Genetic features of alveolar capillary dysplasia with misalignment of pulmonary veins in Japanese infants

Masahiko Ikeda, Kazutoshi Cho, Yuta Furuse, Tetsuo Onda, Akiko Ando, Yuichi Nakamura, Yosuke Kaneshi, Atsushi Manabe
Hokkaido University Hospital. Japan Community Healthcare Organization Hokkaido Hospital. Hokkaido University.
Japan

Early Human Development
Early Hum Dev 2025;
DOI: 10.1016/j.earlhumdev.2025.106287

Abstract
Background: The genetic features of alveolar capillary dysplasia with misalignment of pulmonary veins (ACDMPV) among infants in Japan have not been extensively evaluated.
Methods: This study enrolled sixteen infants with pathologically confirmed ACDMPV. DNA was extracted from the peripheral blood cells of the infants for genetic analysis. The samples from tree infants were not viable for analysis, so only 13 were analyzed. Sanger sequencing or next-generation sequencing of the FOXF1 coding exon was performed on the samples. When causative variations were not identified, the multiplex ligation-dependent probe amplification (MLPA) method was used to identify copy-number variations (CNVs) in the exons and the upstream region of FOXF1.
Results: The causative lesions included three missense, one nonsense, and two frameshift variations from six (46 %) participants. CNVs were detected in the DNA samples of five (38 %) participants. No relevant genetic lesions were identified in the remaining two (15 %) cases. The father and two siblings of one affected infant exhibited the same CNV in the upstream region of FOXF1.
Conclusion: We have previously reported cases of ACDMPV patients diagnosed by molecular analysis without pathological confirmation in Japan. This article is the first to report the genetic features associated with pathologically confirmed ACDMPV among infants in Japan.

Category
Class III. Pulmonary Hypertension Associated with Developmental Diseases of the Lung
Genetic Factors Associated with Pulmonary Vascular Disease
Pulmonary Vascular Pathology

Age Focus: Pediatric Pulmonary Vascular Disease

Fresh or Filed Publication: Fresh (PHresh). Less than 1-2 years since publication

Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: No

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