NPHP4 Variants Are Associated With Pleiotropic Heart Malformations
RATIONALE:Congenital heart malformations are a major cause of morbidity and mortality, especially in young children. Failure to establish normal left-right (L-R) asymmetry often results in cardiovascular malformations and other laterality defects of visceral organs. OBJECTIVE:To identify genetic mut...
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Published in | Circulation research Vol. 110; no. 12; pp. 1564 - 1574 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Hagerstown, MD
American Heart Association, Inc
08.06.2012
Lippincott Williams & Wilkins |
Subjects | |
Online Access | Get full text |
ISSN | 0009-7330 1524-4571 1524-4571 |
DOI | 10.1161/CIRCRESAHA.112.269795 |
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Abstract | RATIONALE:Congenital heart malformations are a major cause of morbidity and mortality, especially in young children. Failure to establish normal left-right (L-R) asymmetry often results in cardiovascular malformations and other laterality defects of visceral organs.
OBJECTIVE:To identify genetic mutations causing cardiac laterality defects.
METHODS AND RESULTS:We performed a genome-wide linkage analysis in patients with cardiac laterality defects from a consanguineous family. The patients had combinations of defects that included dextrocardia, transposition of great arteries, double-outlet right ventricle, atrioventricular septal defects, and caval vein abnormalities. Sequencing of positional candidate genes identified mutations in NPHP4. We performed mutation analysis of NPHP4 in 146 unrelated patients with similar cardiac laterality defects. Forty-one percent of these patients also had laterality defects of the abdominal organs. We identified 8 additional missense variants that were absent or very rare in control subjects. To study the role of nphp4 in establishing L-R asymmetry, we used antisense morpholinos to knockdown nphp4 expression in zebrafish. Depletion of nphp4 disrupted L-R patterning as well as cardiac and gut laterality. Cardiac laterality defects were partially rescued by human NPHP4 mRNA, whereas mutant NPHP4 containing genetic variants found in patients failed to rescue. We show that nphp4 is involved in the formation of motile cilia in Kupfferʼs vesicle, which generate asymmetrical fluid flow necessary for normal L-R asymmetry.
CONCLUSIONS:NPHP4 mutations are associated with cardiac laterality defects and heterotaxy. In zebrafish, nphp4 is essential for the development and function of Kupfferʼs vesicle cilia and is required for global L-R patterning. |
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AbstractList | RATIONALE:Congenital heart malformations are a major cause of morbidity and mortality, especially in young children. Failure to establish normal left-right (L-R) asymmetry often results in cardiovascular malformations and other laterality defects of visceral organs.
OBJECTIVE:To identify genetic mutations causing cardiac laterality defects.
METHODS AND RESULTS:We performed a genome-wide linkage analysis in patients with cardiac laterality defects from a consanguineous family. The patients had combinations of defects that included dextrocardia, transposition of great arteries, double-outlet right ventricle, atrioventricular septal defects, and caval vein abnormalities. Sequencing of positional candidate genes identified mutations in NPHP4. We performed mutation analysis of NPHP4 in 146 unrelated patients with similar cardiac laterality defects. Forty-one percent of these patients also had laterality defects of the abdominal organs. We identified 8 additional missense variants that were absent or very rare in control subjects. To study the role of nphp4 in establishing L-R asymmetry, we used antisense morpholinos to knockdown nphp4 expression in zebrafish. Depletion of nphp4 disrupted L-R patterning as well as cardiac and gut laterality. Cardiac laterality defects were partially rescued by human NPHP4 mRNA, whereas mutant NPHP4 containing genetic variants found in patients failed to rescue. We show that nphp4 is involved in the formation of motile cilia in Kupfferʼs vesicle, which generate asymmetrical fluid flow necessary for normal L-R asymmetry.
CONCLUSIONS:NPHP4 mutations are associated with cardiac laterality defects and heterotaxy. In zebrafish, nphp4 is essential for the development and function of Kupfferʼs vesicle cilia and is required for global L-R patterning. Congenital heart malformations are a major cause of morbidity and mortality, especially in young children. Failure to establish normal left-right (L-R) asymmetry often results in cardiovascular malformations and other laterality defects of visceral organs.RATIONALECongenital heart malformations are a major cause of morbidity and mortality, especially in young children. Failure to establish normal left-right (L-R) asymmetry often results in cardiovascular malformations and other laterality defects of visceral organs.To identify genetic mutations causing cardiac laterality defects.OBJECTIVETo identify genetic mutations causing cardiac laterality defects.We performed a genome-wide linkage analysis in patients with cardiac laterality defects from a consanguineous family. The patients had combinations of defects that included dextrocardia, transposition of great arteries, double-outlet right ventricle, atrioventricular septal defects, and caval vein abnormalities. Sequencing of positional candidate genes identified mutations in NPHP4. We performed mutation analysis of NPHP4 in 146 unrelated patients with similar cardiac laterality defects. Forty-one percent of these patients also had laterality defects of the abdominal organs. We identified 8 additional missense variants that were absent or very rare in control subjects. To study the role of nphp4 in establishing L-R asymmetry, we used antisense morpholinos to knockdown nphp4 expression in zebrafish. Depletion of nphp4 disrupted L-R patterning as well as cardiac and gut laterality. Cardiac laterality defects were partially rescued by human NPHP4 mRNA, whereas mutant NPHP4 containing genetic variants found in patients failed to rescue. We show that nphp4 is involved in the formation of motile cilia in Kupffer's vesicle, which generate asymmetrical fluid flow necessary for normal L-R asymmetry.METHODS AND RESULTSWe performed a genome-wide linkage analysis in patients with cardiac laterality defects from a consanguineous family. The patients had combinations of defects that included dextrocardia, transposition of great arteries, double-outlet right ventricle, atrioventricular septal defects, and caval vein abnormalities. Sequencing of positional candidate genes identified mutations in NPHP4. We performed mutation analysis of NPHP4 in 146 unrelated patients with similar cardiac laterality defects. Forty-one percent of these patients also had laterality defects of the abdominal organs. We identified 8 additional missense variants that were absent or very rare in control subjects. To study the role of nphp4 in establishing L-R asymmetry, we used antisense morpholinos to knockdown nphp4 expression in zebrafish. Depletion of nphp4 disrupted L-R patterning as well as cardiac and gut laterality. Cardiac laterality defects were partially rescued by human NPHP4 mRNA, whereas mutant NPHP4 containing genetic variants found in patients failed to rescue. We show that nphp4 is involved in the formation of motile cilia in Kupffer's vesicle, which generate asymmetrical fluid flow necessary for normal L-R asymmetry.NPHP4 mutations are associated with cardiac laterality defects and heterotaxy. In zebrafish, nphp4 is essential for the development and function of Kupffer's vesicle cilia and is required for global L-R patterning.CONCLUSIONSNPHP4 mutations are associated with cardiac laterality defects and heterotaxy. In zebrafish, nphp4 is essential for the development and function of Kupffer's vesicle cilia and is required for global L-R patterning. Congenital heart malformations are a major cause of morbidity and mortality, especially in young children. Failure to establish normal left-right (L-R) asymmetry often results in cardiovascular malformations and other laterality defects of visceral organs. To identify genetic mutations causing cardiac laterality defects. We performed a genome-wide linkage analysis in patients with cardiac laterality defects from a consanguineous family. The patients had combinations of defects that included dextrocardia, transposition of great arteries, double-outlet right ventricle, atrioventricular septal defects, and caval vein abnormalities. Sequencing of positional candidate genes identified mutations in NPHP4. We performed mutation analysis of NPHP4 in 146 unrelated patients with similar cardiac laterality defects. Forty-one percent of these patients also had laterality defects of the abdominal organs. We identified 8 additional missense variants that were absent or very rare in control subjects. To study the role of nphp4 in establishing L-R asymmetry, we used antisense morpholinos to knockdown nphp4 expression in zebrafish. Depletion of nphp4 disrupted L-R patterning as well as cardiac and gut laterality. Cardiac laterality defects were partially rescued by human NPHP4 mRNA, whereas mutant NPHP4 containing genetic variants found in patients failed to rescue. We show that nphp4 is involved in the formation of motile cilia in Kupffer's vesicle, which generate asymmetrical fluid flow necessary for normal L-R asymmetry. NPHP4 mutations are associated with cardiac laterality defects and heterotaxy. In zebrafish, nphp4 is essential for the development and function of Kupffer's vesicle cilia and is required for global L-R patterning. |
Author | Jadot, Elodie Belmont, John W. van de Laar, Ingrid M.B.H. Jiang, Zhengxin Bertoli-Avella, Aida M. Roos-Hesselink, Jolien W. Oostra, Ben A. Wessels, Marja W. Swagemakers, Sigrid French, Vanessa M. van Tienhoven, Marianne Venselaar, Hanka Wang, Guangliang Meijers-Heijboer, Hanne Frohn-Mulder, Ingrid M.E. Severijnen, Lies-Anne Rohe, Christan Schot, Rachel Amack, Jeffrey D. Verkerk, Annemieke Mientjes, Edwin Najmabadi, Hossein Helbing, Wim A. de Graaf, Bianca M. Rahimi, Zohreh Devriendt, Koen Breedveld, Guido Willemsen, Rob de Graaff, Esther |
AuthorAffiliation | From the Department of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands (V.M.F., I.M.B.H.v.d.L., M.W.W., C.R., L.-A.S., B.M.d.G., R.S., G.B., E.M., M.v.T., R.W., B.A.O., A.M.B.-A.); the Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands (J.W.R.-H.); State University of New York, Upstate Medical University, Department of Cell and Developmental Biology, Syracuse, NY (G.W., J.D.A.); the Department of Pediatric Cardiology, Erasmus Medical Center-Sophia, Rotterdam, The Netherlands (I.M.E.F.-M., W.A.H.); Lille University of Sciences and Technologies, Lille, France (E.J.); the Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX (Z.J., J.W.B.); the Department of Bioinformatics, Erasmus Medical Center, Rotterdam, The Netherlands (A.V., S.S.); the Department of Genetics, Erasmus Medical Center, Rotterdam, The Netherlands (S.S.); Center for Molecular and Biomolecular Informatics (CMBI) and Nijmegen Center for Molecular |
AuthorAffiliation_xml | – name: From the Department of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands (V.M.F., I.M.B.H.v.d.L., M.W.W., C.R., L.-A.S., B.M.d.G., R.S., G.B., E.M., M.v.T., R.W., B.A.O., A.M.B.-A.); the Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands (J.W.R.-H.); State University of New York, Upstate Medical University, Department of Cell and Developmental Biology, Syracuse, NY (G.W., J.D.A.); the Department of Pediatric Cardiology, Erasmus Medical Center-Sophia, Rotterdam, The Netherlands (I.M.E.F.-M., W.A.H.); Lille University of Sciences and Technologies, Lille, France (E.J.); the Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX (Z.J., J.W.B.); the Department of Bioinformatics, Erasmus Medical Center, Rotterdam, The Netherlands (A.V., S.S.); the Department of Genetics, Erasmus Medical Center, Rotterdam, The Netherlands (S.S.); Center for Molecular and Biomolecular Informatics (CMBI) and Nijmegen Center for Molecular Life Sciences (NCMLS), Radboud University Nijmegen Medical Center, The Netherlands (H.V.); Medical Biology Research Center and Biochemistry Department, Medical School, Kermanshah University of Medical Sciences, Kermanshah, Iran (Z.R.).; Genetics Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran (H.N.); the Department of Clinical Genetics, VU Medical Center, Amsterdam, The Netherlands (H.M.-H.); the Department of Cell Biology, Faculty of Science, Utrecht University, Utrecht, The Netherlands (E.d.G.); and the Department of Clinical Genetics, University Hospital Leuven, Leuven, Belgium (K.D.) – name: 4 Department of Pediatric Cardiology, Erasmus Medical Center-Sophia, Rotterdam, The Netherlands – name: 8 Department of Genetics, Erasmus Medical Center, Rotterdam, The Netherlands – name: 12 Department of Clinical Genetics, VU Medical Center, Amsterdam, The Netherlands – name: 5 Lille University of Sciences and Technologies, Lille, France – name: 6 Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, United States – name: 10 Medical Biology Research Center and Biochemistry Department, Medical School, Kermanshah University of Medical Sciences, Kermanshah, Iran – name: 2 Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands – name: 7 Department of Bioinformatics, Erasmus Medical Center, Rotterdam, The Netherlands – name: 13 Department of Cell Biology, Faculty of Science, Utrecht University, Utrecht, The Netherlands – name: 14 Department of Clinical Genetics, University Hospital Leuven, Leuven, Belgium – name: 9 Center for Molecular and Biomolecular Informatics (CMBI) and Nijmegen Center for Molecular Life Sciences (NCMLS), Radboud University Nijmegen Medical Center, The Netherlands – name: 3 State University of New York Upstate Medical University, Department of Cell and Developmental Biology, Syracuse, New York, United States – name: 1 Department of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands – name: 11 Genetics Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran |
Author_xml | – sequence: 1 givenname: Vanessa surname: French middlename: M. fullname: French, Vanessa M. organization: From the Department of Clinical Genetics, Erasmus Medical Center, Rotterdam, The Netherlands (V.M.F., I.M.B.H.v.d.L., M.W.W., C.R., L.-A.S., B.M.d.G., R.S., G.B., E.M., M.v.T., R.W., B.A.O., A.M.B.-A.); the Department of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands (J.W.R.-H.); State University of New York, Upstate Medical University, Department of Cell and Developmental Biology, Syracuse, NY (G.W., J.D.A.); the Department of Pediatric Cardiology, Erasmus Medical Center-Sophia, Rotterdam, The Netherlands (I.M.E.F.-M., W.A.H.); Lille University of Sciences and Technologies, Lille, France (E.J.); the Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX (Z.J., J.W.B.); the Department of Bioinformatics, Erasmus Medical Center, Rotterdam, The Netherlands (A.V., S.S.); the Department of Genetics, Erasmus Medical Center, Rotterdam, The Netherlands (S.S.); Center for Molecular and Biomolecular Informatics (CMBI) and Nijmegen Center for Molecular Life Sciences (NCMLS), Radboud University Nijmegen Medical Center, The Netherlands (H.V.); Medical Biology Research Center and Biochemistry Department, Medical School, Kermanshah University of Medical Sciences, Kermanshah, Iran (Z.R.).; Genetics Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran (H.N.); the Department of Clinical Genetics, VU Medical Center, Amsterdam, The Netherlands (H.M.-H.); the Department of Cell Biology, Faculty of Science, Utrecht University, Utrecht, The Netherlands (E.d.G.); and the Department of Clinical Genetics, University Hospital Leuven, Leuven, Belgium (K.D.) – sequence: 2 givenname: Ingrid surname: van de Laar middlename: M.B.H. fullname: van de Laar, Ingrid M.B.H. – sequence: 3 givenname: Marja surname: Wessels middlename: W. fullname: Wessels, Marja W. – sequence: 4 givenname: Christan surname: Rohe fullname: Rohe, Christan – sequence: 5 givenname: Jolien surname: Roos-Hesselink middlename: W. fullname: Roos-Hesselink, Jolien W. – sequence: 6 givenname: Guangliang surname: Wang fullname: Wang, Guangliang – sequence: 7 givenname: Ingrid surname: Frohn-Mulder middlename: M.E. fullname: Frohn-Mulder, Ingrid M.E. – sequence: 8 givenname: Lies-Anne surname: Severijnen fullname: Severijnen, Lies-Anne – sequence: 9 givenname: Bianca surname: de Graaf middlename: M. fullname: de Graaf, Bianca M. – sequence: 10 givenname: Rachel surname: Schot fullname: Schot, Rachel – sequence: 11 givenname: Guido surname: Breedveld fullname: Breedveld, Guido – sequence: 12 givenname: Edwin surname: Mientjes fullname: Mientjes, Edwin – sequence: 13 givenname: Marianne surname: van Tienhoven fullname: van Tienhoven, Marianne – sequence: 14 givenname: Elodie surname: Jadot fullname: Jadot, Elodie – sequence: 15 givenname: Zhengxin surname: Jiang fullname: Jiang, Zhengxin – sequence: 16 givenname: Annemieke surname: Verkerk fullname: Verkerk, Annemieke – sequence: 17 givenname: Sigrid surname: Swagemakers fullname: Swagemakers, Sigrid – sequence: 18 givenname: Hanka surname: Venselaar fullname: Venselaar, Hanka – sequence: 19 givenname: Zohreh surname: Rahimi fullname: Rahimi, Zohreh – sequence: 20 givenname: Hossein surname: Najmabadi fullname: Najmabadi, Hossein – sequence: 21 givenname: Hanne surname: Meijers-Heijboer fullname: Meijers-Heijboer, Hanne – sequence: 22 givenname: Esther surname: de Graaff fullname: de Graaff, Esther – sequence: 23 givenname: Wim surname: Helbing middlename: A. fullname: Helbing, Wim A. – sequence: 24 givenname: Rob surname: Willemsen fullname: Willemsen, Rob – sequence: 25 givenname: Koen surname: Devriendt fullname: Devriendt, Koen – sequence: 26 givenname: John surname: Belmont middlename: W. fullname: Belmont, John W. – sequence: 27 givenname: Ben surname: Oostra middlename: A. fullname: Oostra, Ben A. – sequence: 28 givenname: Jeffrey surname: Amack middlename: D. fullname: Amack, Jeffrey D. – sequence: 29 givenname: Aida surname: Bertoli-Avella middlename: M. fullname: Bertoli-Avella, Aida M. |
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CODEN | CIRUAL |
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Keywords | Heart Congenital nphp4 congenital heart malformations Vertebrata Brachydanio rerio Mammalia Malformation Pisces heterotaxy cilia Circulatory system zebrafish |
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PublicationYear | 2012 |
Publisher | American Heart Association, Inc Lippincott Williams & Wilkins |
Publisher_xml | – name: American Heart Association, Inc – name: Lippincott Williams & Wilkins |
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Snippet | RATIONALE:Congenital heart malformations are a major cause of morbidity and mortality, especially in young children. Failure to establish normal left-right... Congenital heart malformations are a major cause of morbidity and mortality, especially in young children. Failure to establish normal left-right (L-R)... |
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SubjectTerms | Amino Acid Sequence Animals Biological and medical sciences Cohort Studies Female Fundamental and applied biological sciences. Psychology Genetic Pleiotropy - genetics Genetic Variation - genetics Genome-Wide Association Study - methods Heart Defects, Congenital - diagnosis Heart Defects, Congenital - genetics Heart Defects, Congenital - pathology Humans Male Molecular Sequence Data Pedigree Proteins - genetics Vertebrates: cardiovascular system Zebrafish |
Title | NPHP4 Variants Are Associated With Pleiotropic Heart Malformations |
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