Fig. 4From: Whole-exome sequencing and homozygosity mapping identify variants in NCOR1 and MAP2K3 associated with non-syndromic congenital heart defectsPathway analysis in the VSD cases. When NCOR1 protein is affected, the product of the PDE9A enzyme does not get activated and thereby impairs the downstream cascade for PDE9A. PDE9A as a protein can no longer regulate natriuretic peptide that fails to stimulate and regulate cyclic guanosine monophosphate (cGMP) in heart myocytes. It leads to a series of complexities resulting in left ventricular dystrophyBack to article page