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Published on: August 8, 2022
Analysis of SIRT4 gene single-nucleotide polymorphisms in a Han Chinese population with dilated cardiomyopathy
Yue Zhong1, Can Shen1, Ying Peng1
1Department of Cardiology, West China Hospital of Sichuan University, Chengdu, Sichuan, 610041, China.
Insights
Genetic variations in the SIRT4 gene are linked to increased risk and poorer outcomes for dilated cardiomyopathy (DCM) in Chinese individuals. Specific SIRT4 polymorphisms influence both disease susceptibility and patient prognosis.
Area of Science:
- Genetics
- Cardiology
- Molecular Biology
Background:
- Dilated cardiomyopathy (DCM) is a significant cause of heart failure.
- The genetic underpinnings of DCM susceptibility and progression require further elucidation.
- Sirtuin 4 (SIRT4) is implicated in cellular metabolism and stress response, potentially relevant to cardiac health.
Purpose of the Study:
- To investigate the association between SIRT4 gene polymorphisms and the susceptibility to DCM.
- To determine if SIRT4 gene polymorphisms correlate with the prognosis of DCM patients.
- To analyze these associations within a Chinese population.
Main Methods:
- Case-control study design.
- Genotyping of three tag single-nucleotide polymorphisms (SNPs) in the SIRT4 gene (rs2261612, rs2522138, rs16950058).
- Statistical analysis of genotype frequencies and clinical outcomes in 373 DCM patients and 369 controls.
Main Results:
- The G allele of rs2261612 was significantly associated with increased DCM susceptibility across multiple genetic models (p < 0.01).
- Specific genotypes (AG/GG, AG) of rs2261612 were linked to a poorer DCM prognosis, independent of key clinical factors like LVEF and CRT (p < 0.001).
- No significant associations were found for rs2522138 and rs16950058 with DCM susceptibility or prognosis.
Conclusions:
- SIRT4 gene polymorphisms are associated with both the susceptibility and prognosis of dilated cardiomyopathy in the studied Chinese population.
- The rs2261612 polymorphism in SIRT4 may serve as a potential genetic marker for DCM risk and outcome prediction.
- Further research is warranted to explore the functional mechanisms underlying SIRT4's role in DCM pathogenesis.
Abstract:
Aim: We aimed to investigate the association of SIRT4 gene polymorphisms with the susceptibility and prognosis of dilated cardiomyopathy (DCM) in a Chinese population. Materials & methods: A total of 369 controls and 373 DCM patients were enrolled. Three tag single-nucleotide polymorphisms (rs2261612, rs2522138 and rs16950058) on SIRT4 were evaluated. Results: G carriers of rs2261612 were associated with the susceptibility of DCM in codominant, dominant and overdominant genetic models (all p < 0.01). Furthermore, the AG/GG and AG genotype of rs2261612 in dominant and overdominant models correlated with poor prognosis of DCM, independent of left ventricular ejection fraction and cardiac resynchronization therapy (p < 0.001). Conclusion:SIRT4 polymorphisms were associated with the susceptibility and prognosis of DCM in a Chinese population.
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