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...
Main Authors: | , , , , , , , |
---|---|
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 |
_version_ | 1811322365532962816 |
---|---|
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. |
first_indexed | 2024-04-13T13:34:01Z |
format | Article |
id | doaj.art-c5f0d7607d61467fa181097c7e2bbc0d |
institution | Directory Open Access Journal |
issn | 1422-0067 |
language | English |
last_indexed | 2024-04-13T13:34:01Z |
publishDate | 2018-01-01 |
publisher | MDPI AG |
record_format | Article |
series | International Journal of Molecular Sciences |
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 |
work_keys_str_mv | AT sebastiancarballo differentialassociationofcx37andcx40geneticvariantsinatrialfibrillationwithandwithoutunderlyingstructuralheartdisease AT annapfenniger differentialassociationofcx37andcx40geneticvariantsinatrialfibrillationwithandwithoutunderlyingstructuralheartdisease AT davidcarballo differentialassociationofcx37andcx40geneticvariantsinatrialfibrillationwithandwithoutunderlyingstructuralheartdisease AT nicolasgarin differentialassociationofcx37andcx40geneticvariantsinatrialfibrillationwithandwithoutunderlyingstructuralheartdisease AT richardwjames differentialassociationofcx37andcx40geneticvariantsinatrialfibrillationwithandwithoutunderlyingstructuralheartdisease AT francoismach differentialassociationofcx37andcx40geneticvariantsinatrialfibrillationwithandwithoutunderlyingstructuralheartdisease AT dipenshah differentialassociationofcx37andcx40geneticvariantsinatrialfibrillationwithandwithoutunderlyingstructuralheartdisease AT brendarkwak differentialassociationofcx37andcx40geneticvariantsinatrialfibrillationwithandwithoutunderlyingstructuralheartdisease |