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Polymorphisms of presenilin-1 gene associate with dilated cardiomyopathy susceptibility
1Department of Cardiology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
Insights
Genetic variations in the presenilin-1 gene are linked to dilated cardiomyopathy (DCM). Specifically, the A allele at SNP rs177415 may increase the risk of developing DCM, a common cause of heart failure.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Disease Pathogenesis
Background:
- Dilated cardiomyopathy (DCM) is a major cause of heart failure and transplantation, characterized by ventricular enlargement and dysfunction.
- Potential pathogenic mechanisms include genetic predisposition, viral infections, autoimmunity, and apoptosis.
- The presenilin-1 gene is implicated in apoptosis and cardiac development, suggesting a potential role in DCM.
Purpose of the Study:
- To investigate the association between single nucleotide polymorphisms (SNPs) in the presenilin-1 gene and the risk of dilated cardiomyopathy.
- To examine the specific roles of presenilin-1 SNPs rs1800844 and rs177415 in DCM susceptibility.
Main Methods:
- Genotyping of two presenilin-1 SNPs (rs1800844 and rs177415) using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP).
- Comparison of SNP and allele frequencies between 282 DCM patients and 306 healthy controls.
- Statistical analysis using unconditional logistic regression, adjusting for covariates like diabetes, hyperlipidemia, smoking, and gender.
Main Results:
- A significant increase in the frequency of AA and AC genotypes and the A allele at SNP rs177415 was observed in DCM patients compared to controls.
- No significant differences in genotype or allele frequencies for SNP rs1800844 were found between the groups.
- Logistic regression confirmed an association between SNP rs177415 and DCM susceptibility (adjusted OR = 1.300, P = 0.039).
Conclusions:
- This study provides the first evidence linking presenilin-1 gene SNPs to human dilated cardiomyopathy.
- The A allele at SNP rs177415 in the presenilin-1 gene appears to be associated with an increased risk of DCM.
- These findings highlight the potential role of presenilin-1 in the genetic predisposition to DCM.
Abstract:
Dilated cardiomyopathy (DCM) is characterized by ventricular chamber enlargement and systolic dysfunction with normal left ventricular wall thickness. It is the third leading causes of heart failure and the most common cause of heart transplantation due to its ventricular dilatation and contractile dysfunction. Currently, four hypothesized pathogenic mechanisms have been proposed: genetic predisposition, persistent cardiotropic viral infection, autoimmunity, and cell apoptosis. Presenilin-1 gene has been previously found to be associated with cell apoptosis and cardiac development. To assess the role of presenilin-1 in DCM, we examined two single nucleotide polymorphisms (SNPs) in presenilin-1 gene, namely, rs1800844 and rs177415. A total of 282 DCM patients and 306 controls were included in the study, and all SNPs were genotyped by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). Compared with controls, the frequency of AA and AC genotypes and the A allele at SNP rs177415 were significantly increased in DCM patients. No difference of the SNP genotype and allele frequencies at SNP rs1800844 was detected between DCM and control groups. Unconditional logistic regression adjusting for type 2 diabetes, hyperlipidemia, cigarette smoking, and gender, confirmed the association between that SNP rs177415 of the presenilin-1 gene and the susceptibility of DCM (adjusted OR 1.300, 95% CI 1.013-1.669; P = 0.039). Our data indicate, for the first time, the association of the presenilin-1 gene SNPs with human DCM and the allele A at SNP rs177415 in presenilin-1 gene may increase the risk of DCM.
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