Genetic and Metabolic Determinants of Atrial Fibrillation in a General Population Sample: The CHRIS Study

Atrial fibrillation (AF) is a supraventricular arrhythmia deriving from uncoordinated electrical activation with considerable associated morbidity and mortality. To expand the limited understanding of AF biological mechanisms, we performed two screenings, investigating the genetic and metabolic dete...

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Autores principales: David B. Emmert, Vladimir Vukovic, Nikola Dordevic, Christian X. Weichenberger, Chiara Losi, Yuri D’Elia, Claudia Volpato, Vinicius V. Hernandes, Martin Gögele, Luisa Foco, Giulia Pontali, Deborah Mascalzoni, Francisco S. Domingues, Rupert Paulmichl, Peter P. Pramstaller, Cristian Pattaro, Alessandra Rossini, Johannes Rainer, Christian Fuchsberger, Marzia De Bortoli
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:af4026a9c15446038e6a8b5fd793952a2021-11-25T16:53:31ZGenetic and Metabolic Determinants of Atrial Fibrillation in a General Population Sample: The CHRIS Study10.3390/biom111116632218-273Xhttps://doaj.org/article/af4026a9c15446038e6a8b5fd793952a2021-11-01T00:00:00Zhttps://www.mdpi.com/2218-273X/11/11/1663https://doaj.org/toc/2218-273XAtrial fibrillation (AF) is a supraventricular arrhythmia deriving from uncoordinated electrical activation with considerable associated morbidity and mortality. To expand the limited understanding of AF biological mechanisms, we performed two screenings, investigating the genetic and metabolic determinants of AF in the Cooperative Health Research in South Tyrol study. We found 110 AF cases out of 10,509 general population individuals. A genome-wide association scan (GWAS) identified two novel loci (<em>p</em>-value < 5 × 10<sup>−8</sup>) around SNPs rs745582874, next to gene <em>PBX1</em>, and rs768476991, within gene <em>PCCA</em>, with genotype calling confirmed by Sanger sequencing. Risk alleles at both SNPs were enriched in a family detected through familial aggregation analysis of the phenotype, and both rare alleles co-segregated with AF. The metabolic screening of 175 metabolites, in a subset of individuals, revealed a 41% lower concentration of lysophosphatidylcholine lysoPC a C20:3 in AF cases compared to controls (<em>p</em>-adj = 0.005). The genetic findings, combined with previous evidence, indicate that the two identified GWAS loci may be considered novel genetic rare determinants for AF. Considering additionally the association of lysoPC a C20:3 with AF by metabolic screening, our results demonstrate the valuable contribution of the combined genomic and metabolomic approach in studying AF in large-scale population studies.David B. EmmertVladimir VukovicNikola DordevicChristian X. WeichenbergerChiara LosiYuri D’EliaClaudia VolpatoVinicius V. HernandesMartin GögeleLuisa FocoGiulia PontaliDeborah MascalzoniFrancisco S. DominguesRupert PaulmichlPeter P. PramstallerCristian PattaroAlessandra RossiniJohannes RainerChristian FuchsbergerMarzia De BortoliMDPI AGarticleatrial fibrillationGWASrare allelesfamilial aggregationmetabolomicsCooperative Health Research in South TyrolMicrobiologyQR1-502ENBiomolecules, Vol 11, Iss 1663, p 1663 (2021)
institution DOAJ
collection DOAJ
language EN
topic atrial fibrillation
GWAS
rare alleles
familial aggregation
metabolomics
Cooperative Health Research in South Tyrol
Microbiology
QR1-502
spellingShingle atrial fibrillation
GWAS
rare alleles
familial aggregation
metabolomics
Cooperative Health Research in South Tyrol
Microbiology
QR1-502
David B. Emmert
Vladimir Vukovic
Nikola Dordevic
Christian X. Weichenberger
Chiara Losi
Yuri D’Elia
Claudia Volpato
Vinicius V. Hernandes
Martin Gögele
Luisa Foco
Giulia Pontali
Deborah Mascalzoni
Francisco S. Domingues
Rupert Paulmichl
Peter P. Pramstaller
Cristian Pattaro
Alessandra Rossini
Johannes Rainer
Christian Fuchsberger
Marzia De Bortoli
Genetic and Metabolic Determinants of Atrial Fibrillation in a General Population Sample: The CHRIS Study
description Atrial fibrillation (AF) is a supraventricular arrhythmia deriving from uncoordinated electrical activation with considerable associated morbidity and mortality. To expand the limited understanding of AF biological mechanisms, we performed two screenings, investigating the genetic and metabolic determinants of AF in the Cooperative Health Research in South Tyrol study. We found 110 AF cases out of 10,509 general population individuals. A genome-wide association scan (GWAS) identified two novel loci (<em>p</em>-value < 5 × 10<sup>−8</sup>) around SNPs rs745582874, next to gene <em>PBX1</em>, and rs768476991, within gene <em>PCCA</em>, with genotype calling confirmed by Sanger sequencing. Risk alleles at both SNPs were enriched in a family detected through familial aggregation analysis of the phenotype, and both rare alleles co-segregated with AF. The metabolic screening of 175 metabolites, in a subset of individuals, revealed a 41% lower concentration of lysophosphatidylcholine lysoPC a C20:3 in AF cases compared to controls (<em>p</em>-adj = 0.005). The genetic findings, combined with previous evidence, indicate that the two identified GWAS loci may be considered novel genetic rare determinants for AF. Considering additionally the association of lysoPC a C20:3 with AF by metabolic screening, our results demonstrate the valuable contribution of the combined genomic and metabolomic approach in studying AF in large-scale population studies.
format article
author David B. Emmert
Vladimir Vukovic
Nikola Dordevic
Christian X. Weichenberger
Chiara Losi
Yuri D’Elia
Claudia Volpato
Vinicius V. Hernandes
Martin Gögele
Luisa Foco
Giulia Pontali
Deborah Mascalzoni
Francisco S. Domingues
Rupert Paulmichl
Peter P. Pramstaller
Cristian Pattaro
Alessandra Rossini
Johannes Rainer
Christian Fuchsberger
Marzia De Bortoli
author_facet David B. Emmert
Vladimir Vukovic
Nikola Dordevic
Christian X. Weichenberger
Chiara Losi
Yuri D’Elia
Claudia Volpato
Vinicius V. Hernandes
Martin Gögele
Luisa Foco
Giulia Pontali
Deborah Mascalzoni
Francisco S. Domingues
Rupert Paulmichl
Peter P. Pramstaller
Cristian Pattaro
Alessandra Rossini
Johannes Rainer
Christian Fuchsberger
Marzia De Bortoli
author_sort David B. Emmert
title Genetic and Metabolic Determinants of Atrial Fibrillation in a General Population Sample: The CHRIS Study
title_short Genetic and Metabolic Determinants of Atrial Fibrillation in a General Population Sample: The CHRIS Study
title_full Genetic and Metabolic Determinants of Atrial Fibrillation in a General Population Sample: The CHRIS Study
title_fullStr Genetic and Metabolic Determinants of Atrial Fibrillation in a General Population Sample: The CHRIS Study
title_full_unstemmed Genetic and Metabolic Determinants of Atrial Fibrillation in a General Population Sample: The CHRIS Study
title_sort genetic and metabolic determinants of atrial fibrillation in a general population sample: the chris study
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/af4026a9c15446038e6a8b5fd793952a
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