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Genetic variation in SCN10A influences cardiac conduction

  • John C. Chambers
  • , Jing Zhao
  • , Cesare M.N. Terracciano
  • , Connie R. Bezzina
  • , Weihua Zhang
  • , Riyaz Kaba
  • , Manoraj Navaratnarajah
  • , Amol Lotlikar
  • , Joban S. Sehmi
  • , Manraj K. Kooner
  • , Guohong Deng
  • , Urszula Siedlecka
  • , Saurabh Parasramka
  • , Ismail El-Hamamsy
  • , Mark N. Wass
  • , Lukas R.C. Dekker
  • , Jonas S.S.G. De Jong
  • , Michael J.E. Sternberg
  • , William McKenna
  • , Nicholas J. Severs
  • Ranil De Silva, Arthur A.M. Wilde, Praveen Anand, Magdi Yacoub, James Scott, Paul Elliott, John N. Wood, Jaspal S. Kooner

Research output: Contribution to journalArticlepeer-review

241 Scopus citations

Abstract

To identify genetic factors influencing cardiac conduction, we carried out a genome-wide association study of electrocardiographic time intervals in 6,543 Indian Asians. We identified association of a nonsynonymous SNP, rs6795970, in SCN10A (P = 2.8 × 10 15) with PR interval, a marker of cardiac atrioventricular conduction. Replication testing among 6,243 Indian Asians and 5,370 Europeans confirmed that rs6795970 (GA) is associated with prolonged cardiac conduction (longer P-wave duration, PR interval and QRS duration, P = 10 5 to 10 20). SCN10A encodes Na V 1.8, a sodium channel. We show that SCN10A is expressed in mouse and human heart tissue and that PR interval is shorter in Scn10a / mice than in wild-type mice. We also find that rs6795970 is associated with a higher risk of heart block (P 0.05) and a lower risk of ventricular fibrillation (P = 0.01). Our findings provide new insight into the pathogenesis of cardiac conduction, heart block and ventricular fibrillation.

Original languageEnglish
Pages (from-to)149-152
Number of pages4
JournalNature Genetics
Volume42
Issue number2
DOIs
StatePublished - Feb 2010
Externally publishedYes

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