Статья

IN SEARCH FOR GENETIC MARKERS OF NON-FAMILIA SICK SINUS SYNDROME

Zagidullin, N., Plechev, V., Badykova, E., Badykov, M., Akhmadishina, L., Korytina, G., Sagitov, I.
2019

Background Sick sinus syndrome (SSS) can result from genetic and environmental factors. More than a dozen genetic loci are under investigations. Objective To investigate whether 5 connective tissue and 5 ion channel gens involved in the pathogenesis of non-familial SSS. Methods In the case-control study, DNA was isolated from peripheral blood of 284 unrelated SSS patients (65.65±11.0 years) and 243 healthy donors (62.56±14.05). 10 single nucleotide polymorphisms (SNPs) were genotyped by the real-time polymerase chain reaction. Logistic regression was used to detect the association of SNPs with SSS in different models. Results In the control group Hardy-Weinberg equilibrium was PH-W=0.022 for CHRM2 (rs2350782), PH-W=0.081 for SYT10 (rs7980799), PH-W=0.18 for MYH6 (rs365990), PH-W=0.37 for FNDC3B (rs9647379), PH-W=0.23 for MIR146A (rs2910164), PH-W=0.0001 for MIR196A2 (rs11614913). No statistically significant differences were observed in the CHRM2 rs2350782 frequency distribution (χ2=2.46, P=0.118 for alleles and χ2=3.41, P=0.18 for genotypes). Genotypes of the dominant model (T/T+T/C) were more common in the control group (36.2%) compared with SSS patients (28.9%) Padj=0.052. Analysis, depending on the type of SSS, showed FNDC3B rs9647379 C/C genotype was associated with bradycardia (P=0.05, OR=1.55). The protective effect was shown for the additive model FNDC3B rs9647379 in (P=0.014, OR=0.71). In ion channel in the control group PH-W=0.0001 was for HCN4 (rs7164883), PH-W=0.49 for SCN10A (rs6795970), PH-W=0.069 for KCNE1 (rs1805127), PH-W=1.0 for CLCNKA (rs10927887), PH-W=0.0001 for KCNN3 (rs13376333). KCNE1 rs1805127 was of statistical significance (χ2 = 8.40, P = 0.02), so the T/T genotype was more frequent in the control group, 15.64% vs. 8.45% in the SSS, OR = 0.50, 95% CI (0.29-0.86). Conclusion FNDC3B rs9647379, CHRM2 rs2350782 of connective tissue; T/T genotype of the KCNE1 rs1805127 and CLCNKA g.16351275A>G of ion channel genes may be risk factors for the non-familia SSS.

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