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Published in: BMC Medical Genetics 1/2005

Open Access 01-12-2005 | Research article

Mutational analysis of the PITX2coding region revealed no common cause for transposition of the great arteries (dTGA)

Authors: Nadja Muncke, Beate Niesler, Ralph Roeth, Karin Schön, Heinz-Juergen Rüdiger, Elizabeth Goldmuntz, Judith Goodship, Gudrun Rappold

Published in: BMC Medical Genetics | Issue 1/2005

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Abstract

Background

PITX2 is a bicoid-related homeodomain transcription factor that plays an important role in asymmetric cardiogenesis. Loss of function experiments in mice cause severe heart malformations, including transposition of the great arteries (TGA). TGA accounts for 5–7% of all congenital heart diseases affecting 0.2 per 1000 live births, thereby representing the most frequent cyanotic heart defect diagnosed in the neonatal period.

Methods

To address whether altered PITX2 function could also contribute to the formation of dTGA in humans, we screened 96 patients with dTGA by means of dHPLC and direct sequencing for mutations within the PITX2 gene.

Results

Several SNPs could be detected, but no stop or frame shift mutation. In particular, we found seven intronic and UTR variants, two silent mutations and two polymorphisms within the coding region.

Conclusion

As most sequence variants were also found in controls we conclude that mutations in PITX2 are not a common cause of dTGA.
Appendix
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Literature
1.
go back to reference Hoffman JI: Incidence of congenital heart disease: I. Postnatal incidence. Pediatr Cardiol. 1995, 16: 103-113. 10.1007/BF00801907.CrossRefPubMed Hoffman JI: Incidence of congenital heart disease: I. Postnatal incidence. Pediatr Cardiol. 1995, 16: 103-113. 10.1007/BF00801907.CrossRefPubMed
2.
go back to reference Hoffman JI: Incidence of congenital heart disease: II. Prenatal incidence. Pediatr Cardiol. 1995, 16: 155-165. 10.1007/BF00801907.CrossRefPubMed Hoffman JI: Incidence of congenital heart disease: II. Prenatal incidence. Pediatr Cardiol. 1995, 16: 155-165. 10.1007/BF00801907.CrossRefPubMed
3.
go back to reference Samanek M: Congenital heart malformations: prevalence, severity, survival, and quality of life. Cardiol Young. 2000, 10 (3): 179-185.CrossRefPubMed Samanek M: Congenital heart malformations: prevalence, severity, survival, and quality of life. Cardiol Young. 2000, 10 (3): 179-185.CrossRefPubMed
4.
go back to reference Fyler DC, Buckley LP, Hellenbrand WE, et al: Report of the New England regional infant cardiac program. Pediatrics. 1980, 65 (Suppl): 375-461. Fyler DC, Buckley LP, Hellenbrand WE, et al: Report of the New England regional infant cardiac program. Pediatrics. 1980, 65 (Suppl): 375-461.
5.
go back to reference Digilio MC, Casey B, Toscano A, Calabro R, Pacileo G, Marasini M, Banaudi E, Giannotti A, Dallapiccola B, Marino B: Complete transposition of the great arteries: patterns of congenital heart disease in familial precurrence. Circulation. 2001, 104 (23): 2809-2814.CrossRefPubMed Digilio MC, Casey B, Toscano A, Calabro R, Pacileo G, Marasini M, Banaudi E, Giannotti A, Dallapiccola B, Marino B: Complete transposition of the great arteries: patterns of congenital heart disease in familial precurrence. Circulation. 2001, 104 (23): 2809-2814.CrossRefPubMed
6.
go back to reference Muncke N, Jung C, Rudiger H, Ulmer H, Roeth R, Hubert A, Goldmuntz E, Driscoll D, Goodship J, Schon K, Rappold G: Missense mutations and gene interruption in PROSIT240, a novel TRAP240-like gene, in patients with congenital heart defect (transposition of the great arteries). Circulation. 2003, 108 (23): 2843-2850. 10.1161/01.CIR.0000103684.77636.CD.CrossRefPubMed Muncke N, Jung C, Rudiger H, Ulmer H, Roeth R, Hubert A, Goldmuntz E, Driscoll D, Goodship J, Schon K, Rappold G: Missense mutations and gene interruption in PROSIT240, a novel TRAP240-like gene, in patients with congenital heart defect (transposition of the great arteries). Circulation. 2003, 108 (23): 2843-2850. 10.1161/01.CIR.0000103684.77636.CD.CrossRefPubMed
7.
go back to reference Megarbane A, Salem N, Stephan E, Ashoush R, Lenoir D, Delague V, Kassab R, Loiselet J, Bouvagnet P: X-linked transposition of the great arteries and incomplete penetrance among males with a nonsense mutation in ZIC3. Eur J Hum Genet. 2000, 8 (9): 704-708. 10.1038/sj.ejhg.5200526.CrossRefPubMed Megarbane A, Salem N, Stephan E, Ashoush R, Lenoir D, Delague V, Kassab R, Loiselet J, Bouvagnet P: X-linked transposition of the great arteries and incomplete penetrance among males with a nonsense mutation in ZIC3. Eur J Hum Genet. 2000, 8 (9): 704-708. 10.1038/sj.ejhg.5200526.CrossRefPubMed
8.
go back to reference Bamford RN, Roessler E, Burdine RD, Saplakoglu U, dela Cruz J, Splitt M, Towbin J, Bowers P, Ferrero GB, Marino B, Schier AF, Shen MM, Muenke M, Casey B: Loss-of-function mutations in the EGF-CFC gene CFC1 are associated with human left-right laterality defects. Nat Genet. 2000, 26 (3): 365-369. 10.1038/81695.CrossRefPubMed Bamford RN, Roessler E, Burdine RD, Saplakoglu U, dela Cruz J, Splitt M, Towbin J, Bowers P, Ferrero GB, Marino B, Schier AF, Shen MM, Muenke M, Casey B: Loss-of-function mutations in the EGF-CFC gene CFC1 are associated with human left-right laterality defects. Nat Genet. 2000, 26 (3): 365-369. 10.1038/81695.CrossRefPubMed
9.
go back to reference Goldmuntz E, Bamford R, Karkera JD, dela Cruz J, Roessler E, Muenke M: CFC1 mutations in patients with transposition of the great arteries and double-outlet right ventricle. Am J Hum Genet. 2002, 70 (3): 776-780. 10.1086/339079.CrossRefPubMedPubMedCentral Goldmuntz E, Bamford R, Karkera JD, dela Cruz J, Roessler E, Muenke M: CFC1 mutations in patients with transposition of the great arteries and double-outlet right ventricle. Am J Hum Genet. 2002, 70 (3): 776-780. 10.1086/339079.CrossRefPubMedPubMedCentral
10.
go back to reference Gebbia M, Ferrero GB, Pilia G, Bassi MT, Aylsworth A, Penman-Splitt M, Bird LM, Bamforth JS, Burn J, Schlessinger D, Nelson DL, Casey B: X-linked situs abnormalities result from mutations in ZIC3. Nat Genet. 1997, 17 (3): 305-308.CrossRefPubMed Gebbia M, Ferrero GB, Pilia G, Bassi MT, Aylsworth A, Penman-Splitt M, Bird LM, Bamforth JS, Burn J, Schlessinger D, Nelson DL, Casey B: X-linked situs abnormalities result from mutations in ZIC3. Nat Genet. 1997, 17 (3): 305-308.CrossRefPubMed
11.
go back to reference Kirby ML, Gale TF, Stewart DE: Neural crest cells contribute to normal aorticopulmonary septation. Science. 1983, 220 (4601): 1059-1061.CrossRefPubMed Kirby ML, Gale TF, Stewart DE: Neural crest cells contribute to normal aorticopulmonary septation. Science. 1983, 220 (4601): 1059-1061.CrossRefPubMed
12.
go back to reference Creazzo TL, Godt RE, Leatherbury L, Conway SJ, Kirby ML: Role of cardiac neural crest cells in cardiovascular development. Annu Rev Physiol. 1998, 60: 267-286. 10.1146/annurev.physiol.60.1.267.CrossRefPubMed Creazzo TL, Godt RE, Leatherbury L, Conway SJ, Kirby ML: Role of cardiac neural crest cells in cardiovascular development. Annu Rev Physiol. 1998, 60: 267-286. 10.1146/annurev.physiol.60.1.267.CrossRefPubMed
13.
go back to reference Hjalt TA, Semina EV, Amendt BA, Murray JC: The Pitx2 protein in mouse development. Dev Dyn. 2000, 218 (1): 195-200. 10.1002/(SICI)1097-0177(200005)218:1<195::AID-DVDY17>3.0.CO;2-C.CrossRefPubMed Hjalt TA, Semina EV, Amendt BA, Murray JC: The Pitx2 protein in mouse development. Dev Dyn. 2000, 218 (1): 195-200. 10.1002/(SICI)1097-0177(200005)218:1<195::AID-DVDY17>3.0.CO;2-C.CrossRefPubMed
14.
go back to reference Semina EV, Reiter R, Leysens NJ, Alward WL, Small KW, Datson NA, Siegel-Bartelt J, Bierke-Nelson D, Bitoun P, Zabel BU, Carey JC, Murray JC: Cloning and characterization of a novel bicoid-related homeobox transcription factor gene, RIEG, involved in Rieger syndrome. Nat Genet. 1996, 14 (4): 392-399. 10.1038/ng1296-392.CrossRefPubMed Semina EV, Reiter R, Leysens NJ, Alward WL, Small KW, Datson NA, Siegel-Bartelt J, Bierke-Nelson D, Bitoun P, Zabel BU, Carey JC, Murray JC: Cloning and characterization of a novel bicoid-related homeobox transcription factor gene, RIEG, involved in Rieger syndrome. Nat Genet. 1996, 14 (4): 392-399. 10.1038/ng1296-392.CrossRefPubMed
15.
go back to reference Sadeghi-Nejad A, Senior B: Autosomal dominant transmission of isolated growth hormone deficiency in iris-dental dysplasia (Rieger's syndrome). J Pediatr. 1974, 85 (5): 644-648.CrossRefPubMed Sadeghi-Nejad A, Senior B: Autosomal dominant transmission of isolated growth hormone deficiency in iris-dental dysplasia (Rieger's syndrome). J Pediatr. 1974, 85 (5): 644-648.CrossRefPubMed
16.
go back to reference Brooks JK, Coccaro PJ, Zarbin MA: The Rieger anomaly concomitant with multiple dental, craniofacial, and somatic midline anomalies and short stature. Oral Surg Oral Med Oral Pathol. 1989, 68 (6): 717-724.CrossRefPubMed Brooks JK, Coccaro PJ, Zarbin MA: The Rieger anomaly concomitant with multiple dental, craniofacial, and somatic midline anomalies and short stature. Oral Surg Oral Med Oral Pathol. 1989, 68 (6): 717-724.CrossRefPubMed
17.
go back to reference Gage PJ, Suh H, Camper SA: Dosage requirement of Pitx2 for development of multiple organs. Development. 1999, 126 (20): 4643-4651.PubMed Gage PJ, Suh H, Camper SA: Dosage requirement of Pitx2 for development of multiple organs. Development. 1999, 126 (20): 4643-4651.PubMed
18.
go back to reference Kitamura K, Miura H, Miyagawa-Tomita S, Yanazawa M, Katoh-Fukui Y, Suzuki R, Ohuchi H, Suehiro A, Motegi Y, Nakahara Y, Kondo S, Yokoyama M: Mouse Pitx2 deficiency leads to anomalies of the ventral body wall, heart, extra- and periocular mesoderm and right pulmonary isomerism. Development. 1999, 126 (24): 5749-5758.PubMed Kitamura K, Miura H, Miyagawa-Tomita S, Yanazawa M, Katoh-Fukui Y, Suzuki R, Ohuchi H, Suehiro A, Motegi Y, Nakahara Y, Kondo S, Yokoyama M: Mouse Pitx2 deficiency leads to anomalies of the ventral body wall, heart, extra- and periocular mesoderm and right pulmonary isomerism. Development. 1999, 126 (24): 5749-5758.PubMed
19.
go back to reference Liu C, Liu W, Lu MF, Brown NA, Martin JF: Regulation of left-right asymmetry by thresholds of Pitx2c activity. Development. 2001, 128 (11): 2039-2048.PubMed Liu C, Liu W, Lu MF, Brown NA, Martin JF: Regulation of left-right asymmetry by thresholds of Pitx2c activity. Development. 2001, 128 (11): 2039-2048.PubMed
20.
go back to reference Kioussi C, Briata P, Baek SH, Rose DW, Hamblet NS, Herman T, Ohgi KA, Lin C, Gleiberman A, Wang J, Brault V, Ruiz-Lozano P, Nguyen HD, Kemler R, Glass CK, Wynshaw-Boris A, Rosenfeld MG: Identification of a Wnt/Dvl/beta-Catenin – > Pitx2 pathway mediating cell-type-specific proliferation during development. Cell. 2002, 111 (5): 673-685. 10.1016/S0092-8674(02)01084-X.CrossRefPubMed Kioussi C, Briata P, Baek SH, Rose DW, Hamblet NS, Herman T, Ohgi KA, Lin C, Gleiberman A, Wang J, Brault V, Ruiz-Lozano P, Nguyen HD, Kemler R, Glass CK, Wynshaw-Boris A, Rosenfeld MG: Identification of a Wnt/Dvl/beta-Catenin – > Pitx2 pathway mediating cell-type-specific proliferation during development. Cell. 2002, 111 (5): 673-685. 10.1016/S0092-8674(02)01084-X.CrossRefPubMed
21.
go back to reference Hamblet NS, Lijam N, Ruiz-Lozano P, Wang J, Yang Y, Luo Z, Mei L, Chien KR, Sussman DJ, Wynshaw-Boris A: Dishevelled 2 is essential for cardiac outflow tract development, somite segmentation and neural tube closure. Development. 2002, 129 (24): 5827-5838. 10.1242/dev.00164.CrossRefPubMed Hamblet NS, Lijam N, Ruiz-Lozano P, Wang J, Yang Y, Luo Z, Mei L, Chien KR, Sussman DJ, Wynshaw-Boris A: Dishevelled 2 is essential for cardiac outflow tract development, somite segmentation and neural tube closure. Development. 2002, 129 (24): 5827-5838. 10.1242/dev.00164.CrossRefPubMed
22.
go back to reference Franco D, Campione M: The role of Pitx2 during cardiac development. Linking left-right signaling and congenital heart diseases. Trends Cardiovasc Med. 2003, 13 (4): 157-163. 10.1016/S1050-1738(03)00039-2.CrossRefPubMed Franco D, Campione M: The role of Pitx2 during cardiac development. Linking left-right signaling and congenital heart diseases. Trends Cardiovasc Med. 2003, 13 (4): 157-163. 10.1016/S1050-1738(03)00039-2.CrossRefPubMed
23.
go back to reference Schweickert A, Campione M, Steinbeisser H, Blum M: Pitx2 isoforms: involvement of Pitx2c but not Pitx2a or Pitx2b in vertebrate left-right asymmetry. Mech Dev. 2000, 90 (1): 41-51. 10.1016/S0925-4773(99)00227-0.CrossRefPubMed Schweickert A, Campione M, Steinbeisser H, Blum M: Pitx2 isoforms: involvement of Pitx2c but not Pitx2a or Pitx2b in vertebrate left-right asymmetry. Mech Dev. 2000, 90 (1): 41-51. 10.1016/S0925-4773(99)00227-0.CrossRefPubMed
24.
go back to reference Cox CJ, Espinoza HM, McWilliams B, Chappell K, Morton L, Hjalt TA, Semina EV, Amendt BA: Differential regulation of gene expression by PITX2 isoforms. J Biol Chem. 2002, 277 (28): 25001-25010. 10.1074/jbc.M201737200.CrossRefPubMed Cox CJ, Espinoza HM, McWilliams B, Chappell K, Morton L, Hjalt TA, Semina EV, Amendt BA: Differential regulation of gene expression by PITX2 isoforms. J Biol Chem. 2002, 277 (28): 25001-25010. 10.1074/jbc.M201737200.CrossRefPubMed
25.
go back to reference Martin DM, Probst FJ, Fox SE, Schimmenti LA, Semina EV, Hefner MA, Belmont JW, Camper SA: Exclusion of PITX2 mutations as a major cause of CHARGE association. Am J Med Genet. 2002, 111: 27-30. 10.1002/ajmg.10473.CrossRefPubMed Martin DM, Probst FJ, Fox SE, Schimmenti LA, Semina EV, Hefner MA, Belmont JW, Camper SA: Exclusion of PITX2 mutations as a major cause of CHARGE association. Am J Med Genet. 2002, 111: 27-30. 10.1002/ajmg.10473.CrossRefPubMed
Metadata
Title
Mutational analysis of the PITX2coding region revealed no common cause for transposition of the great arteries (dTGA)
Authors
Nadja Muncke
Beate Niesler
Ralph Roeth
Karin Schön
Heinz-Juergen Rüdiger
Elizabeth Goldmuntz
Judith Goodship
Gudrun Rappold
Publication date
01-12-2005
Publisher
BioMed Central
Published in
BMC Medical Genetics / Issue 1/2005
Electronic ISSN: 1471-2350
DOI
https://doi.org/10.1186/1471-2350-6-20

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