Identification of novel rare copy number variants associated with sporadic tetralogy of Fallot and clinical implications

• Published in: Clinical genetics Vol. 102; no. 5; pp. 391 - 403
• Main Authors: He, Guo‐Wei, Maslen, Cheryl L., Chen, Huan‐Xin, Hou, Hai‐Tao, Bai, Xiao‐Yan, Wang, Xiu‐Li, Liu, Xiao‐Cheng, Lu, Wan‐Li, Chen, Xin‐Xin, Chen, Wei‐Dan, Xing, Quan‐Sheng, Wu, Qin, Wang, Jun, Yang, Qin
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.11.2022
• Subjects: Bioinformatics; Chromosome 11; Chromosome 14; Chromosome 21; Chromosomes; Copy number; copy number variants; Coronary artery disease; Etiology; genetic; Genetic diversity; genome‐wide association study; Heart diseases; Peripheral blood; Tetralogy of Fallot; White people
• ISSN: 0009-9163; 1399-0004; 1399-0004
• DOI: 10.1111/cge.14201

Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease. Highly penetrant copy number variants (CNVs) and genes related to the etiology of TOF likely exist with differences among populations. We aimed to identify CNV contributions to sporadic TOF cases in Han Chinese. Genomic DNA was extracted from peripheral blood in 605 subjects (303 sporadic TOF and 302 unaffected Han Chinese [Control] from cardiac centers in China) and analyzed by genome‐wide association study (GWAS). The GWAS results were compared with existing Database of Genetic Variants. These CNVs were further validated by qPCR. Bioinformatics analyses were performed with protein–protein interaction (PPI) network and KEGG pathway enrichment. Across all chromosomes 119 novel “TOF‐specific CNVs” were identified with prevalence of CNVs of 21.5% in chromosomes 1‐20 and 37.0% including Chr21/22. In chromosomes 1‐20, CNVs on 11q25 (encompasses genes ACAD8, B3GAT1, GLB1L2, GLB1L3, IGSF9B, JAM3, LOC100128239, LOC283177, MIR4697, MIR4697HG, NCAPD3, OPCML, SPATA19, THYN1, and VPS26B) and 14q32.33 (encompasses genes THYN1, OPCML, and NCAPD3) encompass genes most likely to be associated with TOF. Specific CNVs found on the chromosome 21 (6.3%) and 22(11.9%) were also identified in details. PPI network analysis identified the genes covering the specific CNVs related to TOF and the signaling pathways. This study for first time identified novel TOF‐specific CNVs in the Han Chinese with higher frequency than in Caucasians and with 11q25 and 14q32.33 not reported in TOF of Caucasians. These novel CNVs identify new candidate genes for TOF and provide new insights into genetic basis of TOF. A genome‐wide association study (GWAS) in 605 subjects identified 119 novel tetralogy of Fallot (TOF)‐specific rare copy number variants (CNVs) in sporadic TOF in the Han Chinese with higher frequency than that reported in Western countries. The genotype–phenotype correlation was analyzed. These findings provide new insights into the contribution of CNVs to the genetic basis of TOF, give clear evidence of higher prevalence of CNV in the Han Chinese than in Caucasians, and identify new genetic loci potentially important to the pathogenesis of TOF that forms new basis for future diagnostic and therapeutic strategy in TOF.