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圆锥动脉干型心脏缺陷患儿的拷贝数变异研究。

Investigation of copy number variation in children with conotruncal heart defects.

作者信息

Campos Carla Marques Rondon, Zanardo Evelin Aline, Dutra Roberta Lelis, Kulikowski Leslie Domenici, Kim Chong Ae

机构信息

Universidade Federal de Mato Grosso, Cuiabá, MT, Brazil.

Laboratório de Citogenômica - LIM 03, Departamento de Patologia, Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Arq Bras Cardiol. 2015 Jan;104(1):24-31. doi: 10.5935/abc.20140169. Epub 2014 Nov 11.

DOI:10.5935/abc.20140169
PMID:25387403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4387608/
Abstract

BACKGROUND

Congenital heart defects (CHD) are the most prevalent group of structural abnormalities at birth and one of the main causes of infant morbidity and mortality. Studies have shown a contribution of the copy number variation in the genesis of cardiac malformations.

OBJECTIVES

Investigate gene copy number variation (CNV) in children with conotruncal heart defect.

METHODS

Multiplex ligation-dependent probe amplification (MLPA) was performed in 39 patients with conotruncal heart defect. Clinical and laboratory assessments were conducted in all patients. The parents of the probands who presented abnormal findings were also investigated.

RESULTS

Gene copy number variation was detected in 7/39 patients: 22q11.2 deletion, 22q11.2 duplication, 15q11.2 duplication, 20p12.2 duplication, 19p deletion, 15q and 8p23.2 duplication with 10p12.31 duplication. The clinical characteristics were consistent with those reported in the literature associated with the encountered microdeletion/microduplication. None of these changes was inherited from the parents.

CONCLUSIONS

Our results demonstrate that the technique of MLPA is useful in the investigation of microdeletions and microduplications in conotruncal congenital heart defects. Early diagnosis of the copy number variation in patients with congenital heart defect assists in the prevention of morbidity and decreased mortality in these patients.

摘要

背景

先天性心脏病(CHD)是出生时最常见的结构异常类型,也是婴儿发病和死亡的主要原因之一。研究表明,拷贝数变异在心脏畸形的发生中起作用。

目的

研究圆锥动脉干型心脏缺陷患儿的基因拷贝数变异(CNV)。

方法

对39例圆锥动脉干型心脏缺陷患者进行多重连接依赖探针扩增(MLPA)。对所有患者进行临床和实验室评估。对出现异常结果的先证者的父母也进行了调查。

结果

在39例患者中的7例检测到基因拷贝数变异:22q11.2缺失、22q11.2重复、15q11.2重复、20p12.2重复、19p缺失、15q和8p23.2重复伴10p12.31重复。临床特征与文献报道的与所发现的微缺失/微重复相关的特征一致。这些变化均非遗传自父母。

结论

我们的结果表明,MLPA技术在圆锥动脉干型先天性心脏病的微缺失和微重复研究中是有用的。先天性心脏病患者拷贝数变异的早期诊断有助于预防这些患者的发病并降低死亡率。

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本文引用的文献

1
Biological relevance of CNV calling methods using familial relatedness including monozygotic twins.使用包括同卵双胞胎在内的家族相关性来调用 CNV 的生物学相关性方法。
BMC Bioinformatics. 2014 Apr 21;15:114. doi: 10.1186/1471-2105-15-114.
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PSCC: sensitive and reliable population-scale copy number variation detection method based on low coverage sequencing.PSCC:基于低覆盖测序的敏感可靠的人群规模拷贝数变异检测方法。
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The contribution of de novo and rare inherited copy number changes to congenital heart disease in an unselected sample of children with conotruncal defects or hypoplastic left heart disease.在未经选择的圆锥动脉干畸形或左心发育不良患儿样本中,新发和罕见遗传拷贝数变化对先天性心脏病的贡献。
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The Growing Importance of CNVs: New Insights for Detection and Clinical Interpretation.CNVs 的重要性日益增加:检测和临床解读的新见解。
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Identification of functional mutations in GATA4 in patients with congenital heart disease.鉴定先天性心脏病患者中 GATA4 的功能突变。
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Rare copy number variations in adults with tetralogy of Fallot implicate novel risk gene pathways.罕见的拷贝数变异在法洛四联症成人患者中提示新的风险基因途径。
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