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Pediatric Surgery International

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01.11.2017 | Review Article

A review of genetic factors contributing to the etiopathogenesis of anorectal malformations

verfasst von: Kashish Khanna, Shilpa Sharma, Noel Pabalan, Neetu Singh, D. K. Gupta

Erschienen in: Pediatric Surgery International | Ausgabe 1/2018

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Abstract

Background

Anorectal malformation (ARM) is a common congenital anomaly with a wide clinical spectrum. Recently, many genetic and molecular studies have been conducted worldwide highlighting the contribution of genetic factors in its etiology. We summarize the current literature on such genetic factors.

Materials and methods

Literature search was done using different combinations of terms related to genetics in anorectal malformations. From 2012 to June 2017, articles published in the English literature and studies conducted on human population were included.

Observations and results

A paradigm shift was observed from the earlier studies concentrating on genetic aberrations in specific pathways to genome wide arrays exploring single nucleotide polymorphisms (SNPs) and copy number variations (CNVs) in ARM patients. Rare CNVs (including 79 genes) and SNPs have been found to genetically contribute to ARM. Out of disrupted 79 genes one such putative gene is DKK4. Down regulation of CDX-1 gene has also been implicated in isolated ARM patients. In syndromic ARM de novo microdeletion at 17q12 and a few others have been identified.

Conclusion

Major genetic aberrations proposed in the pathogenesis of ARM affect members of the Wnt, Hox (homebox) genes, Sonic hedgehog (Shh) and Gli2, Bmp4, Fgf and CDX1 signalling pathways; probable targets of future molecular gene therapy.

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Titel: A review of genetic factors contributing to the etiopathogenesis of anorectal malformations
verfasst von: Kashish Khanna
Shilpa Sharma
Noel Pabalan
Neetu Singh
D. K. Gupta
Publikationsdatum: 01.11.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 1/2018
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-017-4204-2

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A review of genetic factors contributing to the etiopathogenesis of anorectal malformations

Abstract

Background

Materials and methods

Observations and results

Conclusion

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Materials and methods

Observations and results

Conclusion

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