Common and rare susceptibility genetic variants predisposing to Brugada Syndrome in Thailand.


Journal article


P. Makarawate, C. Glinge, A. Khongphatthanayothin, R. Walsh, J. Mauleekoonphairoj, Montawatt Amnueypol, S. Prechawat, W. Wongcharoen, R. Krittayaphong, Alisara Anannab, P. Lichtner, T. Meitinger, F. Tjong, K. Lieve, A. Amin, Dujdao Sahasatas, T. Ngarmukos, D. Wichadakul, S. Payungporn, B. Sutjaporn, P. Wandee, Y. Poovorawan, J. Tfelt‐Hansen, M. Tanck, R. Tadros, A. Wilde, C. Bezzina, G. Veerakul, K. Nademanee
Heart Rhythm, 2020

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APA   Click to copy
Makarawate, P., Glinge, C., Khongphatthanayothin, A., Walsh, R., Mauleekoonphairoj, J., Amnueypol, M., … Nademanee, K. (2020). Common and rare susceptibility genetic variants predisposing to Brugada Syndrome in Thailand. Heart Rhythm.


Chicago/Turabian   Click to copy
Makarawate, P., C. Glinge, A. Khongphatthanayothin, R. Walsh, J. Mauleekoonphairoj, Montawatt Amnueypol, S. Prechawat, et al. “Common and Rare Susceptibility Genetic Variants Predisposing to Brugada Syndrome in Thailand.” Heart Rhythm (2020).


MLA   Click to copy
Makarawate, P., et al. “Common and Rare Susceptibility Genetic Variants Predisposing to Brugada Syndrome in Thailand.” Heart Rhythm, 2020.


BibTeX   Click to copy

@article{p2020a,
  title = {Common and rare susceptibility genetic variants predisposing to Brugada Syndrome in Thailand.},
  year = {2020},
  journal = {Heart Rhythm},
  author = {Makarawate, P. and Glinge, C. and Khongphatthanayothin, A. and Walsh, R. and Mauleekoonphairoj, J. and Amnueypol, Montawatt and Prechawat, S. and Wongcharoen, W. and Krittayaphong, R. and Anannab, Alisara and Lichtner, P. and Meitinger, T. and Tjong, F. and Lieve, K. and Amin, A. and Sahasatas, Dujdao and Ngarmukos, T. and Wichadakul, D. and Payungporn, S. and Sutjaporn, B. and Wandee, P. and Poovorawan, Y. and Tfelt‐Hansen, J. and Tanck, M. and Tadros, R. and Wilde, A. and Bezzina, C. and Veerakul, G. and Nademanee, K.}
}

Abstract

BACKGROUND Mutations in SCN5A are rarely found in Thai patients with Brugada syndrome (BrS). Recent evidence suggested that common genetic variation may underlie BrS in a complex inheritance model.

OBJECTIVE To find common and rare/low frequency genetic variants predisposing to BrS in Thailand.

METHODS We conducted a genome-wide association study (GWAS) to explore the association of common variants in 154 Thai BrS cases and 432 controls. We sequenced SCN5A in 131 cases and 205 controls. Variants were classified according to current guidelines and case-control association testing was performed for rare and low frequency variants.

RESULTS Two loci were significantly associated with BrS. The first was near SCN5A/SCN10A (lead marker rs10428132; odds ratio [OR]2.4, P=3x10-10). The conditional analysis identified a novel independent signal in the same locus (rs6767797; OR2.3, P=2.7x10-10). The second locus was near HEY2 (lead marker rs3734634; OR2.5, P=7x10-9). Rare (MAF<0.0001) coding variants in SCN5A were found in 8 of the 131 cases (6.1% in cases versus 2.0% in controls, P=0.046, OR=3.3 [1.0-11.1]), but an enrichment of low frequency (MAF<0.001 and >0.0001) variants was also observed in cases, with one variant (SCN5A:p.Arg965Cys), detected in 4.6% of Thai BrS patients vs 0.5% in controls (P=0.015, OR=9.8[1.2-82.3]).

CONCLUSIONS The genetic basis of BrS in Thailand includes a wide spectrum of variant frequencies and effect sizes. As previously shown in European and Japanese populations, common variants near SCN5A and HEY2 are associated with BrS in the Thai population, confirming the trans-ethnic transferability of these two major BrS loci.