综述解读

端粒动力学与先天性心脏病:心脏发生中被忽略的角色

来源:Hum Mutat · PMID 42935766 · DOI 10.1155/humu/5547171** · 来源:IMA 知识库《文献层·文献监控卡片》2026-10-29 期 · 全文级(file_id dGBunAeRiRlm,下载实测 692,872 B) · 全文已获取并通过归属校验

数据日期 2026-10-29 · 生成时间 2026-10-29 06:03

研究问题

Congenital heart diseases (CHDs) are among the common birth defects and leading causes of childhood mortality and morbidity, with a high prevalence of 9 per 1000 live births in India [1–3].

方法

[14] carried out a multicentric case‐control study on a total of 730 mothers (306 case mothers of a child with a COD and 424 control mothers of a child without birth defects), distinguishing between those with CHD‐affected and unaffected offspring.;Many of the genes reported in this study have cardiovascular relevance (e.g., RTEL1 and POT1).;Future Direction The evidence presented in this review underscores a compelling and underexplored intersection between telomere biology and the pathogenesis of CHD.

核心结论

A recent study using an animal model showed that at nonphysiological oxygen levels (~20% O2), mouse embryos exhibited reduced telomere elongation during early cleavage stages, linking elevated oxygen exposure to altered mitochondrial regulation of telomere dynamics [71].;Notably, DS mothers carrying these polymorphisms had a lower mean age of conception (27.3 ± 0.2 years) than those without (30.2 ± 0.4 years, p = 0.01), indicating age‐independent genetic susceptibility.;A significant maternal haplotype (MTHFR 1298C‐677C; p = 0.0172) was also linked to MII errors. ‖ 结论:These perturbations impair cardiac septation and morphogenesis, contributing to the development of CHD.

局限

全文未设独立 limitations 节;结构上为综述/二次研究,因果推断强度受限。

对本项目的价值

★★★☆☆ 血管老化提供可影像量化、可短期读取的中间终点,适合做机制到临床的桥接。队列:UK Biobank;最大样本量约 472,174;设计 回顾性。

全文来源

PMC JATS 全文(正文 45,085 字符,已过标题/DOI 逐字归属校验)

原文题录

  • 英文标题:Telomere Dynamics in Congenital Heart Defects: Hidden Architects of Cardiogenesis?
  • 期刊与标识:Hum Mutat · PMID 42935766 · DOI 10.1155/humu/5547171**

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