AI Article Synopsis

  • Congenital heart disease (CHD) is the most common birth defect, with specific gene mutations in GATA4 and NKX2.5 linked to its development.
  • A study analyzed these genes in 62 Chinese Uygur patients with CHD and 117 control individuals, using advanced genetic techniques.
  • Two specific mutations in the GATA4 gene were identified in patients with different types of heart defects, suggesting these mutations may impact heart function, while no NKX2.5 mutations were found.

Article Abstract

Background: Congenital heart disease (CHD) is the most common developmental anomaly in newborns. The germline mutations in GATA4 and NKX2.5 genes have been identified as responsible for CHD. The frequency of GATA4 and NKX2.5 mutations in Chinese Uygur patients with CHD and the correlation between their genotype and CHD phenotype are unknown.

Methods: We examined the coding region of GATA4 and NKX2.5 genes in 62 Chinese Uygur patients with CHD and 117 Chinese Uygur individuals as the controls by denaturing high performance liquid chromatography (DHPLC) and sequencing.

Results: Two heterozygous missense mutations of c.1220C > A and c.1273G > A in GATA4 gene, which cause the amino acid residue changes of P407Q and D425N in GATA4, were found in a patient with tetralogy of Fallot and a patient with ventricular septal defect, respectively. The two patients did not have atrioventricular conduct defects or non-cardiac abnormalities. The two mutations are expected to affect the protein function. There were no reported NKX2.5 mutations in the patients.

Conclusion: Our results provided the primary data on CHD phenotype associated with GATA4 mutation in the Chinese Uygur population.

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