TY - JOUR
T1 - Beyond genomic studies of congenital heart defects through systematic modelling and phenotyping
AU - Henderson, Deborah
AU - Alqahtani, Ahlam
AU - Chaudhry, Bill
AU - cook, andrew
AU - Eley, Lorraine
AU - Houyel, Lucile
AU - Hughes, marina
AU - Keavney, Bernard
AU - de la Pompa, Jose Luis
AU - Sled, John
AU - spielmann, nadine
AU - Teboul, Lydia
AU - Zaffran, Stephane
AU - Mill, Pleasantine
AU - Liu, Karen
PY - 2024/11/24
Y1 - 2024/11/24
N2 - Congenital heart defects (CHDs), the most common congenital anomalies, are considered to have a significant genetic component. However, despite considerable efforts to identify pathogenic genes in patients with CHDs, few gene variants have been proven as causal. The complexity of the genetic architecture underlying human CHDs likely contributes to this poor genetic discovery rate. However, several other factors are likely to contribute. For example, the level of patient phenotyping required for clinical care may be insufficient for research studies focused on mechanistic discovery. Although several hundred mouse gene knockouts have been described with CHDs, these are generally not phenotyped and described in the same way as CHDs in patients, and thus are not readily comparable. Moreover, most patients with CHDs carry variants of uncertain significance of crucial cardiac genes, further complicating comparisons between humans and mouse mutants. In spite of major advances in cardiac developmental biology over the past 25 years, these advances have not been well communicated to geneticists and cardiologists. As a consequence, the latest data from developmental biology are not always used in the design and interpretation of studies aimed at discovering the genetic causes of CHDs. In this Special Article, while considering other in vitro and in vivo models, we create a coherent framework for accurately modelling and phenotyping human CHDs in mice, thereby enhancing the translation of genetic and genomic studies into the causes of CHDs in patients.
AB - Congenital heart defects (CHDs), the most common congenital anomalies, are considered to have a significant genetic component. However, despite considerable efforts to identify pathogenic genes in patients with CHDs, few gene variants have been proven as causal. The complexity of the genetic architecture underlying human CHDs likely contributes to this poor genetic discovery rate. However, several other factors are likely to contribute. For example, the level of patient phenotyping required for clinical care may be insufficient for research studies focused on mechanistic discovery. Although several hundred mouse gene knockouts have been described with CHDs, these are generally not phenotyped and described in the same way as CHDs in patients, and thus are not readily comparable. Moreover, most patients with CHDs carry variants of uncertain significance of crucial cardiac genes, further complicating comparisons between humans and mouse mutants. In spite of major advances in cardiac developmental biology over the past 25 years, these advances have not been well communicated to geneticists and cardiologists. As a consequence, the latest data from developmental biology are not always used in the design and interpretation of studies aimed at discovering the genetic causes of CHDs. In this Special Article, while considering other in vitro and in vivo models, we create a coherent framework for accurately modelling and phenotyping human CHDs in mice, thereby enhancing the translation of genetic and genomic studies into the causes of CHDs in patients.
KW - congenital heart defect
KW - genetics
KW - gene variant
KW - human patient
KW - mouse model
KW - genomics
KW - disease modelling
KW - cardiac phenotyping
KW - developmental biology
KW - structural anomalies
M3 - Article
SN - 1754-8403
VL - 17
JO - Disease Models & Mechanisms
JF - Disease Models & Mechanisms
IS - 11
ER -