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Published on: March 12, 2013
Association of KCNE1 genetic polymorphisms with atrial fibrillation in a Chinese Han population
Juan Yao1, Yi-Tong Ma, Xiang Xie
1Department of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, P.R. China.
Insights
Genetic variations in the KCNE1 gene are linked to an increased risk of atrial fibrillation (AF) in the Chinese Han population. Specifically, the rs1805127 polymorphism emerged as an independent risk factor for AF development.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Population Genetics
Background:
- Atrial fibrillation (AF) is a common arrhythmia with complex genetic underpinnings.
- The KCNE1 gene plays a crucial role in cardiac ion channel function, influencing cardiac electrical activity.
Purpose of the Study:
- To investigate the association between KCNE1 gene polymorphisms and the risk of atrial fibrillation (AF).
- To evaluate the role of specific single-nucleotide polymorphisms (SNPs) in AF susceptibility within a Chinese Han population.
Main Methods:
- Genotyping of 307 AF patients and 330 controls using polymerase chain reaction-restriction fragment length polymorphism.
- Analysis of two KCNE1 SNPs: rs1805127 and rs1892593.
- Logistic regression analysis to identify independent risk factors.
Main Results:
- The rs1805127 polymorphism showed significant differences in genotype and allele frequencies between AF patients and controls (p=0.016 and p=0.005, respectively).
- rs1805127 was associated with left atrial and left ventricular diameters in AF patients (p<0.001).
- Logistic regression identified rs1805127 (AG and GG genotypes) as an independent risk factor for AF (OR=1.66-2.03).
Conclusions:
- The KCNE1 gene polymorphism, particularly rs1805127, is associated with an elevated risk of atrial fibrillation in the Chinese Han population.
- These findings contribute to understanding the genetic determinants of AF and may inform future risk stratification strategies.
Objective:
The purpose of this study was to investigate the association of the polymorphisms of the KCNE1 gene with atrial fibrillation (AF) in a Chinese Han population.
Methods:
Three hundred seven AF patients and 330 age- and sex-matched controls were genotyped using the polymerase chain reaction-restriction fragment length polymorphism method for two single-nucleotide polymorphisms (rs1805127 and rs1892593) of the human KCNE1 gene.
Results:
The frequencies of the AA, AG, and GG genotypes of rs1805127 were 11.7%, 50.0%, and 43.3%, respectively, in the AF group, whereas the ones in the control group had frequencies of 19.4%, 44.9%, and 35.8%, respectively. There were significant differences in frequencies of these three genotypes (χ(2)=7.820, p=0.016) and G allele (65.8% vs. 58.2%; χ(2)=8.266, p=0.005). The frequencies of AA, AG, and GG of rs1892593 were 38.4%, 47.9%, and 13.7% in the AF group, whereas the ones in the control group had frequencies of 37.8%, 48.5%, and 14.0%, respectively. There was no difference in distributions of frequencies of these three genotypes and allele (χ(2)=0.051, p=0.978; χ(2)=1.024, p=0.837, respectively) between AF patients and control subjects. We also found that rs1805127 was associated with left atrial diameter and left ventricular end diastolic diameter in AF patients (χ(2)=24.883, p<0.001; χ(2)=34.901, p<0.001, respectively). Logistic regression analysis showed that rs1805127 was an independent risk factor of AF in a Chinese Han population (odds ratio [OR]=1.66, 95% confidence interval [CI]: 1.02-2.68 for AG; OR=2.03, 95% CI: 1.24-3.31 for GG).
Conclusion:
The genetic polymorphism of KCNE1 was associated with increased risk of AF in a Chinese Han population.
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