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Published on: August 8, 2022
Genetic predisposition to heart failure
Michele Pasotti1, Alessandra Repetto, Luigi Tavazzi
1IRCCS Policlinico San Matteo, Pavia, Italy.
Insights
This review details molecular systems involved in heart failure (HF). Large, coordinated genetic studies are needed to precisely link genetic variations to HF risk and improve clinical practice.
Area of Science:
- Cardiovascular Medicine
- Genetics
- Molecular Biology
Background:
- Heart failure (HF) involves complex molecular systems, with many known players and candidates.
- Genetic factors significantly influence HF development and progression.
Purpose of the Study:
- To review known and candidate molecular systems in HF.
- To discuss their genetic backgrounds, functional roles, and polymorphisms.
- To highlight the need for coordinated genetic studies in HF research.
Main Methods:
- Comprehensive literature review of genetic investigations in HF.
- Analysis of functional data and genetic polymorphisms.
- Identification of research gaps in coordinated genetic studies.
Main Results:
- Numerous molecular systems implicated in HF are identified and discussed.
- Existing genetic investigations in HF are cataloged, with functional notes and polymorphism data.
- A relative scarcity of coordinated studies linking specific genetic polymorphisms to HF risk is noted.
Conclusions:
- Precise risk assignment for genetic polymorphisms in HF requires large, coordinated studies using standardized methods.
- Advancing genetic knowledge into clinical practice for HF necessitates such collaborative efforts.
- A more accurate definition of HF as a complex, evolving cardiovascular disease is anticipated.
Abstract:
This review describes the numerous and complex molecular systems that are either known players or candidates in heart failure(HF). All systems whose genetic background has been investigated to date in HF are listed and discussed. Discussion also includes functional notes and known genetic polymorphisms already investigated in HF or candidates that have not yet been investigated. Despite substantial research on HF, relatively few coordinated studies have been conducted that assign precise risk to specific genetic polymorphisms. Identification of risk associated with genetic variations and subsequent translation of genetic knowledge into clinical practice will likely progress only in cases of large coordinated studies based on identical standards. The potential result will be a more accurate definition of HF identified as an evolving complex of cardiovascular diseases.
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Heart Failure II: Pathophysiology
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