2023
DOI: 10.1038/s41525-023-00363-y
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Chromatin regulators in the TBX1 network confer risk for conotruncal heart defects in 22q11.2DS

Abstract: Congenital heart disease (CHD) affecting the conotruncal region of the heart, occurs in 40–50% of patients with 22q11.2 deletion syndrome (22q11.2DS). This syndrome is a rare disorder with relative genetic homogeneity that can facilitate identification of genetic modifiers. Haploinsufficiency of TBX1, encoding a T-box transcription factor, is one of the main genes responsible for the etiology of the syndrome. We suggest that genetic modifiers of conotruncal defects in patients with 22q11.2DS may be in the TBX1… Show more

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Cited by 3 publications
(5 citation statements)
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“…Conotruncal defects are caused by the underdevelopment or misalignment of the ventricular septum, outflow tract, and/or great arteries, such as tetralogy of Fallot, patent truncus arteriosus, and transposition of the great arteries (see Figure 13). Autosomal dominant 22q11.2 deletion syndrome often leads to conotruncal defects, which are commonly associated with the deletion of the CHD-associated gene TBX1 [131][132][133][134]. Similarly, CHARGE syndrome, which is often caused by deletions or variants in the CHD-associated gene CHD7 [135][136][137][138], can also result in conotruncal defects.…”
Section: Conotruncal Defectsmentioning
confidence: 99%
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“…Conotruncal defects are caused by the underdevelopment or misalignment of the ventricular septum, outflow tract, and/or great arteries, such as tetralogy of Fallot, patent truncus arteriosus, and transposition of the great arteries (see Figure 13). Autosomal dominant 22q11.2 deletion syndrome often leads to conotruncal defects, which are commonly associated with the deletion of the CHD-associated gene TBX1 [131][132][133][134]. Similarly, CHARGE syndrome, which is often caused by deletions or variants in the CHD-associated gene CHD7 [135][136][137][138], can also result in conotruncal defects.…”
Section: Conotruncal Defectsmentioning
confidence: 99%
“…The congenital heart defects mentioned display variable penetrance and expressivity [138][139][140], indicating that additional factors influence the clinical phenotype. A genetic modifier that influences conotruncal defects in 22q11.2 deletion syndrome has been reported, although these additional factors are largely unknown [131,141]. Repetitive duplications and deletions at 1q21.1, which involve the CHD candidate genes GJA5 (encoding connexin 40) and CHD1L (linked to the CHD7 gene), are frequently associated Autosomal dominant 22q11.2 deletion syndrome often leads to conotruncal defects, which are commonly associated with the deletion of the CHD-associated gene TBX1 [131][132][133][134].…”
Section: Conotruncal Defectsmentioning
confidence: 99%
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“…Autosomal dominant 22q11.2 deletion syndrome often leads to conotruncal defects, which are commonly associated with the deletion of the CHD-associated gene TBX1. [131][132][133][134] Similarly, CHARGE syndrome, which is often caused by deletions or variants in the CHD-associated gene CHD7, [135][136][137][138] can also result in conotruncal defects. These disorders are associated with cardiac, facial and head malformations, which originate in neural crest cells, and reveal effects of harmful gene variants on cell lineages involved in extra-cardiac malformations.…”
Section: Conotruncal Defectsmentioning
confidence: 99%
“…Smyk et al (2023) [14] reported that 6.3% of individuals with 22q11.2DS had additional CNVs likely contributing to the clinical presentation. Zhao et al (2023) [15] demonstrated that disruptions in chromatin regulatory genes affect the TBX1 gene network, suggesting shared mechanisms between the TBX1 gene network and the etiology of congenital heart diseases (CDH). Additionally, some studies have provided compelling evidence indicating that microRNA dysregulation is implicated in the development of schizophrenia in 22q11.2DS patients [16,17].…”
Section: Introductionmentioning
confidence: 99%