Congenital heart defect (CHD), also described as congenital heart disease, is the most common type of birth defect; it is thought to have a significant genetic component. Candidate genes identified in a large-scale exome sequencing analysis have been assessed in a fly system using cardiac-targeted gene silencing of orthologous fly genes. Experiments using the Drosophila ortholog eIF4G1 support EIF4G3 as a candidate gene in the development of CHD.
In a large-scale exome sequencing analysis in Nigeria, a canonical splice site variant in the EIF4G3 gene was found in a child diagnosed with tetralogy of Fallot.
EIF4G3 encodes a component of the eIF4F protein complex, which is involved in mRNA cap recognition and transport of mRNAs to the ribosome. There are two paralogous genes in both human (EIF4G1 and EIF4G3) and flies (eIF4G1 and eIF4G2). The human EIF4G3 gene has not been introduced into flies.
Ubiquitous knockdown of Dmel\eIF4G1, effected by RNAi, results in lethality. Targeted knockdown of eIF4G1 restricted to the developing heart results in 83% lethality prior to the adult stage. Physical and genetic interactions of Dmel\eIF4G1 have been described; see below and in the eIF4G1 gene report.
[updated May 2021 by FlyBase; FBrf0222196]
A congenital heart defect is a problem with the structure of the heart; it is the most common type of birth defect. The defects can involve the walls of the heart, the valves of the heart, and the arteries and veins near the heart. They can disrupt the normal flow of blood through the heart: the blood flow can slow down, go in the wrong direction or to the wrong place, or be blocked completely (https://medlineplus.gov/congenitalheartdefects.html).
Defects range from simple, which might cause no problems, to complex, which can cause life-threatening complications. The most serious defects are categorized as critical congenital heart defects (CCHD). CCHD is life threatening and requires intervention in infancy; approximately 18 out of 10,000 babies are born with CCHD (https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/PEHDIC/Pages/Newborn-Screening-for-CCHD.aspx).
Genetic causes of congenital heart disease also account for many of the comorbidities seen with increased frequency in congenital heart disease patients, including neurodevelopmental disability, pulmonary disease, arrhythmia, renal disease, heart failure and an increased incidence of malignancy. (Simmons and Brueckner, 2017; pubmed:28872494).
A number of well studied syndromes, including DiGeorge syndrome, Williams-Beuren syndrome, Alagille syndrome, Noonan syndrome, and Holt-Oram syndrome, include congenital heart defect (Pierpont et al., 2007; pubmed:17519398).
Congenital heart defects (CHTD) are among the most common congenital defects, occurring with an incidence of 8/1,000 live births. The etiology of CHTD is complex, with contributions from environmental exposure, chromosomal abnormalities, and gene defects. [from MIM:306955; 2018.11.13]
The protein encoded by EIF4G3 is thought to be part of the eIF4F protein complex, which is involved in mRNA cap recognition and transport of mRNAs to the ribosome. [Gene Cards, EIF4G3; 2021.05.15]
Many to many: 2 human genes to 2 Drosophila genes.
Moderate- to high-scoring ortholog of human EIF4G1 and EIF4G3 (2 Drosophila to 2 human). Dmel\eIF4G1 shares 25-27% identity and 39-41% similarity with the human genes.