TY - JOUR A1 - Zhang, Rong A1 - Gehlen, Jan A1 - Kawalia, Amit A1 - Melissari, Maria-Theodora A1 - Dakal, Tikam Chand A1 - Menon, Athira M. A1 - Höfele, Julia A1 - Riedhammer, Korbinian A1 - Waffenschmidt, Lea A1 - Fabian, Julia A1 - Breuer, Katinka A1 - Kalanithy, Jeshurun A1 - Hilger, Alina Christine A1 - Sharma, Amit A1 - Hölscher, Alice A1 - Boemers, Thomas M. A1 - Pauly, Markus A1 - Leutner, Andreas A1 - Fuchs, Jörg A1 - Seitz, Guido A1 - Ludwikowski, Barbara A1 - Gomez, Barbara A1 - Hubertus, Jochen A1 - Heydweiller, Andreas A1 - Kurz, Ralf A1 - Leonhardt, Johannes A1 - Kosch, Ferdinand A1 - Holland-Cunz, Stefan A1 - Münsterer, Oliver A1 - Ure, Beno A1 - Schmiedeke, Eberhard A1 - Neser, Jörg A1 - Degenhardt, Petra A1 - Märzheuser, Stefanie A1 - Kleine, Katharina A1 - Schäfer, Mattias A1 - Spychalski, Nicole A1 - Deffaa, Oliver J. A1 - Gosemann, Jan-Hendrik A1 - Lacher, Martin A1 - Heilmann-Heimbach, Stefanie A1 - Zwink, Nadine A1 - Jenetzky, Ekkehart A1 - Ludwig, Michael A1 - Grote, Phillip A1 - Schumacher, Johannes A1 - Thiele, Holger A1 - Reutter, Heiko T1 - Human exome and mouse embryonic expression data implicate ZFHX3, TRPS1, and CHD7 in human esophageal atresia T2 - PLoS one N2 - Introduction: Esophageal atresia with or without tracheoesophageal fistula (EA/TEF) occurs approximately 1 in 3.500 live births representing the most common malformation of the upper digestive tract. Only half a century ago, EA/TEF was fatal among affected newborns suggesting that the steady birth prevalence might in parts be due to mutational de novo events in genes involved in foregut development. Methods: To identify mutational de novo events in EA/TEF patients, we surveyed the exome of 30 case-parent trios. Identified and confirmed de novo variants were prioritized using in silico prediction tools. To investigate the embryonic role of genes harboring prioritized de novo variants we performed targeted analysis of mouse transcriptome data of esophageal tissue obtained at the embryonic day (E) E8.5, E12.5, and postnatal. Results: In total we prioritized 14 novel de novo variants in 14 different genes (APOL2, EEF1D, CHD7, FANCB, GGT6, KIAA0556, NFX1, NPR2, PIGC, SLC5A2, TANC2, TRPS1, UBA3, and ZFHX3) and eight rare de novo variants in eight additional genes (CELSR1, CLP1, GPR133, HPS3, MTA3, PLEC, STAB1, and PPIP5K2). Through personal communication during the project, we identified an additional EA/TEF case-parent trio with a rare de novo variant in ZFHX3. In silico prediction analysis of the identified variants and comparative analysis of mouse transcriptome data of esophageal tissue obtained at E8.5, E12.5, and postnatal prioritized CHD7, TRPS1, and ZFHX3 as EA/TEF candidate genes. Re-sequencing of ZFHX3 in additional 192 EA/TEF patients did not identify further putative EA/TEF-associated variants. Conclusion: Our study suggests that rare mutational de novo events in genes involved in foregut development contribute to the development of EA/TEF. KW - Computer-aided drug design KW - Transcriptome analysis KW - Gene expression KW - Embryos KW - Congenital anomalies KW - Mutation databases KW - Amino acid analysis KW - DNA sequence analysis Y1 - 2020 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/54935 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-549357 SN - 1932-6203 N1 - Copyright: © 2020 Zhang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. VL - 15 IS - (6): e0234246 SP - 1 EP - 14 PB - PLoS CY - Lawrence, Kan. ER -