Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Editorial
. 2009 Jul 28;120(4):269-71.
doi: 10.1161/CIRCULATIONAHA.109.878637. Epub 2009 Jul 13.

Heart malformation: what are the chances it could happen again?

Editorial

Heart malformation: what are the chances it could happen again?

Joseph T C Shieh et al. Circulation. .
No abstract available

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Multifactorial Etiology of Congenital Heart Disease. A parent may harbor a genetic predisposition to disease (susceptibility allele) and transmit this genetic risk to offspring. However, this would only result in congenital heart disease in conjunction with variants in other genetic loci or with epigenetic factors, resulting in disease penetrance. The susceptibility allele alone may not be sufficient to cause disease in offspring (non-penetrance), but the individual would still be at risk for vertical transmission of increased risk.
Fig. 2
Fig. 2
Epigenetic Regulation of Gene Expression. In addition to genetic variation affecting gene expression, cellular levels of proteins can be regulated by many non-genetic mechanisms, including histone modifications (e.g., acetylation) affecting chromatin structure; DNA methylation of CpG residues affecting transcription; or microRNA interaction with mRNA targets leading to translational regulation.

Comment on

  • Recurrence of congenital heart defects in families.
    Øyen N, Poulsen G, Boyd HA, Wohlfahrt J, Jensen PK, Melbye M. Øyen N, et al. Circulation. 2009 Jul 28;120(4):295-301. doi: 10.1161/CIRCULATIONAHA.109.857987. Epub 2009 Jul 13. Circulation. 2009. PMID: 19597048

References

    1. Christianson A, Howson CP, Modell B. March of Dimes Birth Defects Foundation. 2006. Global Report on Birth Defects: The Hidden Toll of Dying and Disabled Children.
    1. Nora JJ. Multifactorial inheritance hypothesis for the etiology of congenital heart diseases. The genetic-environmental interaction. Circulation. 1968;38:604–617. - PubMed
    1. Malik S, Cleves MA, Honein MA, Romitti PA, Botto LD, Yang S, Hobbs CA. Maternal smoking and congenital heart defects. Pediatrics. 2008;121:e810–e816. - PubMed
    1. Burn J, Brennan P, Little J, Holloway S, Coffey R, Somerville J, Dennis NR, Allan L, Arnold R, Deanfield JE, Godman M, Houston A, Keeton B, Oakley C, Scott O, Silove E, Wilkinson J, Pembrey M, Hunter AS. Recurrence risks in offspring of adults with major heart defects: results from first cohort of British collaborative study. Lancet. 1998;351:311–316. - PubMed
    1. Lammer EJ, Chen DT, Hoar RM, Agnish ND, Benke PJ, Braun JT, Curry CJ, Fernhoff PM, Grix AW, Jr., Lott IT, et al. Retinoic acid embryopathy. N. Engl. J. Med. 1985;313:837–841. - PubMed

MeSH terms