Familial co-occurrence of congenital heart defects follows distinct patterns

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Familial co-occurrence of congenital heart defects follows distinct patterns. / Ellesøe, Sabrina G; Workman, Christopher T; Bouvagnet, Patrice; Loffredo, Christopher A; McBride, Kim L; Hinton, Robert B; van Engelen, Klaartje; Gertsen, Emma C; Mulder, Barbara J M; Postma, Alex V; Anderson, Robert H; Hjortdal, Vibeke E; Brunak, Søren; Larsen, Lars A.

In: European Heart Journal, Vol. 39, No. 12, 03.2018, p. 1015–1022.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Ellesøe, SG, Workman, CT, Bouvagnet, P, Loffredo, CA, McBride, KL, Hinton, RB, van Engelen, K, Gertsen, EC, Mulder, BJM, Postma, AV, Anderson, RH, Hjortdal, VE, Brunak, S & Larsen, LA 2018, 'Familial co-occurrence of congenital heart defects follows distinct patterns', European Heart Journal, vol. 39, no. 12, pp. 1015–1022. https://doi.org/10.1093/eurheartj/ehx314

APA

Ellesøe, S. G., Workman, C. T., Bouvagnet, P., Loffredo, C. A., McBride, K. L., Hinton, R. B., van Engelen, K., Gertsen, E. C., Mulder, B. J. M., Postma, A. V., Anderson, R. H., Hjortdal, V. E., Brunak, S., & Larsen, L. A. (2018). Familial co-occurrence of congenital heart defects follows distinct patterns. European Heart Journal, 39(12), 1015–1022. https://doi.org/10.1093/eurheartj/ehx314

Vancouver

Ellesøe SG, Workman CT, Bouvagnet P, Loffredo CA, McBride KL, Hinton RB et al. Familial co-occurrence of congenital heart defects follows distinct patterns. European Heart Journal. 2018 Mar;39(12):1015–1022. https://doi.org/10.1093/eurheartj/ehx314

Author

Ellesøe, Sabrina G ; Workman, Christopher T ; Bouvagnet, Patrice ; Loffredo, Christopher A ; McBride, Kim L ; Hinton, Robert B ; van Engelen, Klaartje ; Gertsen, Emma C ; Mulder, Barbara J M ; Postma, Alex V ; Anderson, Robert H ; Hjortdal, Vibeke E ; Brunak, Søren ; Larsen, Lars A. / Familial co-occurrence of congenital heart defects follows distinct patterns. In: European Heart Journal. 2018 ; Vol. 39, No. 12. pp. 1015–1022.

Bibtex

@article{04f225c3a6004992af0222d854d3afb7,
title = "Familial co-occurrence of congenital heart defects follows distinct patterns",
abstract = "Aims: Congenital heart defects (CHD) affect almost 1% of all live born children and the number of adults with CHD is increasing. In families where CHD has occurred previously, estimates of recurrence risk, and the type of recurring malformation are important for counselling and clinical decision-making, but the recurrence patterns in families are poorly understood. We aimed to determine recurrence patterns, by investigating the co-occurrences of CHD in 1163 families with known malformations, comprising 3080 individuals with clinically confirmed diagnosis.Methods and results: We calculated rates of concordance and discordance for 41 specific types of malformations, observing a high variability in the rates of concordance and discordance. By calculating odds ratios for each of 1640 pairs of discordant lesions observed between affected family members, we were able to identify 178 pairs of malformations that co-occurred significantly more or less often than expected in families. The data show that distinct groups of cardiac malformations co-occur in families, suggesting influence from underlying developmental mechanisms. Analysis of human and mouse susceptibility genes showed that they were shared in 19% and 20% of pairs of co-occurring discordant malformations, respectively, but none of malformations that rarely co-occur, suggesting that a significant proportion of co-occurring lesions in families is caused by overlapping susceptibility genes.Conclusion: Familial CHD follow specific patterns of recurrence, suggesting a strong influence from genetically regulated developmental mechanisms. Co-occurrence of malformations in families is caused by shared susceptibility genes.",
keywords = "Journal Article",
author = "Elles{\o}e, {Sabrina G} and Workman, {Christopher T} and Patrice Bouvagnet and Loffredo, {Christopher A} and McBride, {Kim L} and Hinton, {Robert B} and {van Engelen}, Klaartje and Gertsen, {Emma C} and Mulder, {Barbara J M} and Postma, {Alex V} and Anderson, {Robert H} and Hjortdal, {Vibeke E} and S{\o}ren Brunak and Larsen, {Lars A}",
year = "2018",
month = mar,
doi = "10.1093/eurheartj/ehx314",
language = "English",
volume = "39",
pages = "1015–1022",
journal = "European Heart Journal",
issn = "0195-668X",
publisher = "Oxford University Press",
number = "12",

}

RIS

TY - JOUR

T1 - Familial co-occurrence of congenital heart defects follows distinct patterns

AU - Ellesøe, Sabrina G

AU - Workman, Christopher T

AU - Bouvagnet, Patrice

AU - Loffredo, Christopher A

AU - McBride, Kim L

AU - Hinton, Robert B

AU - van Engelen, Klaartje

AU - Gertsen, Emma C

AU - Mulder, Barbara J M

AU - Postma, Alex V

AU - Anderson, Robert H

AU - Hjortdal, Vibeke E

AU - Brunak, Søren

AU - Larsen, Lars A

PY - 2018/3

Y1 - 2018/3

N2 - Aims: Congenital heart defects (CHD) affect almost 1% of all live born children and the number of adults with CHD is increasing. In families where CHD has occurred previously, estimates of recurrence risk, and the type of recurring malformation are important for counselling and clinical decision-making, but the recurrence patterns in families are poorly understood. We aimed to determine recurrence patterns, by investigating the co-occurrences of CHD in 1163 families with known malformations, comprising 3080 individuals with clinically confirmed diagnosis.Methods and results: We calculated rates of concordance and discordance for 41 specific types of malformations, observing a high variability in the rates of concordance and discordance. By calculating odds ratios for each of 1640 pairs of discordant lesions observed between affected family members, we were able to identify 178 pairs of malformations that co-occurred significantly more or less often than expected in families. The data show that distinct groups of cardiac malformations co-occur in families, suggesting influence from underlying developmental mechanisms. Analysis of human and mouse susceptibility genes showed that they were shared in 19% and 20% of pairs of co-occurring discordant malformations, respectively, but none of malformations that rarely co-occur, suggesting that a significant proportion of co-occurring lesions in families is caused by overlapping susceptibility genes.Conclusion: Familial CHD follow specific patterns of recurrence, suggesting a strong influence from genetically regulated developmental mechanisms. Co-occurrence of malformations in families is caused by shared susceptibility genes.

AB - Aims: Congenital heart defects (CHD) affect almost 1% of all live born children and the number of adults with CHD is increasing. In families where CHD has occurred previously, estimates of recurrence risk, and the type of recurring malformation are important for counselling and clinical decision-making, but the recurrence patterns in families are poorly understood. We aimed to determine recurrence patterns, by investigating the co-occurrences of CHD in 1163 families with known malformations, comprising 3080 individuals with clinically confirmed diagnosis.Methods and results: We calculated rates of concordance and discordance for 41 specific types of malformations, observing a high variability in the rates of concordance and discordance. By calculating odds ratios for each of 1640 pairs of discordant lesions observed between affected family members, we were able to identify 178 pairs of malformations that co-occurred significantly more or less often than expected in families. The data show that distinct groups of cardiac malformations co-occur in families, suggesting influence from underlying developmental mechanisms. Analysis of human and mouse susceptibility genes showed that they were shared in 19% and 20% of pairs of co-occurring discordant malformations, respectively, but none of malformations that rarely co-occur, suggesting that a significant proportion of co-occurring lesions in families is caused by overlapping susceptibility genes.Conclusion: Familial CHD follow specific patterns of recurrence, suggesting a strong influence from genetically regulated developmental mechanisms. Co-occurrence of malformations in families is caused by shared susceptibility genes.

KW - Journal Article

U2 - 10.1093/eurheartj/ehx314

DO - 10.1093/eurheartj/ehx314

M3 - Journal article

C2 - 29106500

VL - 39

SP - 1015

EP - 1022

JO - European Heart Journal

JF - European Heart Journal

SN - 0195-668X

IS - 12

ER -

ID: 185902247