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Malformações cardíacas cono-truncais

As malformações cardíacas conotruncais são um grupo de anomalias congênitas da via de saída cardíaca que incluem defeitos como tetralogia de Fallot, atresia pulmonar com comunicação interventricular, dupla via de saída do ventrículo direito (DORV), dupla via de saída do ventrículo esquerdo, truncus arteriosus e transposição das grandes artérias (TGA), entre outros. Este grupo de defeitos é frequentemente encontrado em pacientes com síndrome de deleção 22q11.2. Uma deleção do cromossomo 22q11.2 foi igualmente associada em um subconjunto de pacientes com vários tipos de malformações cardíacas conotruncais não sindrômicas isoladas (com exceção de DORV e TGA, onde isso é muito incomum).

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Introdução

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As malformações cardíacas conotruncais são um grupo de anomalias congênitas da via de saída cardíaca que incluem defeitos como tetralogia de Fallot, atresia pulmonar com comunicação interventricular, dupla via de saída do ventrículo direito (DORV), dupla via de saída do ventrículo esquerdo, truncus arteriosus e transposição das grandes artérias (TGA), entre outros. Este grupo de defeitos é frequentemente encontrado em pacientes com síndrome de deleção 22q11.2. Uma deleção do cromossomo 22q11.2 foi igualmente associada em um subconjunto de pacientes com vários tipos de malformações cardíacas conotruncais não sindrômicas isoladas (com exceção de DORV e TGA, onde isso é muito incomum).

Publicações científicas
15 artigos
Último publicado: 2017 Mar
Medicamentos
2 registrados
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

❤️
Coração
31 sintomas
😀
Face
8 sintomas
🫁
Pulmão
6 sintomas
📏
Crescimento
5 sintomas
🦴
Ossos e articulações
5 sintomas
👂
Ouvidos
1 sintomas

+ 32 sintomas em outras categorias

Características mais comuns

17%prev.
Hipertelorismo
Ocasional (29-5%)
Formato facial anormal
Herança autossômica recessiva
Morfologia anormal da aorta descendente
Morfologia anormal do sistema cardiovascular
Morfologia anormal do arco aórtico
91sintomas
Ocasional (1)
Sem dados (90)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 91 características clínicas mais associadas, ordenadas por frequência.

HipertelorismoHypertelorism
Ocasional (29-5%)17%
Formato facial anormalAbnormal facial shape
Herança autossômica recessivaAutosomal recessive inheritance
Morfologia anormal da aorta descendenteAbnormal descending aorta morphology
Morfologia anormal do sistema cardiovascularAbnormal cardiovascular system morphology

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa9desde 2017
Total histórico15PubMed
Últimos 10 anos3publicações
Pico20151 papers
Linha do tempo
20202017Hoje · 2026🧪 1995Primeiro ensaio clínico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

14 genes identificados com associação a esta condição.

JAG1Protein jagged-1Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Ligand for multiple Notch receptors and involved in the mediation of Notch signaling (PubMed:18660822, PubMed:20437614). May be involved in cell-fate decisions during hematopoiesis (PubMed:9462510). Seems to be involved in early and late stages of mammalian cardiovascular development. Inhibits myoblast differentiation (By similarity). Enhances fibroblast growth factor-induced angiogenesis (in vitro)

LOCALIZAÇÃO

MembraneCell membrane

VIAS BIOLÓGICAS (10)
NOTCH2 Activation and Transmission of Signal to the NucleusRAC3 GTPase cycleRAC1 GTPase cycleActivated NOTCH1 Transmits Signal to the NucleusConstitutive Signaling by NOTCH1 PEST Domain Mutants
MECANISMO DE DOENÇA

Alagille syndrome 1

A form of Alagille syndrome, an autosomal dominant multisystem disorder. It is clinically defined by hepatic bile duct paucity and cholestasis in association with cardiac, skeletal, and ophthalmologic manifestations. There are characteristic facial features and less frequent clinical involvement of the renal and vascular systems.

EXPRESSÃO TECIDUAL(Ubíquo)
Artéria tibial
202.9 TPM
Artéria coronária
150.2 TPM
Aorta
133.4 TPM
Skin Sun Exposed Lower leg
102.3 TPM
Vagina
102.2 TPM
OUTRAS DOENÇAS (5)
tetralogy of fallotCharcot-Marie-Tooth disease, axonal, Type 2HHAlagille syndrome due to a JAG1 point mutationdeafness, congenital heart defects, and posterior embryotoxon
HGNC:6188UniProt:P78504
CITED2Cbp/p300-interacting transactivator 2Candidate gene tested inAltamente restrito
FUNÇÃO

Transcriptional coactivator of the p300/CBP-mediated transcription complex. Acts as a bridge, linking TFAP2 transcription factors and the p300/CBP transcriptional coactivator complex in order to stimulate TFAP2-mediated transcriptional activation. Positively regulates TGF-beta signaling through its association with the SMAD/p300/CBP-mediated transcriptional coactivator complex. Stimulates the peroxisome proliferator-activated receptors PPARA transcriptional activity. Enhances estrogen-dependent

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (4)
Regulation of gene expression by Hypoxia-inducible FactorActivation of the TFAP2 (AP-2) family of transcription factorsTFAP2 (AP-2) family regulates transcription of other transcription factorsFOXO-mediated transcription of cell death genes
MECANISMO DE DOENÇA

Ventricular septal defect 2

A common form of congenital cardiovascular anomaly that may occur alone or in combination with other cardiac malformations. It can affect any portion of the ventricular septum, resulting in abnormal communications between the two lower chambers of the heart. Classification is based on location of the communication, such as perimembranous, inlet, outlet (infundibular), central muscular, marginal muscular, or apical muscular defect. Large defects that go unrepaired may give rise to cardiac enlargement, congestive heart failure, pulmonary hypertension, Eisenmenger's syndrome, delayed fetal brain development, arrhythmias, and even sudden cardiac death.

OUTRAS DOENÇAS (6)
ventricular septal defect 2atrial septal defect 8atrial septal defect, ostium secundum typeatrial septal defect, sinus venosus type
HGNC:1987UniProt:Q99967
FLT4Vascular endothelial growth factor receptor 3Candidate gene tested inAltamente restrito
FUNÇÃO

Tyrosine-protein kinase that acts as a cell-surface receptor for VEGFC and VEGFD, and plays an essential role in adult lymphangiogenesis and in the development of the vascular network and the cardiovascular system during embryonic development. Promotes proliferation, survival and migration of endothelial cells, and regulates angiogenic sprouting. Signaling by activated FLT4 leads to enhanced production of VEGFC, and to a lesser degree VEGFA, thereby creating a positive feedback loop that enhance

LOCALIZAÇÃO

Cell membraneCytoplasmNucleusSecreted

VIAS BIOLÓGICAS (3)
VEGF binds to VEGFR leading to receptor dimerizationNOTCH4 Intracellular Domain Regulates TranscriptionHigh laminar flow shear stress activates signaling by PIEZO1 and PECAM1:CDH5:KDR in endothelial cells
MECANISMO DE DOENÇA

Lymphatic malformation 1

A form of primary lymphedema, a disease characterized by swelling of body parts due to developmental anomalies and functional defects of the lymphatic system. Patients with lymphedema may suffer from recurrent local infections. LMPHM1 is an autosomal dominant form with variable expression and severity. Onset is usually at birth or in early childhood but can occur later. Affected individuals manifest lymphedema, predominantly in the lower limbs, and hypoplasia of lymphatic vessels. Additional features are hemangioma and nail dysplasia or papillomatosis.

EXPRESSÃO TECIDUAL(Ubíquo)
Tireoide
64.0 TPM
Pulmão
34.8 TPM
Baço
31.3 TPM
Mama
28.9 TPM
Adipose Visceral Omentum
28.7 TPM
OUTRAS DOENÇAS (4)
lymphatic malformation 1congenital heart defects, multiple types, 7capillary infantile hemangiomatetralogy of fallot
HGNC:3767UniProt:P35916
GATA5Transcription factor GATA-5Candidate gene tested inTolerante
FUNÇÃO

Transcription factor required during cardiovascular development (PubMed:23289003). Plays an important role in the transcriptional program(s) that underlies smooth muscle cell diversity (By similarity). Binds to the functionally important CEF-1 nuclear protein binding site in the cardiac-specific slow/cardiac troponin C transcriptional enhancer (PubMed:25543888)

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (1)
Factors involved in megakaryocyte development and platelet production
MECANISMO DE DOENÇA

Congenital heart defects, multiple types, 5

A disorder characterized by congenital developmental abnormalities involving structures of the heart. Common defects include transposition of the great arteries, aortic stenosis, atrial septal defect, ventricular septal defect, pulmonic stenosis, patent ductus arteriosus, and tetralogy of Fallot. Some patients also have cardiac arrhythmias, which may be due to the anatomic defect itself or to surgical interventions. CHTD5 inheritance can be autosomal dominant or recessive.

EXPRESSÃO TECIDUAL(Tecido-específico)
Testículo
28.3 TPM
Fallopian Tube
26.9 TPM
Bladder
20.8 TPM
Estômago
13.9 TPM
Cervix Endocervix
8.9 TPM
INTERAÇÕES PROTEICAS (5)
OUTRAS DOENÇAS (4)
congenital heart defects, multiple types, 5familial bicuspid aortic valvetetralogy of fallotfamilial atrial fibrillation
HGNC:15802UniProt:Q9BWX5
GJA5Gap junction alpha-5 proteinCandidate gene tested inModerado
FUNÇÃO

One gap junction consists of a cluster of closely packed pairs of transmembrane channels, the connexons, through which materials of low MW diffuse from one cell to a neighboring cell

LOCALIZAÇÃO

Cell membraneCell junction, gap junction

VIAS BIOLÓGICAS (1)
Gap junction assembly
MECANISMO DE DOENÇA

Atrial standstill 1

A rare arrhythmia characterized by the absence of electrical and mechanical activity in the atria. Electrocardiographically, it is characterized by bradycardia, the absence of P waves, and a junctional narrow complex escape rhythm.

VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Artéria coronária
39.1 TPM
Artéria tibial
34.6 TPM
Pulmão
32.6 TPM
Aorta
28.9 TPM
Adipose Visceral Omentum
22.7 TPM
OUTRAS DOENÇAS (4)
atrial fibrillation, familial, 11atrial standstill 1tetralogy of fallotfamilial atrial fibrillation
HGNC:4279UniProt:P36382
GDF1Embryonic growth/differentiation factor 1Candidate gene tested inTolerante
FUNÇÃO

May mediate cell differentiation events during embryonic development

LOCALIZAÇÃO

Secreted

VIAS BIOLÓGICAS (1)
Signaling by NODAL
MECANISMO DE DOENÇA

Conotruncal heart malformations

A group of congenital heart defects involving the outflow tracts. Examples include truncus arteriosus communis, double-outlet right ventricle and transposition of great arteries. Truncus arteriosus communis is characterized by a single outflow tract instead of a separate aorta and pulmonary artery. In transposition of the great arteries, the aorta arises from the right ventricle and the pulmonary artery from the left ventricle. In double outlet of the right ventricle, both the pulmonary artery and aorta arise from the right ventricle.

VIAS REACTOME (1)
OUTRAS DOENÇAS (4)
congenital heart defects, multiple types, 6right atrial isomerismisolated congenitally uncorrected transposition of the great arteriestetralogy of fallot
HGNC:4214UniProt:P27539
PLXND1Plexin-D1Candidate gene tested inAltamente restrito
FUNÇÃO

Cell surface receptor for SEMA4A and for class 3 semaphorins, such as SEMA3A, SEMA3C and SEMA3E. Plays an important role in cell-cell signaling, and in regulating the migration of a wide spectrum of cell types. Regulates the migration of thymocytes in the medulla. Regulates endothelial cell migration. Plays an important role in ensuring the specificity of synapse formation. Required for normal development of the heart and vasculature (By similarity). Mediates anti-angiogenic signaling in respons

LOCALIZAÇÃO

Cell membraneCell projection, lamellipodium membrane

VIAS BIOLÓGICAS (3)
NOTCH3 Intracellular Domain Regulates TranscriptionOther semaphorin interactionsRND2 GTPase cycle
MECANISMO DE DOENÇA

Congenital heart defects, multiple types, 9

An autosomal recessive disorder characterized by congenital developmental abnormalities involving structures of the heart. CHTD9 features include common arterial trunk, tetralogy of Fallot, interrupted aortic arch, right aortic arch, ventricular hypoplasia, and hypoplastic left heart, as well as other vascular and valvular anomalies.

EXPRESSÃO TECIDUAL(Ubíquo)
Pulmão
106.9 TPM
Tecido adiposo
104.0 TPM
Nervo tibial
94.8 TPM
Cervix Endocervix
89.0 TPM
Adipose Visceral Omentum
88.6 TPM
OUTRAS DOENÇAS (3)
congenital heart defects, multiple types, 9Mobius syndromepersistent truncus arteriosus
HGNC:9107UniProt:Q9Y4D7
KDRVascular endothelial growth factor receptor 2Candidate gene tested inAltamente restrito
FUNÇÃO

Tyrosine-protein kinase that acts as a cell-surface receptor for VEGFA, VEGFC and VEGFD. Plays an essential role in the regulation of angiogenesis, vascular development, vascular permeability, and embryonic hematopoiesis. Promotes proliferation, survival, migration and differentiation of endothelial cells. Promotes reorganization of the actin cytoskeleton. Isoforms lacking a transmembrane domain, such as isoform 2 and isoform 3, may function as decoy receptors for VEGFA, VEGFC and/or VEGFD. Isof

LOCALIZAÇÃO

Cell junctionEndoplasmic reticulumCell membraneCytoplasmNucleusCytoplasmic vesicleEarly endosomeSecreted

VIAS BIOLÓGICAS (1)
High laminar flow shear stress activates signaling by PIEZO1 and PECAM1:CDH5:KDR in endothelial cells
MECANISMO DE DOENÇA

Hemangioma, capillary infantile

A condition characterized by dull red, firm, dome-shaped hemangiomas, sharply demarcated from surrounding skin, usually presenting at birth or occurring within the first two or three months of life. They result from highly proliferative, localized growth of capillary endothelium and generally undergo regression and involution without scarring.

EXPRESSÃO TECIDUAL(Ubíquo)
Tireoide
80.1 TPM
Útero
78.6 TPM
Adipose Visceral Omentum
73.7 TPM
Pulmão
50.8 TPM
Mama
47.4 TPM
OUTRAS DOENÇAS (2)
capillary infantile hemangiomatetralogy of fallot
HGNC:6307UniProt:P35968
NKX2-6Homeobox protein Nkx-2.6Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Acts as a transcriptional activator (PubMed:15649947). In conjunction with NKX2-5, may play a role in both pharyngeal and cardiac embryonic development

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (2)
Regulation of gene expression in endocrine-committed (NEUROG3+) progenitor cellsRegulation of gene expression in beta cells
MECANISMO DE DOENÇA

Conotruncal heart malformations

A group of congenital heart defects involving the outflow tracts. Examples include truncus arteriosus communis, double-outlet right ventricle and transposition of great arteries. Truncus arteriosus communis is characterized by a single outflow tract instead of a separate aorta and pulmonary artery. In transposition of the great arteries, the aorta arises from the right ventricle and the pulmonary artery from the left ventricle. In double outlet of the right ventricle, both the pulmonary artery and aorta arise from the right ventricle.

EXPRESSÃO TECIDUAL(Baixa expressão)
Glândula salivar
1.4 TPM
Coração - Átrio
0.7 TPM
Testículo
0.2 TPM
Coração - Ventrículo esquerdo
0.0 TPM
INTERAÇÕES PROTEICAS (1)
OUTRAS DOENÇAS (4)
conotruncal heart malformationsfamilial atrial fibrillationtetralogy of fallotpersistent truncus arteriosus
HGNC:32940UniProt:A6NCS4
GATA6Transcription factor GATA-6Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Transcriptional activator (PubMed:19666519, PubMed:22750565, PubMed:22824924, PubMed:27756709). Regulates SEMA3C and PLXNA2 (PubMed:19666519). Involved in gene regulation specifically in the gastric epithelium (PubMed:9315713). May regulate genes that protect epithelial cells from bacterial infection (PubMed:16968778). Involved in bone morphogenetic protein (BMP)-mediated cardiac-specific gene expression (By similarity). Binds to BMP response element (BMPRE) DNA sequences within cardiac activati

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (5)
Formation of definitive endodermCardiogenesisDevelopmental Lineage of Multipotent Pancreatic Progenitor CellsSurfactant metabolismFactors involved in megakaryocyte development and platelet production
EXPRESSÃO TECIDUAL(Ubíquo)
Ovário
121.3 TPM
Glândula adrenal
65.6 TPM
Fallopian Tube
61.2 TPM
Aorta
54.6 TPM
Artéria coronária
51.1 TPM
OUTRAS DOENÇAS (11)
conotruncal heart malformationstetralogy of fallotpancreatic hypoplasia-diabetes-congenital heart disease syndromeatrial septal defect 9
HGNC:4174UniProt:Q92908
ZFPM2Zinc finger protein ZFPM2Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Transcription regulator that plays a central role in heart morphogenesis and development of coronary vessels from epicardium, by regulating genes that are essential during cardiogenesis. Essential cofactor that acts via the formation of a heterodimer with transcription factors of the GATA family GATA4, GATA5 and GATA6. Such heterodimer can both activate or repress transcriptional activity, depending on the cell and promoter context. Also required in gonadal differentiation, possibly be regulatin

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (2)
Transcriptional regulation of testis differentiationFactors involved in megakaryocyte development and platelet production
MECANISMO DE DOENÇA

Tetralogy of Fallot

A congenital heart anomaly which consists of pulmonary stenosis, ventricular septal defect, dextroposition of the aorta (aorta is on the right side instead of the left) and hypertrophy of the right ventricle. In this condition, blood from both ventricles (oxygen-rich and oxygen-poor) is pumped into the body often causing cyanosis.

EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
39.2 TPM
Cerebelo
27.3 TPM
Ovário
27.0 TPM
Fallopian Tube
17.6 TPM
Útero
16.3 TPM
OUTRAS DOENÇAS (5)
tetralogy of fallot46,XY sex reversal 9diaphragmatic hernia 3congenital diaphragmatic hernia
HGNC:16700UniProt:Q8WW38
GATA4Transcription factor GATA-4Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Transcriptional activator that binds to the consensus sequence 5'-AGATAG-3' and plays a key role in cardiac development and function (PubMed:24000169, PubMed:27984724, PubMed:35182466). In cooperation with TBX5, it binds to cardiac super-enhancers and promotes cardiomyocyte gene expression, while it down-regulates endocardial and endothelial gene expression (PubMed:27984724). Involved in bone morphogenetic protein (BMP)-mediated induction of cardiac-specific gene expression. Binds to BMP respons

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (10)
Developmental Lineage of Pancreatic Acinar CellsDevelopmental Lineage of Multipotent Pancreatic Progenitor CellsDevelopmental Lineage of Pancreatic Ductal CellsSynthesis, secretion, and inactivation of Glucose-dependent Insulinotropic Polypeptide (GIP)Cardiogenesis
MECANISMO DE DOENÇA

Atrial septal defect 2

A congenital heart malformation characterized by incomplete closure of the wall between the atria resulting in blood flow from the left to the right atria. Patients show other heart abnormalities including ventricular and atrioventricular septal defects, pulmonary valve thickening or insufficiency of the cardiac valves. The disease is not associated with defects in the cardiac conduction system or non-cardiac abnormalities.

EXPRESSÃO TECIDUAL(Tecido-específico)
Ovário
144.1 TPM
Coração - Átrio
53.7 TPM
Testículo
51.1 TPM
Coração - Ventrículo esquerdo
45.2 TPM
Artéria coronária
40.7 TPM
OUTRAS DOENÇAS (12)
tetralogy of fallotventricular septal defect 1testicular anomalies with or without congenital heart diseaseatrial septal defect 2
HGNC:4173UniProt:P43694
TBX1T-box transcription factor TBX1Disease-causing germline mutation(s) inRestrito
FUNÇÃO

Transcription factor that plays a key role in cardiovascular development by promoting pharyngeal arch segmentation during embryonic development (By similarity). Also involved in craniofacial muscle development (By similarity). Together with NKX2-5, acts as a regulator of asymmetric cardiac morphogenesis by promoting expression of PITX2 (By similarity). Acts upstream of TBX1 for the formation of the thymus and parathyroid glands from the third pharyngeal pouch (By similarity). Required for hair f

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (1)
Cardiogenesis
VIAS REACTOME (1)
EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
34.8 TPM
Músculo esquelético
27.5 TPM
Tireoide
22.5 TPM
Fallopian Tube
19.1 TPM
Cervix Ectocervix
15.9 TPM
OUTRAS DOENÇAS (9)
tetralogy of fallotvelocardiofacial syndromeDiGeorge syndromeconotruncal heart malformations
HGNC:11592UniProt:O43435
NKX2-5Homeobox protein Nkx-2.5Disease-causing germline mutation(s) inAltamente restrito
FUNÇÃO

Transcription factor required for the development of the heart and the spleen (PubMed:22560297). During heart development, acts as a transcriptional activator of NPPA/ANF in cooperation with GATA4 (By similarity). May cooperate with TBX2 to negatively modulate expression of NPPA/ANF in the atrioventricular canal (By similarity). Binds to the core DNA motif of NPPA promoter (PubMed:22849347, PubMed:26926761). Together with PBX1, required for spleen development through a mechanism that involves CD

LOCALIZAÇÃO

Nucleus

VIAS BIOLÓGICAS (3)
Physiological factorsYAP1- and WWTR1 (TAZ)-stimulated gene expressionCardiogenesis
MECANISMO DE DOENÇA

Atrial septal defect 7, with or without atrioventricular conduction defects

A congenital heart malformation characterized by incomplete closure of the wall between the atria resulting in blood flow from the left to the right atria, and atrioventricular conduction defects in some cases.

EXPRESSÃO TECIDUAL(Tecido-específico)
Coração - Átrio
113.8 TPM
Coração - Ventrículo esquerdo
108.3 TPM
Baço
44.1 TPM
Adipose Visceral Omentum
0.5 TPM
Testículo
0.3 TPM
OUTRAS DOENÇAS (15)
hypoplastic left heart syndrome 2tetralogy of fallotventricular septal defect 3hypothyroidism, congenital, nongoitrous, 5
HGNC:2488UniProt:P52952

Medicamentos e terapias

PROPRANOLOL HYDROCHLORIDEPhase 1

Mecanismo: Beta-2 adrenergic receptor antagonist

PROPRANOLOLPhase 1

Mecanismo: Beta-1 adrenergic receptor antagonist

Ver mais no OpenTargets

Variantes genéticas (ClinVar)

825 variantes patogênicas registradas no ClinVar.

🧬 JAG1: NM_000214.3(JAG1):c.2273C>T (p.Thr758Ile) ()
🧬 JAG1: NM_000214.3(JAG1):c.2670del (p.Ile890fs) ()
🧬 JAG1: NM_000214.3(JAG1):c.1521_1522del (p.Asn507fs) ()
🧬 JAG1: NM_000214.3(JAG1):c.1349-2A>C ()
🧬 JAG1: NM_000214.3(JAG1):c.1248T>A (p.Cys416Ter) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 180 variantes classificadas pelo ClinVar.

18
90
72
Patogênica (10.0%)
VUS (50.0%)
Benigna (40.0%)
VARIANTES MAIS SIGNIFICATIVAS
TBL1XR1: NM_024665.7(TBL1XR1):c.1188_1205del (p.Ile397_Thr402del) [Likely pathogenic]
GATA6: NM_005257.6(GATA6):c.1135+1G>A [Likely pathogenic]
NKX2-6: NM_001136271.3(NKX2-6):c.1A>T (p.Met1Leu) [Uncertain significance]
NKX2-6: NM_001136271.3(NKX2-6):c.733G>A (p.Gly245Arg) [Uncertain significance]
NKX2-6: NM_001136271.3(NKX2-6):c.64G>A (p.Glu22Lys) [Uncertain significance]

Vias biológicas (Reactome)

42 vias biológicas associadas aos genes desta condição.

Activated NOTCH1 Transmits Signal to the Nucleus Constitutive Signaling by NOTCH1 PEST Domain Mutants Constitutive Signaling by NOTCH1 t(7;9)(NOTCH1:M1580_K2555) Translocation Mutant Constitutive Signaling by NOTCH1 HD Domain Mutants Constitutive Signaling by NOTCH1 HD+PEST Domain Mutants NOTCH2 Activation and Transmission of Signal to the Nucleus RUNX3 regulates NOTCH signaling RAC1 GTPase cycle RAC3 GTPase cycle NOTCH3 Activation and Transmission of Signal to the Nucleus NOTCH4 Activation and Transmission of Signal to the Nucleus Nephron development Regulation of gene expression by Hypoxia-inducible Factor TFAP2 (AP-2) family regulates transcription of other transcription factors Activation of the TFAP2 (AP-2) family of transcription factors FOXO-mediated transcription of cell death genes VEGF binds to VEGFR leading to receptor dimerization NOTCH4 Intracellular Domain Regulates Transcription High laminar flow shear stress activates signaling by PIEZO1 and PECAM1:CDH5:KDR in endothelial cells Factors involved in megakaryocyte development and platelet production Gap junction assembly Signaling by NODAL Other semaphorin interactions NOTCH3 Intracellular Domain Regulates Transcription RND2 GTPase cycle Neurophilin interactions with VEGF and VEGFR Integrin cell surface interactions VEGFA-VEGFR2 Pathway VEGFR2 mediated cell proliferation Signaling by membrane-tethered fusions of PDGFRA or PDGFRB Regulation of gene expression in endocrine-committed (NEUROG3+) progenitor cells Cardiogenesis Surfactant metabolism Formation of definitive endoderm Developmental Lineage of Multipotent Pancreatic Progenitor Cells Transcriptional regulation of testis differentiation YAP1- and WWTR1 (TAZ)-stimulated gene expression Synthesis, secretion, and inactivation of Glucose-dependent Insulinotropic Polypeptide (GIP) Physiological factors Formation of lateral plate mesoderm Developmental Lineage of Pancreatic Acinar Cells Developmental Lineage of Pancreatic Ductal Cells

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🇧🇷 Atendimento SUS — Malformações cardíacas cono-truncais

Centros de Referência SUS

24 centros habilitados pelo SUS para Malformações cardíacas cono-truncais

Centros para Malformações cardíacas cono-truncais

Detalhes dos centros

Hospital Universitário Prof. Edgard Santos (HUPES)

R. Dr. Augusto Viana, s/n - Canela, Salvador - BA, 40110-060 · CNES 0003808

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital Infantil Albert Sabin

R. Tertuliano Sales, 544 - Vila União, Fortaleza - CE, 60410-794 · CNES 2407876

Serviço de Referência

Rota
Anomalias CongênitasDeficiência Intelectual

Hospital de Apoio de Brasília (HAB)

AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)

Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital das Clínicas da UFG

Rua 235 QD. 68 Lote Área, Nº 285, s/nº - Setor Leste Universitário, Goiânia - GO, 74605-050 · CNES 2338424

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital Universitário da UFJF

R. Catulo Breviglieri, Bairro - s/n - Santa Catarina, Juiz de Fora - MG, 36036-110 · CNES 2297442

Atenção Especializada

Rota
Anomalias Congênitas

Hospital das Clínicas da UFMG

Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Julio Müller (HUJM)

R. Luis Philippe Pereira Leite, s/n - Alvorada, Cuiabá - MT, 78048-902 · CNES 2726092

Atenção Especializada

Rota
Anomalias Congênitas

Hospital Universitário João de Barros Barreto

R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Lauro Wanderley (HULW)

R. Tabeliao Estanislau Eloy, 585 - Castelo Branco, João Pessoa - PB, 58050-585 · CNES 0002470

Atenção Especializada

Rota
Anomalias Congênitas

Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)

R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Pequeno Príncipe

R. Des. Motta, 1070 - Água Verde, Curitiba - PR, 80250-060 · CNES 3143805

Serviço de Referência

Rota
Anomalias CongênitasDeficiência Intelectual

Hospital Universitário Regional de Maringá (HUM)

Av. Mandacaru, 1590 - Parque das Laranjeiras, Maringá - PR, 87083-240 · CNES 2216108

Atenção Especializada

Rota
Anomalias Congênitas

Hospital de Clínicas da UFPR

R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Pedro Ernesto (HUPE-UERJ)

Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)

Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital São Lucas da PUCRS

Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital de Clínicas de Porto Alegre (HCPA)

Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário da UFSC (HU-UFSC)

R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital das Clínicas da FMUSP

R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Base de São José do Rio Preto

Av. Brg. Faria Lima, 5544 - Vila Sao Jose, São José do Rio Preto - SP, 15090-000 · CNES 2079798

Atenção Especializada

Rota
Anomalias Congênitas

Hospital de Clínicas da UNICAMP

R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas de Ribeirão Preto (HCRP-USP)

R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

UNIFESP / Hospital São Paulo

R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo
Sobre os centros SUS: Estes centros são habilitados pelo Ministério da Saúde como Serviços de Referência em Doenças Raras ou Serviços de Atenção Especializada. O atendimento é pelo SUS, com encaminhamento da rede de atenção básica.

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Publicações mais relevantes

Timeline de publicações
3 papers (10 anos)
#1

Do toxic metals and trace elements have a role in the pathogenesis of conotruncal heart malformations?

Cardiology in the young2017 Mar

The aim of the present study was to determine the role of toxic elements and trace elements in the pathogenesis of conotruncal heart defects by measuring their concentrations in the first meconium specimens of the affected newborns. Concentrations of lead, cadmium, iron, zinc, and copper were measured in 1st-day meconium specimens that were collected from 60 newborns with conotruncal heart defects (Group I) and 72 healthy newborns (Group II). The newborns with conotruncal defects and the healthy newborns had statistically similar demographic and clinical characteristics. When compared with healthy newborns, mean concentrations of lead, cadmium, iron, zinc, and copper were significantly higher in newborns with conotruncal heart defects (p=0.001 for each). In total, 51 newborns with conotruncal heart defects had normal karyotype. These newborns had significantly higher concentrations of lead, cadmium, iron, zinc, and copper when compared with healthy newborns. There were significant and positive correlations between the concentrations of lead and cadmium (r=0.618, p=0.001), lead and iron (r=0.368, p=0.001), lead and zinc (r=0.245, p=0.005), lead and copper (r=0.291, p=0.001), cadmium and iron (r=0.485, p=0.001), cadmium and zinc (r=0.386, p=0.001), and cadmium and copper (r=0.329, p=0.001). Toxic metals and trace elements may disturb DNA repair mechanisms by impairing DNA methylation profiles, and thus have a role in the pathogenesis of conotruncal heart defects.

#2

Parental perceptions of congenital cardiovascular malformations in their children.

Cardiology in the young2016 Aug

We assessed parental attitudes towards congenital cardiovascular malformations in their children in a cross-sectional study in Egypt. Parents face many problems related to concerns about their child's prognosis, but these associations with parental stress have never been evaluated in Egypt or examined in relation to religiosity in a predominantly Muslim society. Accordingly, we conducted interviews in Cairo with mothers of 99 sequential infants born with conotruncal heart malformations (cases) and 65 mothers of age-matched controls. The survey assessed healthcare access and usage, knowledge of congenital cardiovascular malformations, religiosity, the Locus of Control Scale, and the Parenting Stress Index. Results showed that 45% of the mothers of cases had correct knowledge about their child's diagnosis; 85% were satisfied with the clinical care; and 79% reported that the cost of care was burdensome. Compared with parents of cases, parents of controls were more likely to report stress overall and all its subscales. Regarding belief about locus of control over health, God as a determining factor was given the highest endorsement. Mothers in the congenital cardiovascular malformations group reported a higher level of parental locus of control than did those in the control group. The correlations between stress and locus of control were stronger in the control than in the case group. Religiosity was related neither to stress nor to locus of control. Future studies can explore the roles that personal, familial, and societal factors play in exacerbating or reducing stress levels among parents of sick children, particularly in developing countries where economic pressures are acute.

#3

A case report of aorto-pulmonary window in an infant born to a diabetic mother.

Journal of cardiology cases2015 Dec

Several studies have described the association between pre-gestational maternal diabetes and cardiac disease in the newborn. Infants of diabetic mothers have an increased incidence of congenital heart disease, reported between 3% and 6% compared to 0.8% of the general population. A particularly high prevalence of conotruncal defects has been recently described among congenital heart diseases. This group of malformations affects ventricular outflows, aorta, and pulmonary artery and shares a common embryogenic origin. They include persistence of the truncus arteriosus, transposition of great arteries, tetralogy of Fallot, interruption of the aortic arch, and double outlet right ventricle. Aorto-pulmonary window, a rare congenital heart disease belonging to conotruncal malformations, has never been previously described in association with maternal diabetes. We describe the case of a male infant born to a mother suffering from a poorly controlled type 1 diabetes during pregnancy. In the early postnatal life the infant showed respiratory distress, tachycardia, and failure to thrive. He was found to be affected by aorto-pulmonary window that required corrective surgical intervention. <Learning objective: This case report warns us to consider this congenital abnormality as a possible finding in infants born to a diabetic mother. Furthermore, it shows how difficult the echocardiographic diagnosis of aorto-pulmonary windows can be.>.

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Do toxic metals and trace elements have a role in the pathogenesis of conotruncal heart malformations?
    Cardiology in the young· 2017· PMID 27751200mais citado
  2. Parental perceptions of congenital cardiovascular malformations in their children.
    Cardiology in the young· 2016· PMID 26561359mais citado
  3. A case report of aorto-pulmonary window in an infant born to a diabetic mother.
    Journal of cardiology cases· 2015· PMID 30546588mais citado
  4. Chromosome 22q11.2 deletion syndrome: prenatal diagnosis, array comparative genomic hybridization characterization using uncultured amniocytes and literature review.
    Gene· 2013· PMID 23791650recente
  5. Description and outcome of a cohort of 8 patients with WHIM syndrome from the French Severe Chronic Neutropenia Registry.
    Orphanet J Rare Dis· 2012· PMID 23009155recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:2445(Orphanet)
  2. OMIM OMIM:217095(OMIM)
  3. MONDO:0016581(MONDO)
  4. GARD:8189(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q111329773(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

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Malformações cardíacas cono-truncais
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Malformações cardíacas cono-truncais

ORPHA:2445 · MONDO:0016581
Medicamentos
2 registrados
MedGen
UMLS
C1857586
EuropePMC
Wikidata
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