to determine whether genetic variants in known heart developmental pathways act synergistically in this setting to increase the risk for CHD, specifically BAV, in TS. We analyzed 208 whole exomes from girls and women with TS and performed gene-based variant enrichment analysis and rare-variant association testing to identify variants associated with BAV in TS. Notably, rare variants in CRELD1 were significantly enriched in individuals with TS who had BAV compared to those with structurally normal hearts. CRELD1 is a protein that functions as a regulator of calcineurin/NFAT signaling, and rare variants in CRELD1 have been associated with both syndromic and non-syndromic CHD. This observation supports the hypothesis that genetic modifiers outside the X chromosome that lie in known heart development pathways may influence CHD risk in TS.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1007/s00439-023-02538-0
DOI: 10.1007/s00439-023-02538-0.pdf
DOI: 10.1007/s00439-023-02538-0/fulltext.html
الإتاحة: https://doi.org/10.1007/s00439-023-02538-0Test
حقوق: https://creativecommons.org/licenses/by/4.0Test ; https://creativecommons.org/licenses/by/4.0Test
رقم الانضمام: edsbas.B3A694BD
قاعدة البيانات: BASE