Genetic variation in SCN10A influences cardiac conduction

被引:215
作者
Chambers, John C. [1 ,2 ]
Zhao, Jing [3 ]
Terracciano, Cesare M. N. [4 ]
Bezzina, Connie R. [5 ,6 ]
Zhang, Weihua [1 ,2 ]
Kaba, Riyaz [4 ]
Navaratnarajah, Manoraj [4 ]
Lotlikar, Amol [3 ]
Sehmi, Joban S. [2 ,4 ]
Kooner, Manraj K. [2 ,4 ]
Deng, Guohong [2 ,7 ]
Siedlecka, Urszula [4 ]
Parasramka, Saurabh [2 ]
El-Hamamsy, Ismail [4 ]
Wass, Mark N. [8 ]
Dekker, Lukas R. C. [6 ]
de Jong, Jonas S. S. G. [6 ]
Sternberg, Michael J. E. [8 ]
McKenna, William [9 ]
Severs, Nicholas J. [4 ]
de Silva, Ranil [2 ,4 ]
Wilde, Arthur A. M. [5 ,6 ]
Anand, Praveen [10 ]
Yacoub, Magdi [4 ]
Scott, James [4 ]
Elliott, Paul [1 ]
Wood, John N. [3 ]
Kooner, Jaspal S. [2 ,4 ]
机构
[1] Univ London Imperial Coll Sci Technol & Med, Dept Epidemiol & Publ Hlth, London, England
[2] Ealing Hosp Natl Hlth Serv NHS Trust, Middlesex, England
[3] UCL, Wolfson Inst Biomed Res, London, England
[4] Univ London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England
[5] Univ Amsterdam, Acad Med Ctr, Heart Failure Res Ctr, NL-1105 AZ Amsterdam, Netherlands
[6] Univ Amsterdam, Acad Med Ctr, Dept Cardiol, NL-1105 AZ Amsterdam, Netherlands
[7] Univ London Imperial Coll Sci Technol & Med, Dept Gastroenterol & Hepatol, London, England
[8] Univ London Imperial Coll Sci Technol & Med, Struct Bioinformat Grp, London, England
[9] UCL, Inst Cardiovasc Sci, London, England
[10] Univ London Imperial Coll Sci Technol & Med, Dept Clin Neurosci, London, England
基金
英国惠康基金; 英国生物技术与生命科学研究理事会;
关键词
SODIUM-CHANNEL NA(V)1.8; QT INTERVAL DURATION; COMMON VARIANTS; SUDDEN-DEATH; DRG NEURONS; MORTALITY; HEART; DISEASE; BURDEN; PAIN;
D O I
10.1038/ng.516
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
To identify genetic factors influencing cardiac conduction, we carried out a genome-wide association study of electrocardiographic time intervals in 6,543 Indian Asians. We identified association of a nonsynonymous SNP, rs6795970, in SCN10A (P = 2.8 x 10(-15)) with PR interval, a marker of cardiac atrioventricular conduction. Replication testing among 6,243 Indian Asians and 5,370 Europeans confirmed that rs6795970 (G>A) is associated with prolonged cardiac conduction (longer P-wave duration, PR interval and QRS duration, P = 10(-5) to 10(-20)). SCN10A encodes Na(V)1.8, a sodium channel. We show that SCN10A is expressed in mouse and human heart tissue and that PR interval is shorter in Scn10a(-/-) mice than in wild-type mice. We also find that rs6795970 is associated with a higher risk of heart block (P < 0.05) and a lower risk of ventricular fibrillation (P = 0.01). Our findings provide new insight into the pathogenesis of cardiac conduction, heart block and ventricular fibrillation.
引用
收藏
页码:149 / U80
页数:5
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