a novel mutation in foxc1 in a lebanese family with congenital heart disease and anterior segment dysgenesis: potential roles for nfatc1 and dpt in the phenotypic variations

a novel mutation in foxc1 in a lebanese family with congenital heart disease and anterior segment dysgenesis: potential roles for nfatc1 and dpt in the phenotypic variations

;Athar Khalil;Christiane Al-Haddad;Hadla Hariri;Kamel Shibbani;Fadi Bitar;Mazen Kurban;Mazen Kurban;Mazen Kurban;Georges Nemer;Mariam Arabi
substance abuse treatment, prevention, and policy 2017 Vol. 4 pp. -
171
khalil2017frontiersa

Abstract

Congenital heart diseases (CHDs) are still the leading cause of death in neonates. Anterior segment dysgenesis is a broad clinical phenotype that affects the normal development of the eye, leading in most of the cases to glaucoma which is still a major cause of blindness for children and adolescents. Despite tremendous insights gained from genetic studies, a clear genotype–phenotype correlation is still difficult to draw. In Lebanon, a small country with still a high rate of consanguineous marriages, there are little data on the epidemiology of glaucoma amongst children with or without CHD. We carried out whole exome sequencing (WES) on a family with anterior segment dysgenesis, and CHD composed of three affected children with glaucoma, two of them with structural cardiac defects and three healthy siblings. The results unravel a novel mutation in FOXC1 (p. R127H) segregating with the phenotype and inherited from the mother, who did not develop glaucoma. We propose a digenic model for glaucoma in this family by combining the FOXC1 variant with a missense variant inherited from the father in the dermatopontin (DPT) gene. We also unravel a novel NFATC1 missense mutation predicted to be deleterious and present only in the patient with a severe ocular and cardiac phenotype. This is the first report on FOXC1 using WES to genetically characterize a family with both ocular and cardiac malformations. Our results support the usage of such technology to have a better genotype–phenotype picture for Mendelian-inherited diseases for which expressivity and penetrance are still not answered.

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197094
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10.3389/fcvm.2017.00058
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