Copy number variants in Ebstein anomaly

Andreas Giannakou, Robert J. Sicko, Wei Zhang, Paul Romitti, Marilyn L. Browne, Michele Caggana, Lawrence C. Brody, Laura Jelliffe-Pawlowski, Gary M. Shaw, Denise M. Kay, James L. Mills

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Ebstein anomaly (EA) is a rare congenital defect characterized by apical displacement of the septal tricuspid leaflets and atrialization of the right ventricle. The etiology of EA is unclear; however, recurrence in families and the association of EA with genetic syndromes and copy number variants (CNVs) suggest a genetic component. Objective: We performed a population-based study to search for recurrent and novel CNVs in a previously unreported set of EA cases. Methods: We genotyped 60 EA cases identified from all live births (2,891,076) from selected California counties (1991–2010) using the Illumina HumanOmni2.5–8 array. We identified 38 candidate CNVs in 28 (46%) cases and prioritized and validated 11 CNVs based on the genes included. Results: Five CNVs (41%) overlapped or were close to genes involved in early myocardial development, including NODAL, PDLIM5, SIX1, ASF1A and FGF12. We also replicated a previous association of EA with CNVs at 1p34.1 and AKAP12. Finally, we identified four CNVs overlapping or in close proximity to the transcription factors HES3, TRIM71, CUX1 and EIF4EBP2. Conclusions: This study supports the relationship of genetic factors to EA and demonstrates that defects in cardiomyocytes and myocardium differentiation may play a role. Abnormal differentiation of cardiomyocytes and how genetic factors contribute should be examined for their association with EA.

Original languageEnglish (US)
Article numbere0188168
JournalPloS one
Volume12
Issue number12
DOIs
StatePublished - Dec 2017

ASJC Scopus subject areas

  • General

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