Infantile hypertrophic pyloric stenosis in patients with esophageal atresia

Background Patients born with esophageal atresia (EA) have a higher incidence of infantile hypertrophic pyloric stenosis (IHPS), suggestive of a relationship. A shared etiology makes sense from a developmental perspective as both affected structures are foregut derived. A genetic component has been...

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Veröffentlicht in:Birth defects research 2020-05, Vol.112 (9), p.670-687
Hauptverfasser: Kate, Chantal A., Brouwer, Rutger W. W., Bever, Yolande, Martens, Vera K., Brands, Tom, Beelen, Nicole W. G., Brooks, Alice S., Huigh, Daphne, Helm, Robert M., Eussen, Bert H. F. M. M., IJcken, Wilfred F. J., IJsselstijn, Hanneke, Tibboel, Dick, Wijnen, Rene M. H., Klein, Annelies, Hofstra, Robert M. W., Brosens, Erwin
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container_end_page 687
container_issue 9
container_start_page 670
container_title Birth defects research
container_volume 112
creator Kate, Chantal A.
Brouwer, Rutger W. W.
Bever, Yolande
Martens, Vera K.
Brands, Tom
Beelen, Nicole W. G.
Brooks, Alice S.
Huigh, Daphne
Helm, Robert M.
Eussen, Bert H. F. M. M.
IJcken, Wilfred F. J.
IJsselstijn, Hanneke
Tibboel, Dick
Wijnen, Rene M. H.
Klein, Annelies
Hofstra, Robert M. W.
Brosens, Erwin
description Background Patients born with esophageal atresia (EA) have a higher incidence of infantile hypertrophic pyloric stenosis (IHPS), suggestive of a relationship. A shared etiology makes sense from a developmental perspective as both affected structures are foregut derived. A genetic component has been described for both conditions as single entities and EA and IHPS are variable components in several monogenetic syndromes. We hypothesized that defects disturbing foregut morphogenesis are responsible for this combination of malformations. Methods We investigated the genetic variation of 15 patients with both EA and IHPS with unaffected parents using exome sequencing and SNP array‐based genotyping, and compared the results to mouse transcriptome data of the developing foregut. Results We did not identify putatively deleterious de novo mutations or recessive variants. However, we detected rare inherited variants in EA or IHPS disease genes or in genes important in foregut morphogenesis, expressed at the proper developmental time‐points. Two pathways were significantly enriched (p
doi_str_mv 10.1002/bdr2.1683
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W. ; Bever, Yolande ; Martens, Vera K. ; Brands, Tom ; Beelen, Nicole W. G. ; Brooks, Alice S. ; Huigh, Daphne ; Helm, Robert M. ; Eussen, Bert H. F. M. M. ; IJcken, Wilfred F. J. ; IJsselstijn, Hanneke ; Tibboel, Dick ; Wijnen, Rene M. H. ; Klein, Annelies ; Hofstra, Robert M. W. ; Brosens, Erwin</creator><creatorcontrib>Kate, Chantal A. ; Brouwer, Rutger W. W. ; Bever, Yolande ; Martens, Vera K. ; Brands, Tom ; Beelen, Nicole W. G. ; Brooks, Alice S. ; Huigh, Daphne ; Helm, Robert M. ; Eussen, Bert H. F. M. M. ; IJcken, Wilfred F. J. ; IJsselstijn, Hanneke ; Tibboel, Dick ; Wijnen, Rene M. H. ; Klein, Annelies ; Hofstra, Robert M. W. ; Brosens, Erwin</creatorcontrib><description>Background Patients born with esophageal atresia (EA) have a higher incidence of infantile hypertrophic pyloric stenosis (IHPS), suggestive of a relationship. A shared etiology makes sense from a developmental perspective as both affected structures are foregut derived. A genetic component has been described for both conditions as single entities and EA and IHPS are variable components in several monogenetic syndromes. We hypothesized that defects disturbing foregut morphogenesis are responsible for this combination of malformations. Methods We investigated the genetic variation of 15 patients with both EA and IHPS with unaffected parents using exome sequencing and SNP array‐based genotyping, and compared the results to mouse transcriptome data of the developing foregut. Results We did not identify putatively deleterious de novo mutations or recessive variants. However, we detected rare inherited variants in EA or IHPS disease genes or in genes important in foregut morphogenesis, expressed at the proper developmental time‐points. Two pathways were significantly enriched (p &lt; 1 × 10−5): proliferation and differentiation of smooth muscle cells and self‐renewal of satellite cells. Conclusions None of our findings could fully explain the combination of abnormalities on its own, which makes complex inheritance the most plausible genetic explanation, most likely in combination with mechanical and/or environmental factors. As we did not find one defining monogenetic cause for the EA/IHPS phenotype, the impact of the corrective surgery could should be further investigated.</description><identifier>ISSN: 2472-1727</identifier><identifier>EISSN: 2472-1727</identifier><identifier>DOI: 10.1002/bdr2.1683</identifier><identifier>PMID: 32298054</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>Abnormalities ; Cell differentiation ; Cell proliferation ; Cell self-renewal ; Cells (biology) ; Environmental factors ; esophageal atresia ; Esophagus ; Etiology ; Eutrophication ; exome sequencing ; Foregut ; Gene expression ; Genes ; Genetic diversity ; Genotyping ; Heredity ; infantile hypertrophic pyloric stenosis ; Mechanical properties ; Morphogenesis ; Muscles ; Mutation ; Phenotypes ; Satellite cells ; Single-nucleotide polymorphism ; Smooth muscle ; Stenosis ; Surgery ; tracheoesophageal fistula ; VACTERL</subject><ispartof>Birth defects research, 2020-05, Vol.112 (9), p.670-687</ispartof><rights>2020 Wiley Periodicals, Inc.</rights><rights>2020. 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W.</creatorcontrib><creatorcontrib>Bever, Yolande</creatorcontrib><creatorcontrib>Martens, Vera K.</creatorcontrib><creatorcontrib>Brands, Tom</creatorcontrib><creatorcontrib>Beelen, Nicole W. G.</creatorcontrib><creatorcontrib>Brooks, Alice S.</creatorcontrib><creatorcontrib>Huigh, Daphne</creatorcontrib><creatorcontrib>Helm, Robert M.</creatorcontrib><creatorcontrib>Eussen, Bert H. F. M. M.</creatorcontrib><creatorcontrib>IJcken, Wilfred F. J.</creatorcontrib><creatorcontrib>IJsselstijn, Hanneke</creatorcontrib><creatorcontrib>Tibboel, Dick</creatorcontrib><creatorcontrib>Wijnen, Rene M. H.</creatorcontrib><creatorcontrib>Klein, Annelies</creatorcontrib><creatorcontrib>Hofstra, Robert M. W.</creatorcontrib><creatorcontrib>Brosens, Erwin</creatorcontrib><title>Infantile hypertrophic pyloric stenosis in patients with esophageal atresia</title><title>Birth defects research</title><addtitle>Birth Defects Res</addtitle><description>Background Patients born with esophageal atresia (EA) have a higher incidence of infantile hypertrophic pyloric stenosis (IHPS), suggestive of a relationship. A shared etiology makes sense from a developmental perspective as both affected structures are foregut derived. A genetic component has been described for both conditions as single entities and EA and IHPS are variable components in several monogenetic syndromes. We hypothesized that defects disturbing foregut morphogenesis are responsible for this combination of malformations. Methods We investigated the genetic variation of 15 patients with both EA and IHPS with unaffected parents using exome sequencing and SNP array‐based genotyping, and compared the results to mouse transcriptome data of the developing foregut. Results We did not identify putatively deleterious de novo mutations or recessive variants. However, we detected rare inherited variants in EA or IHPS disease genes or in genes important in foregut morphogenesis, expressed at the proper developmental time‐points. Two pathways were significantly enriched (p &lt; 1 × 10−5): proliferation and differentiation of smooth muscle cells and self‐renewal of satellite cells. Conclusions None of our findings could fully explain the combination of abnormalities on its own, which makes complex inheritance the most plausible genetic explanation, most likely in combination with mechanical and/or environmental factors. 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W.</creator><creator>Brosens, Erwin</creator><general>John Wiley &amp; Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9921-7776</orcidid></search><sort><creationdate>20200515</creationdate><title>Infantile hypertrophic pyloric stenosis in patients with esophageal atresia</title><author>Kate, Chantal A. ; Brouwer, Rutger W. W. ; Bever, Yolande ; Martens, Vera K. ; Brands, Tom ; Beelen, Nicole W. G. ; Brooks, Alice S. ; Huigh, Daphne ; Helm, Robert M. ; Eussen, Bert H. F. M. M. ; IJcken, Wilfred F. J. ; IJsselstijn, Hanneke ; Tibboel, Dick ; Wijnen, Rene M. H. ; Klein, Annelies ; Hofstra, Robert M. 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W.</au><au>Brosens, Erwin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Infantile hypertrophic pyloric stenosis in patients with esophageal atresia</atitle><jtitle>Birth defects research</jtitle><addtitle>Birth Defects Res</addtitle><date>2020-05-15</date><risdate>2020</risdate><volume>112</volume><issue>9</issue><spage>670</spage><epage>687</epage><pages>670-687</pages><issn>2472-1727</issn><eissn>2472-1727</eissn><abstract>Background Patients born with esophageal atresia (EA) have a higher incidence of infantile hypertrophic pyloric stenosis (IHPS), suggestive of a relationship. A shared etiology makes sense from a developmental perspective as both affected structures are foregut derived. A genetic component has been described for both conditions as single entities and EA and IHPS are variable components in several monogenetic syndromes. We hypothesized that defects disturbing foregut morphogenesis are responsible for this combination of malformations. Methods We investigated the genetic variation of 15 patients with both EA and IHPS with unaffected parents using exome sequencing and SNP array‐based genotyping, and compared the results to mouse transcriptome data of the developing foregut. Results We did not identify putatively deleterious de novo mutations or recessive variants. However, we detected rare inherited variants in EA or IHPS disease genes or in genes important in foregut morphogenesis, expressed at the proper developmental time‐points. Two pathways were significantly enriched (p &lt; 1 × 10−5): proliferation and differentiation of smooth muscle cells and self‐renewal of satellite cells. Conclusions None of our findings could fully explain the combination of abnormalities on its own, which makes complex inheritance the most plausible genetic explanation, most likely in combination with mechanical and/or environmental factors. As we did not find one defining monogenetic cause for the EA/IHPS phenotype, the impact of the corrective surgery could should be further investigated.</abstract><cop>Hoboken, USA</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>32298054</pmid><doi>10.1002/bdr2.1683</doi><tpages>18</tpages><orcidid>https://orcid.org/0000-0001-9921-7776</orcidid><oa>free_for_read</oa></addata></record>
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ispartof Birth defects research, 2020-05, Vol.112 (9), p.670-687
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subjects Abnormalities
Cell differentiation
Cell proliferation
Cell self-renewal
Cells (biology)
Environmental factors
esophageal atresia
Esophagus
Etiology
Eutrophication
exome sequencing
Foregut
Gene expression
Genes
Genetic diversity
Genotyping
Heredity
infantile hypertrophic pyloric stenosis
Mechanical properties
Morphogenesis
Muscles
Mutation
Phenotypes
Satellite cells
Single-nucleotide polymorphism
Smooth muscle
Stenosis
Surgery
tracheoesophageal fistula
VACTERL
title Infantile hypertrophic pyloric stenosis in patients with esophageal atresia
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