Three rare variants of SOX7 impairing its interaction with GATA4 may be
a predisposing factor to complete AVSD
Abstract
Atrioventricular septal defects (AVSD) are a complicated subtype of
congenital heart defects for which the genetic basis is poorly
understood. Many evidences have demonstrated that transcription factor
SOX7 which can interact with GATA4 plays a pivotal role in the
cardiovascular development. The critical role of GATA4 in the
morphogenesis of atrioventricular septum implies SOX7 a potential
involvement of AVSD. However, whether SOX7 variants are involved in the
pathogenesis of AVSD needs to be explored. Through target sequencing, we
identified three rare variants c.40C>G,
c.542G>A, and c.743C>T of SOX7 in 100 sporadic
non-syndromic AVSD Chinese Han patients. All mutant sites were highly
conserved in mammals. The mRNA and protein levels of SOX7 variants were
altered compared with those of the wildtype. Moreover, SOX7
overexpression promoted the expression of GATA4 in human umbil-ical vein
endothelial cells. Chromatin immunoprecipitation assay uncovered that
SOX7 could directly bind to the region of GATA4 promoter. Luciferase
assays demonstrated that SOX7 activated GATA4 promoter and the variants
impaired the transcriptional activity of SOX7. Furthermore, the variants
of SOX7 altered the regulation to the activity of GATA4 on its target
genes. Our studies provide evidence that deleterious variants in SOX7
are potential contributors to human AVSD and provide novel insights into
the etiology of AVSD.