Risk stratification of atrial fibrillation and stroke using single nucleotide polymorphism and circulating biomarkers.
<h4>Background</h4>Atrial fibrillation (AF) is the most common sustained arrhythmia, and it causes a high rate of complications such as stroke. It is known that AF begins as paroxysmal form and gradually progresses to persistent form, and sometimes it is difficult to identify paroxysmal...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0292118&type=printable |
| _version_ | 1797635252891418624 |
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| author | Tetsuo Sasano Kensuke Ihara Toshihiro Tanaka Tetsushi Furukawa |
| author_facet | Tetsuo Sasano Kensuke Ihara Toshihiro Tanaka Tetsushi Furukawa |
| author_sort | Tetsuo Sasano |
| collection | DOAJ |
| description | <h4>Background</h4>Atrial fibrillation (AF) is the most common sustained arrhythmia, and it causes a high rate of complications such as stroke. It is known that AF begins as paroxysmal form and gradually progresses to persistent form, and sometimes it is difficult to identify paroxysmal AF (PAF) before having stroke. The aim of this study is to evaluate the risk of PAF and stroke using genetic analysis and circulating biomarkers.<h4>Materials and methods</h4>A total of 600 adult subjects were enrolled (300 from PAF and control groups). Peripheral blood was drawn to identify the genetic variation and biomarkers. Ten single nucleotide polymorphisms (SNPs) were analyzed, and circulating cell-free DNA (cfDNA) was measured from plasma. Four microRNAs (miR-99a-5p, miR-192-5p, miR-214-3p, and miR-342-5p) were quantified in serum using quantitative RT-PCR.<h4>Results</h4>Genotyping identified 4 single nucleotide polymorphisms (SNPs) that were significantly associated with AF (rs6817105, rs3807989, rs10824026, and rs2106261), and the genetic risk score using 4 SNPs showed the area under the curve (AUC) of 0.631. Circulating miRNAs and cfDNA did not show significant differences between PAF and control groups. The concentration of cfDNA was significantly higher in patients with a history of stroke, and the AUC was 0.950 to estimate the association with stroke.<h4>Conclusion</h4>The risk of AF could be assessed by genetic risk score. Furthermore, the risk of stroke might be evaluated by plasma cfDNA level. |
| first_indexed | 2024-03-11T12:18:34Z |
| format | Article |
| id | doaj.art-3efe2515277a4f6fb7c4e1002490bba6 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-11T12:18:34Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-3efe2515277a4f6fb7c4e1002490bba62023-11-07T05:34:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-011810e029211810.1371/journal.pone.0292118Risk stratification of atrial fibrillation and stroke using single nucleotide polymorphism and circulating biomarkers.Tetsuo SasanoKensuke IharaToshihiro TanakaTetsushi Furukawa<h4>Background</h4>Atrial fibrillation (AF) is the most common sustained arrhythmia, and it causes a high rate of complications such as stroke. It is known that AF begins as paroxysmal form and gradually progresses to persistent form, and sometimes it is difficult to identify paroxysmal AF (PAF) before having stroke. The aim of this study is to evaluate the risk of PAF and stroke using genetic analysis and circulating biomarkers.<h4>Materials and methods</h4>A total of 600 adult subjects were enrolled (300 from PAF and control groups). Peripheral blood was drawn to identify the genetic variation and biomarkers. Ten single nucleotide polymorphisms (SNPs) were analyzed, and circulating cell-free DNA (cfDNA) was measured from plasma. Four microRNAs (miR-99a-5p, miR-192-5p, miR-214-3p, and miR-342-5p) were quantified in serum using quantitative RT-PCR.<h4>Results</h4>Genotyping identified 4 single nucleotide polymorphisms (SNPs) that were significantly associated with AF (rs6817105, rs3807989, rs10824026, and rs2106261), and the genetic risk score using 4 SNPs showed the area under the curve (AUC) of 0.631. Circulating miRNAs and cfDNA did not show significant differences between PAF and control groups. The concentration of cfDNA was significantly higher in patients with a history of stroke, and the AUC was 0.950 to estimate the association with stroke.<h4>Conclusion</h4>The risk of AF could be assessed by genetic risk score. Furthermore, the risk of stroke might be evaluated by plasma cfDNA level.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0292118&type=printable |
| spellingShingle | Tetsuo Sasano Kensuke Ihara Toshihiro Tanaka Tetsushi Furukawa Risk stratification of atrial fibrillation and stroke using single nucleotide polymorphism and circulating biomarkers. PLoS ONE |
| title | Risk stratification of atrial fibrillation and stroke using single nucleotide polymorphism and circulating biomarkers. |
| title_full | Risk stratification of atrial fibrillation and stroke using single nucleotide polymorphism and circulating biomarkers. |
| title_fullStr | Risk stratification of atrial fibrillation and stroke using single nucleotide polymorphism and circulating biomarkers. |
| title_full_unstemmed | Risk stratification of atrial fibrillation and stroke using single nucleotide polymorphism and circulating biomarkers. |
| title_short | Risk stratification of atrial fibrillation and stroke using single nucleotide polymorphism and circulating biomarkers. |
| title_sort | risk stratification of atrial fibrillation and stroke using single nucleotide polymorphism and circulating biomarkers |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0292118&type=printable |
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