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Mutations in the Histone Modifier Prdm6 Are Associated With Isolated Nonsyndromic Patent Ductus Arteriosus Publisher Pubmed



Li N1 ; Subrahmanyan L1 ; Smith E1 ; Yu X2 ; Zaidi S2 ; Choi M2 ; Mane S2 ; Nelsonwilliams C2 ; Bahjati M3 ; Kazemi M4 ; Hashemi M4 ; Fathzadeh M1 ; Narayanan A1 ; Tian L1 Show All Authors
Authors
  1. Li N1
  2. Subrahmanyan L1
  3. Smith E1
  4. Yu X2
  5. Zaidi S2
  6. Choi M2
  7. Mane S2
  8. Nelsonwilliams C2
  9. Bahjati M3
  10. Kazemi M4
  11. Hashemi M4
  12. Fathzadeh M1
  13. Narayanan A1
  14. Tian L1
  15. Montazeri F1
  16. Mani M1
  17. Begleiter ML5
  18. Coon BG1
  19. Lynch HT6
  20. Olson EN7
  21. Zhao H2
  22. Ruland J8
  23. Lifton RP1, 2
  24. Mani A1, 2
Show Affiliations
Authors Affiliations
  1. 1. Cardiovascular Research Center, Department of Internal Medicine, Yale University School of Medicine, Howard Hughes Medical Institute, New Haven, 06520, CT, United States
  2. 2. Department of Genetics, Yale University School of Medicine, New Haven, 06520, CT, United States
  3. 3. Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, 81746, Iran
  4. 4. Isfahan University of Medical Sciences, Isfahan, 81746, Iran
  5. 5. School of Medicine, University of Missouri - Kansas City, Kansas City, 64108, MO, United States
  6. 6. Department of Preventative Medicine, School of Medicine, Creighton University, Omaha, 68131, NE, United States
  7. 7. Department of Molecular Biology, University of Texas Southwestern Medical Center, Dallas, 75390, TX, United States
  8. 8. Institute fur Klinische Chemie und Pathobiochemie, Klinikum Rechts der Isar, Technische Universitat Munchen, Munich, 81675, Germany

Source: American Journal of Human Genetics Published:2016


Abstract

Nonsyndromic patent ductus arteriosus (PDA) is a common congenital heart defect (CHD) with both inherited and acquired causes, but the disease mechanisms have remained elusive. Using combined genome-wide linkage analysis and whole-exome sequencing (WES), we identified independent mutations in PRDM6, which encodes a nuclear protein that is specific to vascular smooth muscle cells (VSMC), has histone methyl transferase activities, and acts as a transcriptional suppressor of contractile proteins. In vitro assays showed that the mutations cause loss of function either by intracellular redistribution of the protein and/or by alteration of its methyltransferase activities. Wild-type embryonic ductus arteriosus (DA) exhibited high levels of PRDM6, which rapidly declined postnatally as the number of VSMCs necessary for ductus contraction increased. This dynamic change suggests that PRDM6 plays a key role in maintaining VSMCs in an undifferentiated stage in order to promote their proliferation and that its loss of activity results in premature differentiation and impaired remodeling of the DA. Our findings identify PRDM6 mutations as underlying genetic causes of nonsyndromic isolated PDA in humans and implicates the wild-type protein in epigenetic regulation of ductus remodeling. © 2016 American Society of Human Genetics.