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 inCirculation research Vol. 110; no. 12; pp. 1564 - 1574
Main Authors French, Vanessa M., van de Laar, Ingrid M.B.H., Wessels, Marja W., Rohe, Christan, Roos-Hesselink, Jolien W., Wang, Guangliang, Frohn-Mulder, Ingrid M.E., Severijnen, Lies-Anne, de Graaf, Bianca M., Schot, Rachel, Breedveld, Guido, Mientjes, Edwin, van Tienhoven, Marianne, Jadot, Elodie, Jiang, Zhengxin, Verkerk, Annemieke, Swagemakers, Sigrid, Venselaar, Hanka, Rahimi, Zohreh, Najmabadi, Hossein, Meijers-Heijboer, Hanne, de Graaff, Esther, Helbing, Wim A., Willemsen, Rob, Devriendt, Koen, Belmont, John W., Oostra, Ben A., Amack, Jeffrey D., Bertoli-Avella, Aida M.
Format Journal Article
LanguageEnglish
Published Hagerstown, MD American Heart Association, Inc 08.06.2012
Lippincott Williams & Wilkins
Subjects
Online AccessGet full text
ISSN0009-7330
1524-4571
1524-4571
DOI10.1161/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.
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
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Copyright 2012 American Heart Association, Inc.
2015 INIST-CNRS
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Tue Jul 01 01:24:44 EDT 2025
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Issue 12
Keywords Heart
Congenital
nphp4
congenital heart malformations
Vertebrata
Brachydanio rerio
Mammalia
Malformation
Pisces
heterotaxy
cilia
Circulatory system
zebrafish
Language English
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These authors contributed equally
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PublicationTitle Circulation research
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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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Volume 110
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