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Heart Rhythm DOI:10.1016/j.hrthm.2009.02.022

Genome-wide association study of electrocardiographic conduction measures in an isolated founder population: Kosrae.

Publication TypeJournal Article
Year of Publication2009
AuthorsJ Smith, G, Lowe, JK, Kovvali, S, Maller, JB, Salit, J, Daly, MJ, Stoffel, M, Altshuler, DM, Friedman, JM, Breslow, JL, Newton-Cheh, C
JournalHeart Rhythm
Volume6
Issue5
Pages634-41
Date Published2009 May
ISSN1556-3871
KeywordsAdult, Arrhythmias, Cardiac, DNA, Electrocardiography, Female, Genetic Predisposition to Disease, Genetic Variation, Genome, Human, Genome-Wide Association Study, Genotype, Heart Conduction System, Heart Rate, Humans, Male, Micronesia, Muscle Proteins, NAV1.5 Voltage-Gated Sodium Channel, Polymorphism, Single Nucleotide, Prevalence, Retrospective Studies, Sodium Channels
Abstract

BACKGROUND: Cardiac conduction, as assessed by electrocardiographic PR interval and QRS duration, is an important electrophysiological trait and a determinant of arrhythmia risk.

OBJECTIVE: We sought to identify common genetic determinants of these measures.

METHODS: We examined 1604 individuals from the island of Kosrae, Federated States of Micronesia, an isolated founder population. We adjusted for covariates and estimated the heritability of quantitative electrocardiographic QRS duration and PR interval and, secondarily, its subcomponents, P-wave duration and PR segment. Finally, we performed a genome-wide association study (GWAS) in a subset of 1262 individuals genotyped using the Affymetrix GeneChip Human Mapping 500K microarray.

RESULTS: The heritability of PR interval was 34% (standard error [SE] 5%, P = 4 x 10(-18)); of PR segment, 31% (SE 6%, P = 3.2 x 10(-13)); and of P-wave duration, 17% (SE 5%, P = 5.8 x 10(-6)), but the heritablility of QRS duration was only 3% (SE 4%, P = .20). Hence, GWAS was performed only for the PR interval and its subcomponents. A total of 338,049 single nucleotide polymorphisms (SNPs) passed quality filters. For the PR interval, the most significantly associated SNPs were located in and downstream of the alpha-subunit of the cardiac voltage-gated sodium channel gene SCN5A, with a 4.8 ms (SE 1.0) or 0.23 standard deviation increase in adjusted PR interval for each minor allele copy of rs7638909 (P = 1.6 x 10(-6), minor allele frequency 0.40). These SNPs were also associated with P-wave duration (P = 1.5 x 10(-4)) and PR segment (P = .01) but not with QRS duration (P > or =.22).

CONCLUSIONS: The PR interval and its subcomponents showed substantial heritability in a South Pacific islander population and were associated with common genetic variation in SCN5A.

URLhttp://linkinghub.elsevier.com/retrieve/pii/S1547-5271(09)00171-4
DOI10.1016/j.hrthm.2009.02.022
Pubmed

http://www.ncbi.nlm.nih.gov/pubmed/19389651?dopt=Abstract

Alternate JournalHeart Rhythm
PubMed ID19389651
PubMed Central IDPMC2673462
Grant ListK23 HL080025 / HL / NHLBI NIH HHS / United States
K23 HL080025-04 / HL / NHLBI NIH HHS / United States
/ / Howard Hughes Medical Institute / United States
K23-HL-080025 / HL / NHLBI NIH HHS / United States