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MinK gene polymorphism in the pathogenesis of lone atrial fibrillation
Andrzej Prystupa1, Grzegorz Dzida, Wojciech Myśliński
1Katedra i Klinika Chorób Wewnetrznych Akademii Medycznej im. prof. Feliksa Skubiszewskiego, Samodzielny Publiczny Szpital Kliniczny Nr 1, ul. Staszica 16, 20-081 Lublin. aprystupa@poczta.clinika.pl
Introduction:
Atrial fibrillation (AF) is the most common type of complex arrhythmia found in everyday clinical practice. Lone AF is a particular form occurring in 2% to 31% of patients with confirmed AF. Genetic factors may underline this arrhythmia.
Aim:
To determine the relationship between G38S polymorphism in the MinK gene and the incidence of lone AF, and to evaluate this polymorphism as a genetic marker of susceptibility to AF.
Methods:
The study involved 69 patients with lone AF and 60 control healthy subjects. Both groups included patients aged up to 65 years without cardiovascular or thyroid disease. MinK genotype was determined with PCR-RFLP (polymerase chain reaction-restriction fragment length polymorphism). The MinK gene was present in two allelic forms: G and S.
Results:
The MinK G allele was found significantly more often in patients with AF (62.32%) compared to control subjects (41.80%) (p=0.009). In the AF group GS occurred more frequently (55.07%) than GG (34.78%) and SS genotypes (10.14%). In a logistic regression model the presence of G variant was associated with increase of AF risk in the study population (OR 2.39; 95% CI 0.88-6.54; p=0.084). Presence of GG genotype was associated with significant, over 10-fold, increase of AF risk. Presence of S allele of the MinK gene met criteria of protective factor against AF in the study population.
Conclusions:
1. G38S polymorphism in the MinK gene seems to be associated with incidence of lone AF in the study population. 2. GG genotype carrier state may significantly relate to increased risk of AF in the study group. 3. G38S polymorphism in the MinK gene could be used as a genetic marker of risk of lone AF.
Insights
The MinK G38S gene polymorphism is linked to an increased risk of lone atrial fibrillation (AF). The GG genotype significantly elevates AF risk, while the S allele may offer protection.
Area of Science:
- Genetics
- Cardiology
- Molecular Biology
Background:
- Atrial fibrillation (AF) is a common arrhythmia.
- Lone AF affects a subset of AF patients, with potential genetic underpinnings.
Purpose of the Study:
- To investigate the association between the MinK G38S polymorphism and lone AF incidence.
- To assess the potential of this polymorphism as a genetic susceptibility marker for AF.
Main Methods:
- Study included 69 lone AF patients and 60 healthy controls (age ≤ 65, no cardiovascular/thyroid disease).
- MinK gene genotyping performed using PCR-RFLP, identifying G and S alleles.
- Statistical analysis, including logistic regression, evaluated genotype-AF risk associations.
Main Results:
- The MinK G allele was more prevalent in lone AF patients (62.32%) than controls (41.80%) (p=0.009).
- The GG genotype showed a significant, over 10-fold, increase in AF risk.
- The S allele of the MinK gene appeared to be a protective factor against AF.
Conclusions:
- The MinK G38S polymorphism is associated with the incidence of lone AF.
- Carrying the GG genotype may significantly increase AF risk.
- The MinK G38S polymorphism could serve as a genetic risk marker for lone AF.
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