Research: Pathogenic variant in GATA4 associated with atrioventricular septal defect and congenital diaphragmatic hernia: A case report

Eur J Med Genet

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. 2025 Nov 10:78:105059.

 doi: 10.1016/j.ejmg.2025.105059. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/41224194/

Pathogenic variant in GATA4 associated with atrioventricular septal defect and congenital diaphragmatic hernia: A case report

John Howat 1Trisha Vigneswaran 2Aris Papageorghiou 3Sahar Mansour 4

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Abstract

Pathogenic variants in GATA4, a transcription factor, are predominantly associated with congenital heart defects and gonadal abnormalities. We describe a case of a maternally inherited GATA4 pathogenic variant (c.474C > G p.[Tyr158Ter]) in a 21-week gestation fetus presenting with partial atrioventricular septal defect and congenital diaphragmatic hernia. Whilst there is a weight of evidence implicating GATA4 dysfunction in congenital diaphragmatic hernia, this is only the second report to our knowledge to identify a causative GATA4 variant with congenital diaphragmatic hernia.

Keywords: Congenital diaphragmatic hernia; Congenital heart disease; GATA4.

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