Abstract:Objective Whole exome sequencing was used to capture and screen genetic mutations in neonatal congenital heart disease. Methods We selected 6 children with severe congenital heart disease who had ventricular septal defect and atrial septal defect diagnosed by neonatology specialists from January 2014 to April 2018 in Lanzhou Maternal and Child Health Hospital. Blood samples of 6 children and their parents were collected, and the mutant genes were captured by whole exome sequencing. The dbSNP, HapMap, and internal databases of VEP and BGI were used to annotate and screen the pathogenic mutations of congenital heart disease. The mutations were verified by Sanger sequencing. Results According to the screening criteria, de novo mutations were found in the three of the six families. Three of them have missense mutations, namelyFH2 domain-containing protein 1 (FHDC1)(c.1977G>C;p.Gln659His)、bromodomain-containing protein 4 (BRD4)(c.3797A>C;p.Glu1266Ala)、hexokinase 3(HK3)(c.397C>G;p.Leu133Val), as well as one gene splice site mutated to sprouty related EVH1 domain-containing protein 2 (SPRED2)(c.373+1G>T). ConclusionFHDC1 (c.1977G> c), BRD4 (c.3797A>c), HK3 (c.397C>G), and SPRED2 (c.373+1G>T) may be deleterious de novo mutations for congenital heart disease.
1 van der Linde D,Konings EE,Slager MA,et al.Birth Prevalence of Congenital Heart Disease Worldwide:A Systematic Review and Meta-Analysis.J Am Coll Cardiol,2011,58:2241-2247. 2 卫生部发布《中国出生缺陷防治报告(2012)》.中国药房,2012,23:3693. 3 Liang Q,Gong W,Zheng D,et al.The influence of maternal exposure history to virus and medicine during pregnancy on congenital heart defects of fetus.Environ Sci Pollut Res Int,2017,24:5628-5632. 4 Ehiole A,Walton NA,Nogee JM,et al.The Complex Genetic Basis of Congenital Heart Defects.Circ J,2017,81:629-634. 5 Qin X,Xing Q,Ma L,et al.Genetic analysis of an enhancer of the NKX2-5 gene in ventricular septal defects.Gene,2012,508:106-109. 6 Jin ZB,Li Z,Liu Z,et al.Identification of de novo germline mutations and causal genes for sporadic diseases using trio-based whole-exome/genome sequencing.Biol Rev Camb Philos Soc,2018,93:1014-1031. 7 Veltman JA,Brunner HG.De novo mutations in human genetic disease.Nat Rev Genet,2012,13:565-575. 8 Clark KL,Yutzey KE,Benson DW.Transcription factors and congenital heart defects.Annu Rev Physiol,2006,68:97-121. 9 Olson EN.Gene regulatory networks in the evolution and development of the heart.Science,2006,313:1922-1927. 10 Hirayama-Yamada K,Kamisago M,Akimoto K,et al.Phenotypes with GATA4 or NKX2.5 mutations in familial atrial septal defect.Am J Med Genet A,2005,135:47-52. 11 Mori AD,Bruneau BG.TBX5 mutations and congenital heart disease:Holt-Oram syndrome revealed.Curr Opin Cardiol,2004,19:211-215. 12 Xiong F,Li Q,Zhang C,et al.Analyses of GATA4,NKX2.5,and TFAP2B genes in subjects from southern China with sporadic congenital heart disease.Cardiovasc Pathol,2013,22:141-145. 13 Yin J,Qian J,Dai G,et al.Search of Somatic Mutations of NKX2-5 and GATA4 Genes in Chinese Patients with Sporadic Congenital Heart Disease.Pediatr Cardiol,2019,40:17-22. 14 Xie X,Shi X,Xun X,et al.Associations ofNKX2-5Genetic Polymorphisms with the Risk of Congenital Heart Disease:A Meta-analysis.Pediatr Cardiol,2016,37:953-961. 15 Zhou K,Wang Y,Peng W,et al.Genetic variants of the endothelial NO synthase gene (eNOS) may confer increased risk of sporadic congenital heart disease.Genet Mol Res,2014,13:3805-3811. 16 Qian B,Mo R,Da M,et al.Common Variations inBMP4Confer Genetic Susceptibility to Sporadic Congenital Heart Disease in a Han Chinese Population.Pediatr Cardiol,2014,35:1442-1447. 17 Lin B,Wang Y,Wang Z,et al.Uncovering the rare variants of DLC1 isoform 1 and their functional effects in a Chinese sporadic congenital heart disease cohort.PLoS One,2014,9:e90215. 18 Watkins WS,Hernandez EJ,Wesolowski S,et al.De novo and recessive forms of congenital heart disease have distinct genetic and phenotypic landscapes.Nat Commun,2019,10:4722. 19 Dutta P,Maiti S.Expression of multiple formins in adult tissues and during developmental stages of mouse brain.Gene Expr Patterns,2015,19:52-59. 20 Copeland SJ,Andrea MR,Giulia G,et al.Actin-dependent regulation of cilia length by the invertedformin FHDC1. Mol Biol Cell,2018,29:1611-1627. 21 Li Y,Klena NT,Gabriel GC,et al.Global genetic analysis in mice unveils central role for cilia in congenital heart disease.Nature,2015,521:520-524. 22 Tuduce IL,Schuh K,Bundschu K.Spred2 expression during mouse development.Dev Dyn,2010,239:3072-3085. 23 Wright EM,Kerr B.RAS-MAPK pathway disorders:important causes of congenital heart disease,feeding difficulties,developmental delay and short stature.Arch Dis Child,2010,95:724-730. 24 Ullrich M,Aβmus B,Augustin AM,et al.SPRED2 deficiency elicits cardiac arrhythmias and premature death via impaired autophagy.J Mol Cell Cardiol,2019,129:13-26. 25 Duan Q,Mcmahon S,Anand P,et al.BET bromodomain inhibition suppresses innate inflammatory and profibrotic transcriptional networks in heart failure.Sci Transl Med,2017,9:eaah5084.