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LRP6 Polymorphisms Is Associated With Sudden Cardiac Death in Patients With Chronic Heart Failure in the Chinese Han
Qi Guo1, Yiwei Lai1, Jianmin Chu2
1Department of Cardiology, National Clinical Research Center for Cardiovascular Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Insights
Genetic variations in Low-density lipoprotein receptor-related protein 6 (LRP6) are linked to increased sudden cardiac death (SCD) risk in chronic heart failure (CHF) patients. The LRP6 SNP rs2302684 T>A variant predicts higher mortality and SCD in this population.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Genetic Epidemiology
Background:
- Low-density lipoprotein receptor-related protein 6 (LRP6) is crucial for cardiovascular homeostasis.
- LRP6 deficiency is linked to arrhythmias, but its genetic variants' role in sudden cardiac death (SCD) is unclear.
Purpose of the Study:
- To investigate the association between common LRP6 genetic variants and the prognosis of chronic heart failure (CHF) patients.
- To evaluate the impact of LRP6 polymorphisms on survival outcomes in CHF.
Main Methods:
- A cohort of 1,437 CHF patients was recruited from 10 Chinese hospitals between July 2005 and December 2009.
- The single-nucleotide polymorphism (SNP) rs2302684 in LRP6 was genotyped.
- Patients were followed for a median of 61 months to assess all-cause death and SCD.
Main Results:
- Patients with the A allele of rs2302684 exhibited a significantly increased risk of all-cause death (adjusted HR 1.452) and SCD (adjusted HR 1.783).
- The T>A variation at SNP rs2302684 in LRP6 was associated with higher risks of all-cause mortality and SCD in CHF patients.
- Out of 1,437 patients, 546 (38.0%) died, including 201 (36.8%) SCD cases.
Conclusions:
- The LRP6 SNP rs2302684 T>A variant is a significant predictor of increased all-cause death and SCD in CHF patients.
- LRP6 may serve as a novel biomarker for predicting SCD risk.
- LRP6 warrants further investigation as a potential therapeutic target for SCD prevention in CHF populations.
Abstract:
Low-density lipoprotein receptor-related protein 6 (LRP6) plays a critical role in cardiovascular homeostasis. The deficiency of LRP6 is associated with a high risk of arrhythmias. However, the association between genetic variations of LRP6 and sudden cardiac death (SCD) remains unknown. This study aims to explore the association between common variants of LRP6 and the prognosis of chronic heart failure (CHF) patients. From July 2005 to December 2009, patients with CHF were enrolled from 10 hospitals in China. The single-nucleotide polymorphism (SNP) rs2302684 was selected for the evaluation of the effect of LRP6 polymorphisms on the survival in patients with CHF. A total of 1,437 patients with CHF were finally included for the analysis. During a median follow-up of 61 months (range 0.4-129 months), a total of 546 (38.0%) patients died, including 201 (36.8%) cases with SCD and 345 (63.2%) cases with non-SCD. Patients carrying A allele of rs2302684 had an increased risk of all-cause death (adjusted HR 1.452, 95% CI 1.189-1.706; P < 0.001) and SCD (adjusted HR 1.783, 95% CI 1.337-2.378; P < 0.001). Therefore, the SNP rs2302684 T>A in LRP6 indicated higher risks of all-cause death and SCD in patients with CHF. LRP6 could be added as a novel predictor of SCD and might be a potential therapeutic target in the prevention of SCD in the CHF population.
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