Open Access
ARTICLE
Genetic Analysis of Variants of the MYH6 Gene Promoter in Congenital Atrial Septal Defects
Ji-Yang Zuo1,2, Huan-Xin Chen1,2, Zhi-Gang Liu1,2, Qin Yang1,2, Guo-Wei He1,2,*
1
Clinical School of Cardiovascular Disease, Department of Cardiovascular Surgery, TEDA International Cardiovascular Hospital,
Tianjin Medical University, Tianjin, 300457, China
2
The Institute of Cardiovascular Diseases & Department of Cardiovascular Surgery, TEDA International Cardiovascular Hospital,
Tianjin University & Chinese Academy of Medical Sciences, Tianjin, 300457, China
* Corresponding Authors: Guo-Wei He. Email: ; or
Congenital Heart Disease 2023, 18(1), 7-21. https://doi.org/10.32604/chd.2022.025451
Received 14 July 2022; Accepted 16 August 2022; Issue published 09 January 2023
Abstract
Background: Atrial septal defect (ASD) is one of the common congenital heart diseases. The
MYH6 gene has a
critical role in cardiac development but the role of
MYH6 promoter variants in patients with ASD has not been
explored.
Methods: In 613 subjects including 320 ASD patients, we investigated the
MYH6 gene promoter variants and verified the effect on gene expression by using cellular functional experiments and bioinformatics analysis.
Results: Eleven variants were identified in the
MYH6 gene promoter, of which four variants were found only
in ASD patients, and two variants (g.3434G>C and g.4524C>T) were identified for the first time. Cellular functional experiments indicated that all four variants reduced the transcriptional activity of the
MYH6 gene promoter
(
p < 0.05). Subsequent analysis through the JASPAR (A database of transcription factor binding profiles) suggests
that these variants may alter transcription factor binding sites, which may in turn lead to changes in myocardin
subunit expression and ASD formation.
Conclusions: Our study for the first time focuses on variants in the promoter region of the
MYH6 gene in Chinese patients with ASD and the discovered variants have functional significance. The study provides new insights in the role of the
MYH6 gene promoter region to better understand the
genetic basis of ASD formation and facilitates clinical diagnosis.
Graphical Abstract
Keywords
Cite This Article
APA Style
Zuo, J., Chen, H., Liu, Z., Yang, Q., He, G. (2023). Genetic analysis of variants of the myh6 gene promoter in congenital atrial septal defects. Congenital Heart Disease, 18(1), 7-21. https://doi.org/10.32604/chd.2022.025451
Vancouver Style
Zuo J, Chen H, Liu Z, Yang Q, He G. Genetic analysis of variants of the myh6 gene promoter in congenital atrial septal defects. Congeni Heart Dis. 2023;18(1):7-21 https://doi.org/10.32604/chd.2022.025451
IEEE Style
J. Zuo, H. Chen, Z. Liu, Q. Yang, and G. He "Genetic Analysis of Variants of the MYH6 Gene Promoter in Congenital Atrial Septal Defects," Congeni. Heart Dis., vol. 18, no. 1, pp. 7-21. 2023. https://doi.org/10.32604/chd.2022.025451