Departments of Pediatrics, New Haven, CT, USA.
Obstetrics, Gynecology and Reproductive Sciences, New Haven, CT, USA.
Sci Rep. 2020 Apr 27;10(1):7046. doi: 10.1038/s41598-020-63928-2.
Congenital heart disease (CHD) survivors are at risk for neurodevelopmental disability (NDD), and recent studies identify genes associated with both disorders, suggesting that NDD in CHD survivors may be of genetic origin. Genes contributing to neurogenesis, dendritic development and synaptogenesis organize neural elements into networks known as the connectome. We hypothesized that NDD in CHD may be attributable to genes altering both neural connectivity and cardiac patterning. To assess the contribution of de novo variants (DNVs) in connectome genes, we annotated 229 published NDD genes for connectome status and analyzed data from 3,684 CHD subjects and 1,789 controls for connectome gene mutations. CHD cases had more protein truncating and deleterious missense DNVs among connectome genes compared to controls (OR = 5.08, 95%CI:2.81-9.20, Fisher's exact test P = 6.30E-11). When removing three known syndromic CHD genes, the findings remained significant (OR = 3.69, 95%CI:2.02-6.73, Fisher's exact test P = 1.06E-06). In CHD subjects, the top 12 NDD genes with damaging DNVs that met statistical significance after Bonferroni correction (PTPN11, CHD7, CHD4, KMT2A, NOTCH1, ADNP, SMAD2, KDM5B, NSD2, FOXP1, MED13L, DYRK1A; one-tailed binomial test P ≤ 4.08E-05) contributed to the connectome. These data suggest that NDD in CHD patients may be attributable to genes that alter both cardiac patterning and the connectome.
先天性心脏病 (CHD) 幸存者存在神经发育障碍 (NDD) 的风险,最近的研究确定了与这两种疾病相关的基因,表明 CHD 幸存者的 NDD 可能具有遗传起源。促进神经发生、树突发育和突触发生的基因将神经元素组织成称为连接组的网络。我们假设 CHD 中的 NDD 可能归因于改变神经连接和心脏模式的基因。为了评估连接组基因中新生变异 (DNV) 的贡献,我们为 229 个已发表的 NDD 基因注释了连接组状态,并分析了 3684 名 CHD 受试者和 1789 名对照者的连接组基因突变数据。与对照组相比,CHD 病例中连接组基因的蛋白质截断和有害错义 DNV 更多(OR=5.08,95%CI:2.81-9.20,Fisher 精确检验 P=6.30E-11)。当去除三个已知的综合征性 CHD 基因时,发现仍然具有统计学意义(OR=3.69,95%CI:2.02-6.73,Fisher 精确检验 P=1.06E-06)。在 CHD 受试者中,在 Bonferroni 校正后具有统计学意义的 12 个具有破坏性 DNV 的顶级 NDD 基因(PTPN11、CHD7、CHD4、KMT2A、NOTCH1、ADNP、SMAD2、KDM5B、NSD2、FOXP1、MED13L、DYRK1A;单侧二项式检验 P≤4.08E-05)与连接组有关。这些数据表明,CHD 患者的 NDD 可能归因于既改变心脏模式又改变连接组的基因。