Table 1.
NBDPS lesion classification | Chromosomal anomalies | Copy number variants | Monogenic disruptions |
Diagnostic test | Karyotype | Chromosomal microarray | Gene sequencing |
Anomalous pulmonary venous return | Tetrasomy 22q | 3q22.1q26.1 Del/Dup, 13q14.11 Dup, 15q11.2 Del | ANKRD1, GATA4, GJA1, NODAL, PDGFRA, ZIC3 |
Atrioventricular septal defects | Trisomy 21 | 3q22.1q26.1 Del/Dup, 8p23.1 Del/Dup, 15q11.2 Del, Xp22.2 Dup | ACVR1, CITED2, CRELD1, GATA4, GATA6, GJA1, NKX2.5, TBX5, TBX20 |
Complex lesions | Trisomy 13, Trisomy 18 | 11p15.5 Dup, 15q11.2 Del | |
Conotruncal lesions | Tetrasomy 22q | 1q21.1 Del/Dup, 1p36 Deletion, 3p25.1 Dup, 3q22.1q26.1 Del/Dup, 4p16.3 Del, 4q22.1 Dup, 5p15.2 Del, 8p23.2 Del/Dup, 9q34.3 Del, 13q14.11 Dup, 19p13.3 Del/Dup, 22q11.2 Del, Xp22.2 Dup | ALDH1A2, CHD7, FOXH1, GATA4, GATA6, GDF1, HAND2, JAG1, MED13L, NKX2.5, NKX2.6, NOTCH2, SEMA3E, TBX1, TDGF1, ZFPM2 |
Heterotaxy | 2p25.1 Dup, 3p24.1 Del, 22q11.2 Del, Xq26.2 Del | ACVR2B, CCDC11, CFC1, CRELD1, DNAH11, FOXH1, GDF1, LEFTY2, NKX2.5, NODAL, ZIC3 | |
Left ventricular outflow tract obstructive lesions | Monosomy X | 1q21.1 Del, 8p23.1 Del/Dup, 9q34.3 Del, 11p15.5 Dup, 11q23 Del, 13q14.11 Dup, 15q11.2 Del, 16p13.11 Dup | GATA5, GJA1, KDM6A, KMT2D, MYH6, NKX2.5, NOTCH1, TGFB2, TGFBR1, TGFBR2, VEGF |
Right ventricular outflow tract obstructive lesions | 1q21.1 Del/Dup, 4p16.3 Del | BRAF, CBL, GATA4, GATA6, HRAS, JAG1, KRAS, MAP2K1, MAP2K2, MEK1, NF1, NOTCH2, NRAS, PTPN11, RAF1, SOS1, | |
Septal lesions | Trisomy 13, Trisomy 18, Trisomy 21 | 1p36 Del, 4p16.3 Del, 5p15.2 Del, 8p23.1 Del/Dup, 11q23 Del, 18q11.1q11.2 Dup | CITED2, CREBBP, GATA4, GATA6, IRX4, NIPBL, NKX2.5, TBX5, TBX20, TDGF1 |
Del, deletion; Del/Dup, deletions and duplications; Dup, duplication; NBDPS, National Birth Defects Prevention Study.