Abstract

BackgroundFetal alcohol syndrome (FAS) is a serious global health problem and is observed at high frequencies in certain South African communities. Although in utero alcohol exposure is the primary trigger, there is evidence for genetic- and other susceptibility factors in FAS development. No genome-wide association or linkage studies have been performed for FAS, making computational selection and -prioritization of candidate disease genes an attractive approach.Results10174 Candidate genes were initially selected from the whole genome using a previously described method, which selects candidate genes according to their expression in disease-affected tissues. Hereafter candidates were prioritized for experimental investigation by investigating criteria pertinent to FAS and binary filtering. 29 Criteria were assessed by mining various database sources to populate criteria-specific gene lists. Candidate genes were then prioritized for experimental investigation using a binary system that assessed the criteria gene lists against the candidate list, and candidate genes were scored accordingly. A group of 87 genes was prioritized as candidates and for future experimental validation. The validity of the binary prioritization method was assessed by investigating the protein-protein interactions, functional enrichment and common promoter element binding sites of the top-ranked genes.ConclusionThis analysis highlighted a list of strong candidate genes from the TGF-β, MAPK and Hedgehog signalling pathways, which are all integral to fetal development and potential targets for alcohol's teratogenic effect. We conclude that this novel bioinformatics approach effectively prioritizes credible candidate genes for further experimental analysis.

Highlights

  • Fetal alcohol syndrome (FAS) is a serious global health problem and is observed at high frequencies in certain South African communities

  • The validity of the binary prioritization method was assessed by investigating the protein-protein interactions, functional enrichment and common promoter element binding sites of the top-ranked genes

  • Integrated literature- and data mining for candidate gene selection According to the method described by Tiffin et al [31], Dragon Disease Explorer (DDE) was used to extract eVOC anatomical terms from the body of literature, where after they were used to extract candidate genes from the Ensembl database

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Summary

Introduction

Fetal alcohol syndrome (FAS) is a serious global health problem and is observed at high frequencies in certain South African communities. The range of prevalence rates reported in two different primary school cohorts from this community were 65.2–74.2 per 1 000 [2] and 68.0–89.2 per 1000 [1] respectively This rate is alarmingly higher than the average observed for the developed world of 0.97 per 1000 live births [3]. Fetal alcohol spectrum disorder (FASD) is an umbrella term used to describe the irreversible array of anomalies associated with in utero alcohol exposure [4]. These anomalies include prenatal and postnatal growth retardation, central nervous system (CNS) dysfunction, characteristic craniofacial malformation and other organ abnormalities [5,6,7]. The term FAS is a clinical description for children at the most severe end of the FASD spectrum, who display the full phenotype associated with in utero alcohol exposure

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