TBX5 is a transcription factor (TF) playing essential role during cardiogenesis. It is well known that TF mutations possibly result in non- or additional binding of the DNA due to conformational changes of the protein. We introduced a Holt-Oram Syndrome (HOS) patient-specific TBX5 mutation c.920_C > A heterozygously in a healthy induced pluripotent stell cell (iPSC) line. This TBX5 mutation results in conformational changes of the protein and displayed ventricular septal defects in the patient itself. Additionally we introduced a FLAG-tag on the TBX5 mutation-carrying allele. The resulting heterozygous TBX5-FLAG iPSC lines are a powerful tool to investigate altered TF activity bonding.

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http://dx.doi.org/10.1016/j.scr.2023.103123DOI Listing

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Article Synopsis
  • The study focuses on Holt-Oram syndrome (HOS), a condition caused by TBX5 gene variants, which lead to heart and limb abnormalities, and highlights the difficulties in predicting the effects of these genomic variants, particularly missense and splice variants.
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Article Synopsis
  • - Holt-Oram syndrome is a rare genetic disorder linked to mutations in the TBX5 gene, characterized by skeletal and heart abnormalities, particularly affecting cardiac prognosis.
  • - A case study of a 49-year-old patient revealed signs of congestive heart failure along with physical malformations like thumb triphalangia and scoliosis, leading to the discovery of an atrial septal defect through testing.
  • - Diagnosis involves genetic testing for TBX5 mutations, and family screening is important due to its autosomal dominant inheritance pattern, emphasizing the need for awareness of upper limb anomalies associated with heart issues.
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Holt-Oram syndrome is an autosomal dominant condition marked by heart and upper limb defects. Holt and Oram were the first to narrate this in 1960. Holt-Oram syndrome is the prototype of heart-hand syndromes and has recently been mapped to the long arm of chromosome 12 (12q2).

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