Garfinkel Alexandra MacColl, Khokha Mustafa K
Pediatric Genomics Discovery Program, Departments of Pediatrics and Genetics; Yale University School of Medicine.
Curr Pathobiol Rep. 2017 Jun;5(2):187-196. doi: 10.1007/s40139-017-0142-x. Epub 2017 May 6.
Given the enormous impact congenital heart disease has on child health, it is imperative that we improve our understanding of the disease mechanisms that underlie patient phenotypes and clinical outcomes. This review will outline the merits of using the frog model, as a tool to study human cardiac development and left-right patterning mechanisms associated with congenital heart disease.
Patient-driven gene discovery continues to provide new insight into the mechanisms of congenital heart disease, and by extension, patient phenotypes and outcomes. By identifying gene variants in CHD patients, studies in have elucidated the molecular mechanisms of how these candidate genes affect cardiac development, both cardiogenesis as well as left-right patterning, which can have a major impact on cardiac morphogenesis. has also proved to be a useful screening tool for the biological relevance of identified patient-mutations, and ongoing investigations continue to illuminate disease mechanisms.
Analyses in model organisms can help to elucidate the disease mechanisms underlying CHD patient phenotypes. Using to disentangle the genotype-phenotype relationships of well-known and novel disease genes could enhance the ability of physicians to efficaciously treat patients and predict clinical outcomes, ultimately improving quality of life and survival rates of patients born with congenital heart disease.
鉴于先天性心脏病对儿童健康的巨大影响,我们必须加深对构成患者表型和临床结果基础的疾病机制的理解。本综述将概述使用青蛙模型作为研究与先天性心脏病相关的人类心脏发育和左右模式形成机制的工具的优点。
由患者推动的基因发现继续为先天性心脏病的机制以及由此延伸的患者表型和结果提供新的见解。通过识别先天性心脏病患者的基因变异,相关研究阐明了这些候选基因如何影响心脏发育的分子机制,包括心脏发生以及左右模式形成,这可能对心脏形态发生产生重大影响。青蛙模型也已被证明是一种用于筛选已识别的患者突变的生物学相关性的有用工具,并且正在进行的研究继续阐明疾病机制。
在模式生物中进行的分析有助于阐明先天性心脏病患者表型背后的疾病机制。使用青蛙模型来理清已知和新发现的疾病基因的基因型-表型关系,可以提高医生有效治疗患者和预测临床结果的能力,最终改善先天性心脏病患者的生活质量和生存率。