High Maternal Glycine Levels Increase the Risk of Developing Atrial Septal Defect in the Offspring.

JACC Basic Transl Sci

Institute for Developmental and Regenerative Cardiovascular Medicine, MOE-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; International Human Phenome Institutes (Shanghai), Shanghai, China. Electronic add

Published: July 2025


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Article Abstract

Amino acid imbalance is linked to increased congenital heart disease risk. Here, we found women carrying rs2545801 C/C genotypes exhibited increased glycine levels and increased risk for atrial septal defects (ASDs) in their offspring. Elevated maternal glycine levels during the first trimester were correlated with a higher ASD risk in the offspring. Additionally, feeding pregnant mice with high-glycine chow increased ASD risk in their offspring. Mechanistically, elevated maternal glycine led to increased lysine-glycylation of lysine-688 within the TEK receptor tyrosine kinase and inhibited TEK-PI3K-AKT/FOXO1 signaling in cardiac endothelial cells. These findings indicate that lysine-glycylation exerts teratogenic effects and may be a target for ASD intervention.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12226122PMC
http://dx.doi.org/10.1016/j.jacbts.2025.05.006DOI Listing

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