The Needle in the Haystack—Searching for Genetic and Epigenetic Differences in Monozygotic Twins Discordant for Tetralogy of Fallot

Congenital heart defects (CHDs) are the most common birth defect in human with an incidence of almost 1% of all live births. Most cases have a multifactorial origin with both genetics and the environment playing a role in its development and progression. Adding an epigenetic component to this aspect...

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Main Authors: Marcel Grunert, Sandra Appelt, Paul Grossfeld, Silke R. Sperling
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
Online Access:https://www.mdpi.com/2308-3425/7/4/55
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author Marcel Grunert
Sandra Appelt
Paul Grossfeld
Silke R. Sperling
author_facet Marcel Grunert
Sandra Appelt
Paul Grossfeld
Silke R. Sperling
author_sort Marcel Grunert
collection DOAJ
description Congenital heart defects (CHDs) are the most common birth defect in human with an incidence of almost 1% of all live births. Most cases have a multifactorial origin with both genetics and the environment playing a role in its development and progression. Adding an epigenetic component to this aspect is exemplified by monozygotic twins which share the same genetic background but have a different disease status. As a result, the interplay between the genetic, epigenetic and the environmental conditions might contribute to the etiology and phenotype. To date, the underlying causes of the majority of CHDs remain poorly understood. In this study, we performed genome-wide high-throughput sequencing to examine the genetic, structural genomic and epigenetic differences of two identical twin pairs discordant for Tetralogy of Fallot (TOF), representing the most common cyanotic form of CHDs. Our results show the almost identical genetic and structural genomic identity of the twins. In contrast, several epigenetic alterations could be observed given by DNA methylation changes in regulatory regions of known cardiac-relevant genes. Overall, this study provides first insights into the impact of genetic and especially epigenetic factors underlying monozygotic twins discordant for CHD like TOF.
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spelling doaj.art-b6c47bd4008142038e5b1d4a46caa9f62023-11-20T23:14:04ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252020-12-01745510.3390/jcdd7040055The Needle in the Haystack—Searching for Genetic and Epigenetic Differences in Monozygotic Twins Discordant for Tetralogy of FallotMarcel Grunert0Sandra Appelt1Paul Grossfeld2Silke R. Sperling3Cardiovascular Genetics, Charité—Universitätsmedizin Berlin, 13125 Berlin, GermanyCardiovascular Genetics, Charité—Universitätsmedizin Berlin, 13125 Berlin, GermanyDivision of Cardiology, University of California San Diego, Rady’s Hospital MC 5004, San Diego, CA 92123, USACardiovascular Genetics, Charité—Universitätsmedizin Berlin, 13125 Berlin, GermanyCongenital heart defects (CHDs) are the most common birth defect in human with an incidence of almost 1% of all live births. Most cases have a multifactorial origin with both genetics and the environment playing a role in its development and progression. Adding an epigenetic component to this aspect is exemplified by monozygotic twins which share the same genetic background but have a different disease status. As a result, the interplay between the genetic, epigenetic and the environmental conditions might contribute to the etiology and phenotype. To date, the underlying causes of the majority of CHDs remain poorly understood. In this study, we performed genome-wide high-throughput sequencing to examine the genetic, structural genomic and epigenetic differences of two identical twin pairs discordant for Tetralogy of Fallot (TOF), representing the most common cyanotic form of CHDs. Our results show the almost identical genetic and structural genomic identity of the twins. In contrast, several epigenetic alterations could be observed given by DNA methylation changes in regulatory regions of known cardiac-relevant genes. Overall, this study provides first insights into the impact of genetic and especially epigenetic factors underlying monozygotic twins discordant for CHD like TOF.https://www.mdpi.com/2308-3425/7/4/55congenital heart diseaseTetralogy of Fallotmonozygotic twinsdiscordant phenotypegeneticsvariations
spellingShingle Marcel Grunert
Sandra Appelt
Paul Grossfeld
Silke R. Sperling
The Needle in the Haystack—Searching for Genetic and Epigenetic Differences in Monozygotic Twins Discordant for Tetralogy of Fallot
Journal of Cardiovascular Development and Disease
congenital heart disease
Tetralogy of Fallot
monozygotic twins
discordant phenotype
genetics
variations
title The Needle in the Haystack—Searching for Genetic and Epigenetic Differences in Monozygotic Twins Discordant for Tetralogy of Fallot
title_full The Needle in the Haystack—Searching for Genetic and Epigenetic Differences in Monozygotic Twins Discordant for Tetralogy of Fallot
title_fullStr The Needle in the Haystack—Searching for Genetic and Epigenetic Differences in Monozygotic Twins Discordant for Tetralogy of Fallot
title_full_unstemmed The Needle in the Haystack—Searching for Genetic and Epigenetic Differences in Monozygotic Twins Discordant for Tetralogy of Fallot
title_short The Needle in the Haystack—Searching for Genetic and Epigenetic Differences in Monozygotic Twins Discordant for Tetralogy of Fallot
title_sort needle in the haystack searching for genetic and epigenetic differences in monozygotic twins discordant for tetralogy of fallot
topic congenital heart disease
Tetralogy of Fallot
monozygotic twins
discordant phenotype
genetics
variations
url https://www.mdpi.com/2308-3425/7/4/55
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