Differential Association of Cx37 and Cx40 Genetic Variants in Atrial Fibrillation with and without Underlying Structural Heart Disease

Atrial fibrillation (AF) appears in the presence or absence of structural heart disease. The majority of foci causing AF are located near the ostia of pulmonary veins (PVs), where cardiomyocytes and vascular smooth muscle cells interdigitate. Connexins (Cx) form gap junction channels and participate...

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Main Authors: Sebastian Carballo, Anna Pfenniger, David Carballo, Nicolas Garin, Richard W James, François Mach, Dipen Shah, Brenda R Kwak
Format: Article
Language:English
Published: MDPI AG 2018-01-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:http://www.mdpi.com/1422-0067/19/1/295
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author Sebastian Carballo
Anna Pfenniger
David Carballo
Nicolas Garin
Richard W James
François Mach
Dipen Shah
Brenda R Kwak
author_facet Sebastian Carballo
Anna Pfenniger
David Carballo
Nicolas Garin
Richard W James
François Mach
Dipen Shah
Brenda R Kwak
author_sort Sebastian Carballo
collection DOAJ
description Atrial fibrillation (AF) appears in the presence or absence of structural heart disease. The majority of foci causing AF are located near the ostia of pulmonary veins (PVs), where cardiomyocytes and vascular smooth muscle cells interdigitate. Connexins (Cx) form gap junction channels and participate in action potential propagation. Genetic variants in genes encoding Cx40 and Cx37 affect their expression or function and may contribute to PV arrhythmogenicity. DNA was obtained from 196 patients with drug-resistant, symptomatic AF with and without structural heart disease, who were referred for percutaneous catheter ablation. Eighty-nine controls were matched for age, gender, hypertension, and BMI. Genotyping of the Cx40 −44G > A, Cx40 +71A > G, Cx40 −26A > G, and Cx37 1019C > T polymorphisms was performed. The promoter A Cx40 polymorphisms (−44G > A and +71A > G) showed no association with non-structural or structural AF. Distribution of the Cx40 promoter B polymorphism (−26A > G) was different in structural AF when compared to controls (p = 0.03). There was no significant difference with non-structural AF (p = 0.50). The distribution of the Cx37 1019C > T polymorphism was different in non-structural AF (p = 0.03) but not in structural AF (p = 0.08) when compared to controls. Our study describes for the first time an association of drug-resistant non-structural heart disease AF with the Cx37 1019C > T gene polymorphism. We also confirmed the association of the Cx40 − 26G > A polymorphism in patients with AF and structural disease.
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spelling doaj.art-c5f0d7607d61467fa181097c7e2bbc0d2022-12-22T02:44:50ZengMDPI AGInternational Journal of Molecular Sciences1422-00672018-01-0119129510.3390/ijms19010295ijms19010295Differential Association of Cx37 and Cx40 Genetic Variants in Atrial Fibrillation with and without Underlying Structural Heart DiseaseSebastian Carballo0Anna Pfenniger1David Carballo2Nicolas Garin3Richard W James4François Mach5Dipen Shah6Brenda R Kwak7Service of General Internal medicine, University Hospitals of Geneva, 1211 Geneva, SwitzerlandDepartment of Pathology and Immunology, University of Geneva, 1211 Geneva, SwitzerlandService of Cardiology, University Hospitals of Geneva, 1211 Geneva, SwitzerlandService of General Internal medicine, University Hospitals of Geneva, 1211 Geneva, SwitzerlandService of Endocrinology and Diabetes, University Hospitals of Geneva, 1211 Geneva, SwitzerlandService of Cardiology, University Hospitals of Geneva, 1211 Geneva, SwitzerlandService of Cardiology, University Hospitals of Geneva, 1211 Geneva, SwitzerlandDepartment of Pathology and Immunology, University of Geneva, 1211 Geneva, SwitzerlandAtrial fibrillation (AF) appears in the presence or absence of structural heart disease. The majority of foci causing AF are located near the ostia of pulmonary veins (PVs), where cardiomyocytes and vascular smooth muscle cells interdigitate. Connexins (Cx) form gap junction channels and participate in action potential propagation. Genetic variants in genes encoding Cx40 and Cx37 affect their expression or function and may contribute to PV arrhythmogenicity. DNA was obtained from 196 patients with drug-resistant, symptomatic AF with and without structural heart disease, who were referred for percutaneous catheter ablation. Eighty-nine controls were matched for age, gender, hypertension, and BMI. Genotyping of the Cx40 −44G > A, Cx40 +71A > G, Cx40 −26A > G, and Cx37 1019C > T polymorphisms was performed. The promoter A Cx40 polymorphisms (−44G > A and +71A > G) showed no association with non-structural or structural AF. Distribution of the Cx40 promoter B polymorphism (−26A > G) was different in structural AF when compared to controls (p = 0.03). There was no significant difference with non-structural AF (p = 0.50). The distribution of the Cx37 1019C > T polymorphism was different in non-structural AF (p = 0.03) but not in structural AF (p = 0.08) when compared to controls. Our study describes for the first time an association of drug-resistant non-structural heart disease AF with the Cx37 1019C > T gene polymorphism. We also confirmed the association of the Cx40 − 26G > A polymorphism in patients with AF and structural disease.http://www.mdpi.com/1422-0067/19/1/295atrial fibrillationconnexinpolymorphismgenetic variant
spellingShingle Sebastian Carballo
Anna Pfenniger
David Carballo
Nicolas Garin
Richard W James
François Mach
Dipen Shah
Brenda R Kwak
Differential Association of Cx37 and Cx40 Genetic Variants in Atrial Fibrillation with and without Underlying Structural Heart Disease
International Journal of Molecular Sciences
atrial fibrillation
connexin
polymorphism
genetic variant
title Differential Association of Cx37 and Cx40 Genetic Variants in Atrial Fibrillation with and without Underlying Structural Heart Disease
title_full Differential Association of Cx37 and Cx40 Genetic Variants in Atrial Fibrillation with and without Underlying Structural Heart Disease
title_fullStr Differential Association of Cx37 and Cx40 Genetic Variants in Atrial Fibrillation with and without Underlying Structural Heart Disease
title_full_unstemmed Differential Association of Cx37 and Cx40 Genetic Variants in Atrial Fibrillation with and without Underlying Structural Heart Disease
title_short Differential Association of Cx37 and Cx40 Genetic Variants in Atrial Fibrillation with and without Underlying Structural Heart Disease
title_sort differential association of cx37 and cx40 genetic variants in atrial fibrillation with and without underlying structural heart disease
topic atrial fibrillation
connexin
polymorphism
genetic variant
url http://www.mdpi.com/1422-0067/19/1/295
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