Association of functional variant in GDF1 promoter with risk of congenital heart disease and its regulation by Nkx2.5

GDF1 plays an important role in left-right patterning and genetic mutations in the coding region of GDF1 are associated with congenital heart disease (CHD). However, the genetic variation in the promoter of GDF1 with sporadic CHD and its expression regulation is little known. The association of the...

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Veröffentlicht in:Clinical science (1979) 2019-06, Vol.133 (12), p.1281-1295
Hauptverfasser: Gao, Xiaobo, Zheng, Panpan, Yang, Liping, Luo, Haiyan, Zhang, Chen, Qiu, Yongqiang, Huang, Guoying, Sheng, Wei, Ma, Xu, Lu, Cailing
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container_end_page 1295
container_issue 12
container_start_page 1281
container_title Clinical science (1979)
container_volume 133
creator Gao, Xiaobo
Zheng, Panpan
Yang, Liping
Luo, Haiyan
Zhang, Chen
Qiu, Yongqiang
Huang, Guoying
Sheng, Wei
Ma, Xu
Lu, Cailing
description GDF1 plays an important role in left-right patterning and genetic mutations in the coding region of GDF1 are associated with congenital heart disease (CHD). However, the genetic variation in the promoter of GDF1 with sporadic CHD and its expression regulation is little known. The association of the genetic variation in GDF1 promoter with CHD was examined in two case-control studies, including 1084 cases and 1198 controls in the first study and 582 cases and 615 controls in the second study. We identified one single nucleotide polymorphism (SNP) rs181317402 and two novel genetic mutations located in the promoter region of GDF1. Analysis of combined samples revealed a significant association in genotype and allele frequencies of rs181317402 T/G polymorphism between CHD cases in overall or ventricular septal defects or Tetralogy of Fallot and the control group. rs181317402 allele G polymorphism was significantly associated with a decreased risk of CHD. Furthermore, luciferase assay, chromatin immunoprecipitation and DNA pulldown assay indicated that Nkx2.5 transactivated the expression of GDF1 by binding to the promoter of GDF1. Luciferase activity assay showed that rs181317402 allele G significantly increased the basal and Nkx2.5-mediated activity of GDF1 promoter, while the two genetic mutations had the opposite effect. rs181317402 TG genotype was associated with significantly increased mRNA level of GDF1 compared with TT genotype in 18 CHD individuals. Our results demonstrate for the first time that Nkx2.5 acts upstream of GDF1 and the genetic variants in GDF1 promoter may confer genetic susceptibility to sporadic CHD potentially by altering its expression.
doi_str_mv 10.1042/CS20181024
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However, the genetic variation in the promoter of GDF1 with sporadic CHD and its expression regulation is little known. The association of the genetic variation in GDF1 promoter with CHD was examined in two case-control studies, including 1084 cases and 1198 controls in the first study and 582 cases and 615 controls in the second study. We identified one single nucleotide polymorphism (SNP) rs181317402 and two novel genetic mutations located in the promoter region of GDF1. Analysis of combined samples revealed a significant association in genotype and allele frequencies of rs181317402 T/G polymorphism between CHD cases in overall or ventricular septal defects or Tetralogy of Fallot and the control group. rs181317402 allele G polymorphism was significantly associated with a decreased risk of CHD. Furthermore, luciferase assay, chromatin immunoprecipitation and DNA pulldown assay indicated that Nkx2.5 transactivated the expression of GDF1 by binding to the promoter of GDF1. Luciferase activity assay showed that rs181317402 allele G significantly increased the basal and Nkx2.5-mediated activity of GDF1 promoter, while the two genetic mutations had the opposite effect. rs181317402 TG genotype was associated with significantly increased mRNA level of GDF1 compared with TT genotype in 18 CHD individuals. 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Luciferase activity assay showed that rs181317402 allele G significantly increased the basal and Nkx2.5-mediated activity of GDF1 promoter, while the two genetic mutations had the opposite effect. rs181317402 TG genotype was associated with significantly increased mRNA level of GDF1 compared with TT genotype in 18 CHD individuals. Our results demonstrate for the first time that Nkx2.5 acts upstream of GDF1 and the genetic variants in GDF1 promoter may confer genetic susceptibility to sporadic CHD potentially by altering its expression.</abstract><cop>England</cop><pmid>31171573</pmid><doi>10.1042/CS20181024</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0002-2350-416X</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Portland Press Electronic Journals
subjects Animals
Case-Control Studies
Child
Child, Preschool
China
Female
Genetic Association Studies
Genetic Predisposition to Disease
Growth Differentiation Factor 1 - genetics
Growth Differentiation Factor 1 - metabolism
Heart Defects, Congenital - diagnosis
Heart Defects, Congenital - genetics
Heart Defects, Congenital - metabolism
HEK293 Cells
Homeobox Protein Nkx-2.5 - genetics
Homeobox Protein Nkx-2.5 - metabolism
Humans
Infant
Infant, Newborn
Male
Mutation
Myocytes, Cardiac - metabolism
Phenotype
Polymorphism, Single Nucleotide
Promoter Regions, Genetic
Rats
Risk Factors
Transcription, Genetic
Transcriptional Activation
Zebrafish - embryology
title Association of functional variant in GDF1 promoter with risk of congenital heart disease and its regulation by Nkx2.5
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