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Published on: April 4, 2018
SCN5A allelic expression imbalance in African-Americans heterozygous for the common variant p.Ser1103Tyr
Stacy A S Killen1, Jennifer Kunic, Lily Wang
1Department of Medicine, Vanderbilt University, Nashville, TN, USA.
Insights
Allelic expression imbalance of the SCN5A-p.Ser1103Tyr variant occurs in African-Americans. However, this genetic finding alone does not appear to increase the risk of sudden infant death syndrome (SIDS).
Area of Science:
- Genetics
- Cardiology
- Molecular Biology
Background:
- The SCN5A-p.Ser1103Tyr genetic variant is common among African-Americans and linked to sudden death risk.
- Heterozygous carriers may exhibit unequal expression of wild-type and variant alleles.
- Predominance of the variant allele could potentially elevate sudden death risk.
Purpose of the Study:
- To investigate allele-specific expression of SCN5A-p.Ser1103Tyr in African-American infants.
- To determine if allelic expression imbalance is associated with sudden infant death syndrome (SIDS).
Main Methods:
- Quantified allele-specific expression of SCN5A-p.Ser1103Tyr using real-time RT-PCR.
- Analyzed heart tissue from heterozygous African-American infants who died from SIDS or other causes.
- Tested for allelic expression imbalance.
Main Results:
- Significant allelic expression imbalance was observed in 50% of heterozygous infant hearts.
- A significant bimodal distribution of log2 allelic expression ratios was found (p < 0.0001).
- No significant differences in expression ratios were found between SIDS and non-SIDS groups.
Conclusions:
- Allelic expression imbalance of SCN5A-p.Ser1103Tyr is present in heterozygous African-Americans.
- This imbalance alone does not appear to be a risk marker for SIDS.
- Further research may be needed to understand the full implications of this variant.
Background:
Heterozygous and homozygous carriers of SCN5A-p.Ser1103Tyr, a common genetic variant with functional effects among African-Americans, have an increased risk of sudden death. We hypothesized that some heterozygous carriers may have unequal expression of wild-type and variant alleles and secondarily that predominance of the variant gene copy could further increase risk for sudden death in this population.
Methods:
We quantified allele-specific expression of SCN5A-p.Ser1103Tyr by real-time reverse-transcription polymerase chain reaction (RT-PCR) in heart tissue from heterozygous African-American infants, who died from sudden infant death syndrome (SIDS) or from other causes, to test for allelic expression imbalance.
Results:
We observed significant allelic expression imbalance in 13 of 26 (50%) African-American infant hearts heterozygous for SCN5A-p.Ser1103Tyr, and a significant (p < 0.0001) bimodal distribution of log2 allelic expression ratios. However, there were no significant differences in the mean log2 allelic expression ratios in hearts of infants dying from SIDS as compared to infants dying from other causes and no significant difference in the proportion of cases with greater expression of the variant allele.
Conclusions:
Our data provide evidence that SCN5A allelic expression imbalance occurs in African-Americans heterozygous for p.Ser1103Tyr, but this phenomenon alone does not appear to be a marker for risk of SIDS.
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