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Cardiac myosin binding protein C and MAP-kinase activating death domain-containing gene polymorphisms and diastolic
Cho-Kai Wu1, Yin-Tsen Huang, Jen-Kuang Lee
1Division of Cardiology, Department of Internal Medicine, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan.
Insights
A specific gene variant, rs2290149 in the MYBPC3 gene, is linked to diastolic heart failure (DHF). This finding may help identify individuals at risk for DHF in the Chinese population.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Genetic Epidemiology
Background:
- Myosin binding protein C (MYBPC3) is crucial for heart muscle function, particularly ventricular relaxation.
- Diastolic heart failure (DHF) represents a significant clinical challenge, often linked to impaired cardiac relaxation.
- Understanding the genetic underpinnings of DHF is essential for early diagnosis and risk stratification.
Purpose of the Study:
- To investigate the association between genetic variations in the MYBPC3 gene and the risk of developing diastolic heart failure (DHF).
- To identify specific single nucleotide polymorphisms (SNPs) and haplotypes within the MYBPC3 gene that are significantly correlated with DHF in a human population.
Main Methods:
- A case-control study was conducted with 176 DHF patients and matched controls.
- Twelve tagging SNPs across a 40 kb region of the MYBPC3 gene were genotyped.
- Linkage disequilibrium (LD) analysis and haplotype construction were performed to assess genetic associations with DHF.
Main Results:
- Single locus analysis identified SNP rs2290149 as significantly associated with DHF (p = 0.004).
- This SNP demonstrated an odds ratio of 2.14 for the additive model and 2.06 for the dominant model, indicating increased DHF risk.
- A specific haplotype (C-C-G-C) containing rs2290149 was also significantly associated with DHF (p = 0.029).
Conclusions:
- A significant association was found between the MYBPC3 gene polymorphism rs2290149 and early diastolic heart failure (DHF).
- This genetic marker may contribute to understanding DHF susceptibility in the Chinese population.
- Further research is warranted to explore the functional implications of this genetic association.
Objective:
Myosin binding protein C (MYBPC3) plays a role in ventricular relaxation. The aim of the study was to investigate the association between cardiac myosin binding protein C (MYBPC3) gene polymorphisms and diastolic heart failure (DHF) in a human case-control study.
Methods:
A total of 352 participants of 1752 consecutive patients from the National Taiwan University Hospital and its affiliated hospital were enrolled. 176 patients diagnosed with DHF confirmed by echocardiography were recruited. Controls were matched 1-to-1 by age, sex, hypertension, diabetes, renal function and medication use. We genotyped 12 single nucleotide polymorphisms (SNPs) according to HapMap Han Chinese Beijing databank across a 40 kb genetic region containing the MYBPC3 gene and the neighboring DNA sequences to capture 100% of haplotype variance in all SNPs with minor allele frequencies ≥ 5%. We also analyzed associations of these tagging SNPs and haplotypes with DHF and linkage disequilibrium (LD) structure of the MYBPC3 gene.
Results:
In a single locus analysis, SNP rs2290149 was associated with DHF (allele-specific p = 0.004; permuted p = 0.031). The SNP with a minor allele frequency of 9.4%, had an odds ratio 2.14 (95% CI 1.25-3.66; p = 0.004) for the additive model and 2.06 for the autosomal dominant model (GG+GA : AA, 95% CI 1.17-3.63; p = 0.013), corresponding to a population attributable risk fraction of 12.02%. The haplotypes in a LD block of rs2290149 (C-C-G-C) was also significantly associated with DHF (odds ratio 2.10 (1.53-2.89); permuted p = 0.029).
Conclusions:
We identified a SNP (rs2290149) among the tagging SNP set that was significantly associated with early DHF in a Chinese population.
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