Table 1.
Gene | Associated Malformations/Syndromes | Phenotype | Reference(s) |
---|---|---|---|
NOTCH1 | CHD, BAV | BAV (familial and sporadic), LVOTO | McBride et al. (2008); McKellar et al. (2007); Mohamed et al. (2006); Garg et al. (2005) |
FBN1 | Marfan syndrome | BAV in Marfan syndrome, possibly isolated BAV (see reference) | Pepe et al. (2014) |
TGFBR2 | Loeys-Dietz syndrome (type 2), familial TAAD | Hypertelorism, BAV, arterial tortuosity, bifid uvula, CTD features | * See note below |
TGFB2 | Loeys-Dietz syndrome (type 4) | Hypertelorism, bifid uvula, BAV, pectus, arterial tortuosity, other CTD features | Lindsay et al. (2012) |
SMAD6 | Aortic valve malformations | BAV, AS, HTN, CoA | Tan et al. (2012) |
ACTA2 | Familial TAAD | TAAD, BAV | Guo et al. (2007) |
NKX2–5 | BAV, CHD | BAV, ASD, AS, PFO, other CHD | Qu et al. (2014) |
GATA5 | AVSD, BAV | Ackerman et al. (2012); Padang et al. (2013) |
Acronyms: AS = aortic stenosis; ASD = atrial septal defect; CoA = coarctation of the aorta; CHD = congenital heart defects; CTD = connective tissue disorder; HTN = hypertension; LVOTO = left ventricular outflow tract obstructions; PFO = patent foramen ovale; TAAD = thoracic aortic aneurysm/dissection;
TGFBR2 is associated with TAAD and Loeys-Dietz syndrome type 2, but BAV is relatively uncommon in this type (see Clinical Synopsis of OMIM entry: http://omim.org/entry/610168)