Congenital Heart Diseases Clinical Trial
Official title:
"Incidence and Consequences of Disorders of Glycosylation in Patients With Conotruncal and Septal Heart Defects" (CARDIoG)
The objective of the study is to investigate congenital disorders of glycosylation in congenital heart diseases without a clear molecular or genetic basis.
Congenital disorders of glycosylation (CDG) are a family of inherited disorders caused by
defects in the synthesis of glycans, glycoproteins or other glycoconjugates. Congenital
disorders of glycosylation (CDG) are a family of inherited disorders caused by defects in
the synthesis of glycans, glycoproteins or other glycoconjugates. Glycosylation of proteins
is crucial for a proper organ morphogenesis and for an appropriate coagulation system
functioning. The neurological system is commonly affected in this type of disorders but
cases of CDG with normal neurological development have been recently described. The group of
Experimental Hematology and Clinic Oncology of the University of Murcia (Spain) recently
described a rare disorder of glycosylation (ALG12-CDG) as the cause of antithrombin
deficiency in a patient of 19 years with a history of repaired ventricular septal defect.
On the other hand, population studies have shown an increased incidence of thromboembolic
events in patients with congenital heart disease when compared to the general population.
The identified genetic defects involved in the development of congenital heart diseases have
variable or incomplete penetrance and in most cases the molecular basis is completely
unknown.
The investigators postulate that a CDG might be behind the development of some forms of
congenital heart disease and contribute to the greater prevalence of thromboembolic events
in this patient population.
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