Contribution of Global Rare Copy-Number Variants to the Risk of Sporadic Congenital Heart Disease
Open accessAbstract
Previous studies have shown that copy-number variants (CNVs) contribute to the risk of complex developmental phenotypes. However, the contribution of global CNV burden to the risk of sporadic congenital heart disease (CHD) remains incompletely defined. We generated genome-wide CNV data by using Illumina 660W-Quad SNP arrays in 2,256 individuals with CHD, 283 trio CHD-affected families, and 1,538 controls. We found association of rare genic deletions with CHD risk (odds ratio [OR] = 1.8, p = 0.0008). Rare deletions in study participants with CHD had higher gene content (p = 0.001) with higher haploinsufficiency scores (p = 0.03) than they did in controls, and they were enriched with Wnt-signaling genes (p = 1 × 10(-5)). Recurrent 15q11.2 deletions were associated with CHD risk (OR = 8.2, p = 0.02). Rare de novo CNVs were observed in ~5% of CHD trios; 10 out of 11 occurred on the paternally transmitted chromosome (p = 0.01). Some of the rare de novo CNVs spanned genes known to be involved in heart development (e.g., HAND2 and GJA5). Rare genic deletions contribute ~4% of the population-attributable risk of sporadic CHD. Second to previously described CNVs at 1q21.1, deletions at 15q11.2 and those implicating Wnt signaling are the most significant contributors to the risk of sporadic CHD. Rare de novo CNVs identified in CHD trios exhibit paternal origin bias.
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The meta-analysis of CHD case-control studies shows an OR of 4.96 when the small control groups from the original publications are used.
“Our meta-analysis of CHD case–control studies6–8 shows an OR of 4.96 when the small control groups from the original publications are used (figure 1).”
From Estimating the effect size of the 15Q11.2 BP1–BP2 deletion and its contribution to neurodevelopmental symptoms: recommendations for practice (2019) · cites this paper as [8]
The 15q11.2 deletion is associated with congenital heart disease.
“The deletion has also been associated with congenital heart disease (CHD).6–8”
From Estimating the effect size of the 15Q11.2 BP1–BP2 deletion and its contribution to neurodevelopmental symptoms: recommendations for practice (2019) · cites this paper as [8]
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- Authors
- Soemedi, R., Wilson, I. J., Bentham, J., Darlay, R., Töpf, A., Zelenika, D., Cosgrove, C., Setchfield, K., Thornborough, C., Granados-Riveron, J., Blue, G. M., Breckpot, J., Hellens, S., Zwolinkski, S., Glen, E., Mamasoula, C., Rahman, T. J., Hall, D., Rauch, A., Devriendt, K., Gewillig, M., O’ Sullivan, J., Winlaw, D. S., Bu’Lock, F., Brook, J. D., Bhattacharya, S., Lathrop, M., Santibanez-Koref, M., Cordell, H. J., Goodship, J. A., & Keavney, B. D.
- Affiliations
- Newcastle University (GB)
- Centre for Human Genetics (GB)
- University of Nottingham (GB)
- Glenfield Hospital (GB)
- Children's Hospital at Westmead (AU)
- Universitair Ziekenhuis Leuven (BE)
- University of Zurich (CH)
- KU Leuven (BE)
- Commissariat à l'Énergie Atomique et aux Énergies Alternatives (FR)
- Corresponding author
- Goodship, Judith A.
- Keavney, Bernard D.
- ORCID
- Venue
- The American Journal of Human Genetics
- Publisher
- Elsevier BV
- Published
- 2012-09
- Volume
- 91
- Issue
- 3
- Pages
- 489-501
- ISSN
- 0002-9297 (ISSN-L)
- PMC
- PMC3511986
- OpenAlex
- W2076479322
- Cited by
- 315
- References
- 10
- Citations by year
- 2026: 7 · 2025: 17 · 2024: 25 · 2023: 9 · 2022: 23 · 2021: 21 · 2020: 21 · 2019: 26 · 2018: 20 · 2017: 17 · 2016: 26 · 2015: 42 · 2014: 36 · 2013: 22 · 2012: 2
- FWCI
- 19.66
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The American Journal of Human Genetics (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, cc-by-nc-nd)
- Lirias (KU Leuven) (submittedVersion, cc-by-nc-nd)
- Research Explorer (The University of Manchester) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, cc-by-nc-nd)
- Zurich Open Repository and Archive (University of Zurich)
- Funders
- Wellcome Trust (087436, 090532)
- National Institute for Health and Care Research
- British Heart Foundation (RG/08/012/25941, RG/07/010/23676, RG/10/17/28553, PG/07/045/22690)
- Heart Research UK
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomic variations and chromosomal abnormalities
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Congenital heart defects research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Keywords
- congenital heart disease, copy number variation, de novo CNVs, haploinsufficiency, Wnt signaling, 1q21.1, Hand2, connexin 40, population attributable risk, heart development
- MeSH terms
- Child, Chromosomes, Human, Pair 15, Chromosomes, Human, Pair 8, Fathers, Female, Heart Defects, Congenital, Humans, Male, Gene Deletion, Gene Dosage, Polymorphism, Single Nucleotide, DNA Copy Number Variations
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