Correction of a deleterious TBX5 mutation in an induced pluripotent stem cell line (DHMi004-A-1) using a completely plasmid-free CRISPR/Cas 9 approach.

Stem Cell Res

Technical University of Munich, School of Medicine & Health, Department of Cardiovascular Surgery, Institute Insure, German Heart Center Munich, Lazarettstrasse 36, 80636 Munich, Germany. Electronic address:

Published: August 2023

TBX5 is a transcription factor which plays an essential role at different checkpoints during cardiac differentiation. However, regulatory pathways affected by TBX5 still remain ill-defined. We have applied the CRISPR/Cas9 technology using a completely plasmid-free approach to correct a heterozygous causative "loss-of function" TBX5 mutation in an iPSC line (DHMi004-A), that has been established from a patient suffering from Holt-Oram syndrome (HOS). This isogenic iPSC line, DHMi004-A-1, represents a powerful in vitro tool to dissect the regulatory pathways affected by TBX5 in HOS.

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http://dx.doi.org/10.1016/j.scr.2023.103126DOI 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.
  • Functional tests on various TBX5 variants were conducted to better classify variants of uncertain significance (VUS), leading to the reclassification of 9 out of 14 as likely pathogenic and confirming their involvement in HOS.
  • The findings show that bioinformatics and biological tests are essential and work together with clinical knowledge to improve genomic variant classification for rare diseases.
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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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