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- Title
GATA4 mutations cause human congenital heart defects and reveal an interaction with TBX5.
- Authors
Garg, Vidu; Kathiriya, Irfan S; Barnes, Robert; Schluterman, Marie K; King, Isabelle N; Butler, Cheryl A; Rothrock, Caryn R; Eapen, Reenu S; Hirayama-Yamada, Kayoko; Joo, Kunitaka; Matsuoka, Rumiko; Cohen, Jonathan C; Srivastava, Deepak
- Abstract
Congenital heart defects (CHDs) are the most common developmental anomaly and are the leading non-infectious cause of mortality in newborns. Only one causative gene, NKX2-5, has been identified through genetic linkage analysis of pedigrees with non-syndromic CHDs. Here, we show that isolated cardiac septal defects in a large pedigree were linked to chromosome 8p22-23. A heterozygous G296S missense mutation of GATA4, a transcription factor essential for heart formation, was found in all available affected family members but not in any control individuals. This mutation resulted in diminished DNA-binding affinity and transcriptional activity of Gata4. Furthermore, the Gata4 mutation abrogated a physical interaction between Gata4 and TBX5, a T-box protein responsible for a subset of syndromic cardiac septal defects. Conversely, interaction of Gata4 and TBX5 was disrupted by specific human TBX5 missense mutations that cause similar cardiac septal defects. In a second family, we identified a frame-shift mutation of GATA4 (E359del) that was transcriptionally inactive and segregated with cardiac septal defects. These results implicate GATA4 as a genetic cause of human cardiac septal defects, perhaps through its interaction with TBX5.
- Publication
Nature, 2003, Vol 424, Issue 6947, p443
- ISSN
1476-4687
- Publication type
Journal Article
- DOI
10.1038/nature01827