Abstract

Congenital heart diseases are the common disease in birth defects .There are 120000 to 200000 children born with congenital heart disease in China each year , most of which are complex congenital heart diseases , seriously harming the health of the newborn , and bring heavy burden to commu-nity and the patient's family .The pathogenesis of congenital heart disease is complex , mostly of which due to the co-effects of environmental and genetic factors .Many patients get congenital heart diseases due to the combined action of multiple genes and signaling pathways , such as TGF-β, Nodal , MAPK , Wnt , Notch and homocysteine methionine signaling pathways which are closely associated with the cardiac devel -opment , and any abnormality in these genes or signal path ways may lead to congenital heart disease .In this paper , we summarizd the roles of various signaling pathways and their related genes in heart development , and how changes or abnormalities in these signaling pathways and genes caused congenital heart disease . Key words: Congenital heart disease; Tetralogy of fallot; Signaling pathway; Genetic fac-tors; Gene regulation

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