Rare copy number variants contribute to congenital left-sided heart disease

Left-sided congenital heart disease (CHD) encompasses a spectrum of malformations that range from bicuspid aortic valve to hypoplastic left heart syndrome. It contributes significantly to infant mortality and has serious implications in adult cardiology. Although left-sided CHD is known to be highly heritable, the underlying genetic determinants are largely unidentified. In this study, we sought to determine the impact of structural genomic variation on left-sided CHD and compared multiplex families (464 individuals with 174 affecteds (37.5%) in 59 multiplex families and 8 trios) to 1,582 well-phenotyped controls. 73 unique inherited or de novo CNVs in 54 individuals were identified in the left-sided CHD cohort. After stringent filtering, our gene inventory reveals 25 new candidates for LS-CHD pathogenesis, such as SMC1A, MFAP4, and CTHRC1, and overlaps with several known syndromic loci. Conservative estimation examining the overlap of the prioritized gene content with CNVs present only in affected individuals in our cohort implies a strong effect for unique CNVs in at least 10% of left-sided CHD cases. Enrichment testing of gene content in all identified CNVs showed a significant association with angiogenesis. In this first family-based CNV study of left-sided CHD, we found that both co-segregating and de novo events associate with disease in a complex fashion at structural genomic level. Often viewed as an anatomically circumscript disease, a subset of left-sided CHD may in fact reflect more general genetic perturbations of angiogenesis and/or vascular biology

Thermal substitution and aerobic efficiency: measuring and predicting effects of heat balance on endotherm diving energetics

For diving endotherms, modelling costs of locomotion as a function of prey dispersion requires estimates of the costs of diving to different depths. One approach is to estimate the physical costs of locomotion (Pmech) with biomechanical models and to convert those estimates to chemical energy needs by an aerobic efficiency (η=Pmech/Vo2) based on oxygen consumption (Vo2) in captive animals. Variations in η with temperature depend partly on thermal substitution, whereby heat from the inefficiency of exercising muscles or the heat increment of feeding (HIF) can substitute for thermogenesis. However, measurements of substitution have ranged from lack of detection to nearly complete use of exercise heat or HIF. This inconsistency may reflect (i) problems in methods of calculating substitution, (ii) confounding mechanisms of thermoregulatory control, or (iii) varying conditions that affect heat balance and allow substitution to be expressed. At present, understanding of how heat generation is regulated, and how heat is transported among tissues during exercise, digestion, thermal challenge and breath holding, is inadequate for predicting substitution and aerobic efficiencies without direct measurements for conditions of interest. Confirming that work rates during exercise are generally conserved, and identifying temperatures at those work rates below which shivering begins, may allow better prediction of aerobic efficiencies for ecological models