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Published on: June 29, 2022
Sex-linked genetic mechanisms and atrial fibrillation risk
Georgina Wren1, William Davies2
1School of Psychology, Cardiff University, UK.
Insights
Sex-linked genetic mechanisms influence sex differences in atrial fibrillation (AF) risk and presentation. Understanding these genetic factors can lead to tailored AF interventions and better disease prediction.
Area of Science:
- Cardiology
- Genetics
- Sex-based Medicine
Background:
- Atrial fibrillation (AF) presents with sex-biased prevalence, risk factors, and treatment responses.
- Genetic factors are implicated in explaining these observed sex differences in AF.
Purpose of the Study:
- To explore four sex-linked genetic mechanisms contributing to sex-biased AF phenotypes.
- To identify novel candidate genes and pathways for AF risk and sex-specific interventions.
Main Methods:
- Review of four sex-linked genetic mechanisms: X-linked gene dosage, X-linked genomic imprinting, sex-biased autosomal gene expression, and Y-linked gene expression.
- Identification of candidate risk genes and pathways associated with AF.
Main Results:
- Detailed examination of how X-linked gene dosage, imprinting, autosomal expression, and Y-linked expression can influence AF.
- Highlighting specific genes and pathways requiring further investigation in AF research.
Conclusions:
- Sex-linked genetics play a crucial role in the sex disparities observed in atrial fibrillation.
- Further research into these genetic mechanisms can enable personalized AF risk assessment and sex-tailored therapeutic strategies.
Abstract:
Atrial fibrillation (AF) is a cardiac condition characterised by an irregular heartbeat, atrial pathology and an elevated downstream risk of thrombosis and heart failure, as well as neurological sequelae including stroke and dementia. The prevalence and presentation of, risk factors for, and therapeutic responses to, AF differ by sex, and this sex bias may be partially explained in terms of genetics. Here, we consider four sex-linked genetic mechanisms that may influence sex-biased phenotypes related to AF and provide examples of each: X-linked gene dosage, X-linked genomic imprinting, sex-biased autosomal gene expression, and male-limited Y-linked gene expression. We highlight novel candidate risk genes and pathways that warrant further investigation in clinical and preclinical studies. Understanding the biological basis of sex differences in AF should allow better prediction of disease risk, identification of novel risk/protective factors, and the development of more effective sex-tailored interventions.
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