Identification of rare sequence variation underlying heritable pulmonary arterial hypertension
File(s)UK BRIDGE Genetics Nat Comm 2018.pdf (7.28 MB)
Published version
Author(s)
Type
Journal Article
Abstract
Pulmonary arterial hypertension (PAH) is a rare disorder with a poor prognosis. Deleterious variation within components of the transforming growth factor-β pathway, particularly the bone morphogenetic protein type 2 receptor (BMPR2), underlies most heritable forms of PAH. To identify the missing heritability we perform whole-genome sequencing in 1038 PAH index cases and 6385 PAH-negative control subjects. Case-control analyses reveal significant overrepresentation of rare variants in ATP13A3, AQP1 and SOX17, and provide independent validation of a critical role for GDF2 in PAH. We demonstrate familial segregation of mutations in SOX17 and AQP1 with PAH. Mutations in GDF2, encoding a BMPR2 ligand, lead to reduced secretion from transfected cells. In addition, we identify pathogenic mutations in the majority of previously reported PAH genes, and provide evidence for further putative genes. Taken together these findings contribute new insights into the molecular basis of PAH and indicate unexplored pathways for therapeutic intervention.
Date Issued
2018-04-12
Date Acceptance
2018-03-02
Citation
Nature Communications, 2018, 9 (1), pp.1-16
ISSN
2041-1723
Publisher
Nature Publishing Group
Start Page
1
End Page
16
Journal / Book Title
Nature Communications
Volume
9
Issue
1
Copyright Statement
© 2018 The Author(s). This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/29650961
PII: 10.1038/s41467-018-03672-4
Subjects
MD Multidisciplinary
Publication Status
Published
Coverage Spatial
England
Article Number
1416
Date Publish Online
2018-04-12