Abstract

BackgroundThe occurrence of Congenital Heart Disease (CHD) is resulted from either genetic or environmental factors or the both. The CITED2 gene deletion or mutation is associated with the development of cardiac malformations. In this study, we have investigated the role of CITED2 gene mutation and methylation in the development of Congenital Heart Disease in pediatric patients in China.ResultsWe have screened 120 pediatric patients with congenital heart disease. Among these patients, 4 cases were detected to carry various CITED2 gene heterozygous mutations (c.550G > A, c.574A > G, c.573-578del6) leading correspondingly to the alterations of amino acid sequences in Gly184Ser, Ser192Gly, and Ser192fs, respectively. No CITED2 gene mutations were detected in the control group. At the same time, we found that CITED2 mutations could inhibit TFAP2c expression. In addition, we have demonstrated that abnormal CITED2 gene methylation was detected in most of the tested pediatric patients with CHD, which leads to a decrease of CITED2 transcription activities.ConclusionsOur study suggests that CITED2 gene mutations and methylation may play an important role in the development of pediatric congenital heart disease.

Highlights

  • The occurrence of Congenital Heart Disease (CHD) is resulted from either genetic or environmental factors or the both

  • CREB-binding protein (CBP)/P300-interacting transactivator 2 is a protein with ED-rich tail that in human is encoded by the CITED2 gene

  • Our study suggests that CITED2 gene mutations and methylation may play an important role in the development of pediatric congenital heart disease

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Summary

Introduction

The occurrence of Congenital Heart Disease (CHD) is resulted from either genetic or environmental factors or the both. We have investigated the role of CITED2 gene mutation and methylation in the development of Congenital Heart Disease in pediatric patients in China. A body of studies has demonstrated that the congenital heart diseases are caused by either genetic or environmental factors or both. Gene mutations are potential causes for the development of CHD [3], various environmental factors that affect mother during the pregnancy play an important role in promoting and developing of CHD [4]. There are a plurality of transcription factor binding sites in the promoter region of CITED2 gene, such as HIF-1, AP-2, SP1 etc., which play a vital role in CITED2 expression. Deficiencies in TFAP2 coactivation have been suggested to cause laterality defect in CITED2-/- mice [15]

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