Home LiteratureArticle Details
PMID: 23708190 Published · ppublish English Journal Article Multicenter Study Research Support, Non-U.S. Gov't

A genome-wide association study identifies two risk loci for congenital heart malformations in Han Chinese populations.

Nature genetics ·Vol. 45 ·No. 7 ·2013-07-00 ·Pages 818-21

Hu Z, Shi Y, Mo X, Xu J, Zhao B, Lin Y, Yang S, Xu Z, Dai J, Pan S, Da M, Wang X, Qian B, Wen Y, Wen J, Xing J, Guo X, Xia Y, Ma H, Jin G, Yu S, Liu J, Zhou Z, Wang X, Chen Y, Sha J, Shen H

Abstract

Congenital heart malformation (CHM) is the most common form of congenital human birth anomaly and is the leading cause of infant mortality. Although some causative genes have been identified, little progress has been made in identifying genes in which low-penetrance susceptibility variants occur in the majority of sporadic CHM cases. To identify common genetic variants associated with sporadic non-syndromic CHM in Han Chinese populations, we performed a multistage genome-wide association study (GWAS) in a total of 4,225 CHM cases and 5,112 non-CHM controls. The GWAS stage included 945 cases and 1,246 controls and was followed by 2-stage validation with 2,160 cases and 3,866 controls. The combined analyses identified significant associations (P < 5.0 × 10⁻⁸) at 1p12 (rs2474937 near TBX15; odds ratio (OR) = 1.40; P = 8.44 × 10⁻¹⁰) and 4q31.1 (rs1531070 in MAML3; OR = 1.40; P = 4.99 × 10⁻¹²). These results extend current knowledge of genetic contributions to CHM in Han Chinese populations.

MeSH Terms
Asians/genetics Case-Control Studies Chromosomes, Human, Pair 1/genetics Chromosomes, Human, Pair 4/genetics Female Genetic Loci Genetic Predisposition to Disease Genetics, Population Genome-Wide Association Study Heart Defects, Congenital/ethnology,genetics Humans Male Polymorphism, Single Nucleotide/physiology Risk Validation Studies as Topic
Authors & Affiliations
27 authors, click to expand affiliations / ORCID
Hu Zhibin
State Key Laboratory of Reproductive Medicine, School of Public Health, Nanjing Medical University, Nanjing, China. [email protected]
Shi Yongyong
Mo Xuming
Xu Jing
Zhao Bijun
Lin Yuan
Yang Shiwei
Xu Zhengfeng
Dai Juncheng
Pan Shandong
Da Min
Wang Xiaowei
Qian Bo
Wen Yang
Wen Juan
Xing Jinliang
Guo Xuejiang
Xia Yankai
Ma Hongxia
Jin Guangfu
Yu Shiqiang
Liu Jiayin
Zhou Zuomin
Wang Xinru
Chen Yijiang
Sha Jiahao
Shen Hongbing
References (46)
46 references, click to expand
  1. Genetic basis for congenital heart defects: current knowledge: a scientific statement from the American Heart Association Congenital Cardiac Defects Committee, Council on Cardiovascular Disease in the Young: endorsed by the American Academy of Pediatrics.
    Circulation. 2007 Jun 12;115(23):3015-38 PMID: 17519398
  2. The role of height-associated loci identified in genome wide association studies in the determination of pediatric stature.
    BMC Med Genet. 2010 Jun 14;11:96 PMID: 20546612
  3. Formation of the venous pole of the heart from an Nkx2-5-negative precursor population requires Tbx18.
    Circ Res. 2006 Jun 23;98(12):1555-63 PMID: 16709898
  4. Mastermind-1 is required for Notch signal-dependent steps in lymphocyte development in vivo.
    Proc Natl Acad Sci U S A. 2007 Jun 5;104(23):9764-9 PMID: 17535917
  5. Gene regulatory networks in the evolution and development of the heart.
    Science. 2006 Sep 29;313(5795):1922-7 PMID: 17008524
  6. Genetic factors in non-syndromic congenital heart malformations.
    Clin Genet. 2010 Aug;78(2):103-23 PMID: 20497191
  7. Notch: a mastermind of vascular morphogenesis.
    J Clin Invest. 2007 Feb;117(2):299-302 PMID: 17273550
  8. TBX1 is responsible for cardiovascular defects in velo-cardio-facial/DiGeorge syndrome.
    Cell. 2001 Feb 23;104(4):619-29 PMID: 11239417
  9. Common 894G>T single nucleotide polymorphism in the gene coding for endothelial nitric oxide synthase (eNOS) and risk of congenital heart defects.
    Clin Chem Lab Med. 2008;46(10):1369-75 PMID: 18844489
  10. The genetics of congenital heart disease: a review of recent developments.
    Curr Opin Cardiol. 2007 May;22(3):200-6 PMID: 17413276
  11. Tbx1 haploinsufficieny in the DiGeorge syndrome region causes aortic arch defects in mice.
    Nature. 2001 Mar 1;410(6824):97-101 PMID: 11242049
  12. Meta-analysis identifies 13 new loci associated with waist-hip ratio and reveals sexual dimorphism in the genetic basis of fat distribution.
    Nat Genet. 2010 Nov;42(11):949-60 PMID: 20935629
  13. Recurrence of congenital heart defects in families.
    Circulation. 2009 Jul 28;120(4):295-301 PMID: 19597048
  14. Cooperative action of Tbx2 and Nkx2.5 inhibits ANF expression in the atrioventricular canal: implications for cardiac chamber formation.
    Genes Dev. 2002 May 15;16(10):1234-46 PMID: 12023302
  15. Holt-Oram syndrome is caused by mutations in TBX5, a member of the Brachyury (T) gene family.
    Nat Genet. 1997 Jan;15(1):21-9 PMID: 8988164
  16. Characterization of the human TBX20 gene, a new member of the T-Box gene family closely related to the Drosophila H15 gene.
    Genomics. 2000 Aug 1;67(3):317-32 PMID: 10936053
  17. Mesodermal developmental gene Tbx15 impairs adipocyte differentiation and mitochondrial respiration.
    Proc Natl Acad Sci U S A. 2011 Feb 15;108(7):2771-6 PMID: 21282637
  18. Functional variant in microRNA-196a2 contributes to the susceptibility of congenital heart disease in a Chinese population.
    Hum Mutat. 2009 Aug;30(8):1231-6 PMID: 19514064
  19. BMP signaling in congenital heart disease: new developments and future directions.
    Birth Defects Res A Clin Mol Teratol. 2011 Jun;91(6):441-8 PMID: 21384533
  20. Recurrence risks in offspring of adults with major heart defects: results from first cohort of British collaborative study.
    Lancet. 1998 Jan 31;351(9099):311-6 PMID: 9652610
  21. Reduced NODAL signaling strength via mutation of several pathway members including FOXH1 is linked to human heart defects and holoprosencephaly.
    Am J Hum Genet. 2008 Jul;83(1):18-29 PMID: 18538293
  22. The T-box transcription factor Tbx15 is required for skeletal development.
    Mech Dev. 2005 Feb;122(2):131-44 PMID: 15652702
  23. Notch signaling.
    Science. 1995 Apr 14;268(5208):225-32 PMID: 7716513
  24. Differential expression and function of Tbx5 and Tbx20 in cardiac development.
    J Biol Chem. 2004 Apr 30;279(18):19026-34 PMID: 14978031
  25. The developmental genetics of congenital heart disease.
    Nature. 2008 Feb 21;451(7181):943-8 PMID: 18288184
  26. Transcription factor neuromancer/TBX20 is required for cardiac function in Drosophila with implications for human heart disease.
    Proc Natl Acad Sci U S A. 2008 Dec 16;105(50):19833-8 PMID: 19074289
  27. Mastermind-like 1 (MamL1) and mastermind-like 3 (MamL3) are essential for Notch signaling in vivo.
    Development. 2011 Dec;138(23):5235-46 PMID: 22069191
  28. Curses--winner's and otherwise--in genetic epidemiology.
    Epidemiology. 2008 Sep;19(5):649-51; discussion 657-8 PMID: 18703928
  29. The incidence of congenital heart disease.
    J Am Coll Cardiol. 2002 Jun 19;39(12):1890-900 PMID: 12084585
  30. A gain-of-function TBX20 mutation causes congenital atrial septal defects, patent foramen ovale and cardiac valve defects.
    J Med Genet. 2010 Apr;47(4):230-5 PMID: 19762328
  31. Identification of 15 loci influencing height in a Korean population.
    J Hum Genet. 2010 Jan;55(1):27-31 PMID: 19893584
  32. Making or breaking the heart: from lineage determination to morphogenesis.
    Cell. 2006 Sep 22;126(6):1037-48 PMID: 16990131
  33. Eight-fold increased risk for congenital heart defects in children carrying the nicotinamide N-methyltransferase polymorphism and exposed to medicines and low nicotinamide.
    Eur Heart J. 2008 Jun;29(11):1424-31 PMID: 18441319
  34. Tbx6 regulates left/right patterning in mouse embryos through effects on nodal cilia and perinodal signaling.
    PLoS One. 2008 Jun 25;3(6):e2511 PMID: 18575602
  35. DiGeorge syndrome phenotype in mice mutant for the T-box gene, Tbx1.
    Nat Genet. 2001 Mar;27(3):286-91 PMID: 11242110
  36. T-box genes in vertebrate development.
    Annu Rev Genet. 2005;39:219-39 PMID: 16285859
  37. Notch signaling is essential for vascular morphogenesis in mice.
    Genes Dev. 2000 Jun 1;14(11):1343-52 PMID: 10837027
  38. Expanding the spectrum of TBX5 mutations in Holt-Oram syndrome: detection of two intragenic deletions by quantitative real time PCR, and report of eight novel point mutations.
    Hum Mutat. 2006 Sep;27(9):975-6 PMID: 16917909
  39. PLINK: a tool set for whole-genome association and population-based linkage analyses.
    Am J Hum Genet. 2007 Sep;81(3):559-75 PMID: 17701901
  40. New Genetic Insights into Congenital Heart Disease.
    J Clin Exp Cardiolog. 2012 Jun 15;S8: PMID: 22822471
  41. Tbx18 and Tbx15 null-like phenotypes in mouse embryos expressing Tbx6 in somitic and lateral plate mesoderm.
    Dev Biol. 2010 Nov 15;347(2):404-13 PMID: 20832395
  42. Principal components analysis corrects for stratification in genome-wide association studies.
    Nat Genet. 2006 Aug;38(8):904-9 PMID: 16862161
  43. Mutations in human TBX5 [corrected] cause limb and cardiac malformation in Holt-Oram syndrome.
    Nat Genet. 1997 Jan;15(1):30-5 PMID: 8988165
  44. TBX15 mutations cause craniofacial dysmorphism, hypoplasia of scapula and pelvis, and short stature in Cousin syndrome.
    Am J Hum Genet. 2008 Nov;83(5):649-55 PMID: 19068278
  45. Mutations in cardiac T-box factor gene TBX20 are associated with diverse cardiac pathologies, including defects of septation and valvulogenesis and cardiomyopathy.
    Am J Hum Genet. 2007 Aug;81(2):280-91 PMID: 17668378
  46. T-box transcription factors and their roles in regulatory hierarchies in the developing heart.
    Development. 2005 Nov;132(22):4897-910 PMID: 16258075
Article Info
Journal
Nature genetics
Abbr.
Nat Genet
ISSN
1546-1718
Published
2013-07-00
Epub
2013-00-26
Pages
818-21
Language
English
Region
United States
NLM ID
9216904
Subset
IM
Analysis Services
Analysis Services

Contact

No. 2 Wenbo Road, Zhangqiu District, Jinan, Shandong

Qilu Normal University · Genelibs Bioinformatics Lab

750 Shunhua Rd, Jinan

2F, Bldg F, University Science Park

Tel: 0531-88819269

WeChat Official Account

Follow our WeChat subscription account for real-time updates and the latest in medical and biological research.


Business Email

E-mail: [email protected]