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Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
Identification of novel variants for complicating cardiac disease in the scrub typhus infection using whole genome
Ki-Woon Kang1, Kyung-Won Hong2, Seong-Kyu Lee3,4
1Division of Cardiology, Chung-Ang University Hospital, Chung-Ang University School of Medicine, Seoul, Korea.
Insights
Genetic variants in SLC24A2 and ADARB2 may predict cardiac complications in scrub typhus patients. Early detection of these single nucleotide polymorphisms (SNPs) could aid in identifying individuals at higher risk for cardiovascular disease.
Area of Science:
- Genetics
- Infectious Diseases
- Cardiology
Background:
- Scrub typhus infection is associated with high mortality due to cardiovascular complications.
- Limited genetic susceptibility loci have been identified for cardiac diseases complicating scrub typhus.
- Whole genome sequencing is crucial for identifying novel genetic variants.
Purpose of the Study:
- To investigate novel genetic variants that predict cardiac complications in scrub typhus patients.
- To identify specific genetic markers associated with increased risk of cardiovascular disease in scrub typhus survivors.
- To explore the potential of genetic screening for early risk assessment.
Main Methods:
- A prospective study of eight scrub typhus patients.
- Whole genome sequencing of all participants.
- Comparison of genetic variants between patients with and without cardiac complications.
Main Results:
- Distinct genotype distributions were observed for two single nucleotide polymorphisms (SNPs).
- GG genotype in SLC24A2 (rs4977397) and non-TT genotype in ADARB2 (rs2676750) were associated with cardiac complications.
- These SNPs may serve as genetic markers for predicting cardiac disease.
Conclusions:
- SNPs in SLC24A2 and ADARB2 may act as genetic surrogate markers for cardiac complications in scrub typhus.
- Early detection of these variants could enable prediction of cardiac disease in scrub typhus patients.
- Further research with larger cohorts is needed to confirm these findings.
Background/Aims:
Scrub typhus infection has been known to complicate cardiovascular diseases mainly attributing to high mortality. Genetic susceptibility loci for complicating cardiac diseases such as atrial fibrillation, heart failure, and ischemic heart disease identified by genomic study have been limited in scrub typhus infection. Therefore, we investigated the genetic novel variants predicting complicating cardiac diseases in patients with confirmed scrub typhus infection using whole genome sequencing.
Methods:
We performed a prospective study for eight consecutive patients with scrub typhus infection. During follow-up, six cases were clinically diagnosed with complicating cardiac diseases and two controls without complicating cardiac diseases. The whole genomes of the all patients were sequenced, and the individual sequence variants were compared between accordcase and control patients. Variant genotypes were compared and identified as a single nucleotide polymorphism (SNP) of the different genotype distributions between six cases and two controls.
Results:
The GG genotype in SNP (rs4977397) of solute carrier 24 family member 2 (SLC24A2) gene and non-TT genotype in SNP (rs2676750) of adenosine deaminase, RNA specific, B2 (ADARB2) gene were distinctively found in the case patients with complicated cardiac disease, compared with control patents in the scrub typhus infection.
Conclusion:
We suggest that the SNPs of SLC24A2 and ADARB2 might be genetic surrogate markers for complicating cardiac diseases in the scrub typhus infection. Our study show that early detection based on individual sequence variants might be feasible to predict complicating cardiac diseases in patients with scrub typhus infection, if further studies with more participants confirm these findings.
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