Abstract
Down syndrome is a pathology that, according to WHO, has a high worlwide and national incidence, frequently associated with congenital heart defects. It affects the human genetic material and it is caused by the nondisjunction of chromosome 21 (XY, + 21 or XX, + 21) or other alterations associated with the same chromosome (mosaicism, translocation). It manifests itself with peculiar characteristics in various areas of the body, among which congenital heart disease stands out, mainly atrioventricular septal defects (AVSD), caused by mutations in the CRELD1 gene. This gene contains 9 exons, encodes cell adhesion molecules and at the same time acts as a regulator of the calcineurin / NFATc1 signaling pathway, thus allowing correct cardiac morphogenesis. On the other hand, DS brings with it defects in the immune and respiratory system, with vital importance today, given that deficiencies in their functioning increase vulnerability to Covid-19.
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