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Genome-Wide Association Study of Copy Number Variations in Patients with Familial Neurocardiogenic Syncope

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Abstract

Neurocardiogenic syncope (NCS) is the most frequent type of syncope characterized by a self-limited episode of systemic hypotension. In this study, we conducted the first genome-wide association study testing copy number variations for association with NCS. Study population consisted of 107 consecutive patients with recurrent syncope and positive head-up tilt table testing. Four families with NCS were selected for CNV analysis. Affymetrix GeneChip® SNP 6.0 array was used for CNV analysis. Data and statistical analysis were performed with Affymetrix genotyping console 4.0 and GraphPad Prism v6. Positive family history of NCS was present in 19.6 % (n = 21) in our study population (n = 107). Twenty-six CNV regions were found to be significantly altered in families with NCS (P < 0.05). Several CNVs were identified in families with NCS. Further studies comprising wider study population are required to determine the effect of these variations on NCS development.

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References

  • Barc J, Briec F, Schmitt S, Kyndt F, Le Cunff M, Baron E, Vieyres C, Sacher F, Redon R, Le Caignec C, Le Marec H, Probst V, Schott J-J (2011) Screening for copy number variation in genes associated with the long QT syndrome: clinical relevance. J Am Coll Cardiol 57(1):40–47

    Article  CAS  PubMed  Google Scholar 

  • Fanciulli M, Norsworthy PJ, Petretto E, Dong R, Harper L, Kamesh L, Heward JM, Gough SC, de Smith A, Blakemore AI, Froguel P, Owen CJ, Pearce SH, Teixeira L, Guillevin L, Graham DS, Pusey CD, Cook HT, Vyse TJ, Aitman TJ (2007) FCGR3B copy number variation is associated with susceptibility to systemic, but not organ-specific, autoimmunity. Nat Genet 39(6):721–723

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Fogoros RN (1993) Cardiac arrhythmias. Syncope Stroke Neurol Clin 11(2):375–390

    CAS  PubMed  Google Scholar 

  • Grubb BP (2005) Neurocardiogenic syncope and related disorders of orthostatic intolerance. Circulation 111(22):2997–3006

    Article  PubMed  Google Scholar 

  • Iafrate AJ, Feuk L, Rivera MN, Listewnik ML, Donahoe PK, Qi Y, Scherer SW, Lee C (2004) Detection of large-scale variation in the human genome. Nat Genet 36(9):949–951

    Article  CAS  PubMed  Google Scholar 

  • Kapoor WN (2000) Syncope. N Engl J Med 343(25):1856–1862

    Article  CAS  PubMed  Google Scholar 

  • Kapoor WN (2002) Current evaluation and management of syncope. Circulation 106(13):1606–1609

    Article  PubMed  Google Scholar 

  • Klein KM, Berkovic SF (2014) Genetics of vasovagal syncope. Auton Neurosci 184:60–65

    Article  CAS  PubMed  Google Scholar 

  • Klein KM, Bromhead CJ, Smith KR, O’Callaghan CJ, Corcoran SJ, Heron SE, Iona X, Hodgson BL, McMahon JM, Lawrence KM, Scheffer IE, Dibbens LM, Bahlo M, Berkovic SF (2013) Autosomal dominant vasovagal syncope: clinical features and linkage to chromosome 15q26. Neurology 80(16):1485–1493

    Article  PubMed  Google Scholar 

  • Mathias CJ, Deguchi K, Bleasdale-Barr K, Kimber JR (1998) Frequency of family history in vasovagal syncope. Lancet 352(9121):33–34

    Article  CAS  PubMed  Google Scholar 

  • Medow MS, Stewart JM, Sanyal S, Mumtaz A, Sica D, Frishman WH (2008) Pathophysiology, diagnosis, and treatment of orthostatic hypotension and vasovagal syncope. Cardiol Rev 16(1):4–20

    Article  PubMed  Google Scholar 

  • Morillo CA, Ellenbogen KA, Fernando Pava L (1997) Pathophysiologic basis for vasodepressor syncope. Cardiol Clin 15(2):233–249

    Article  CAS  PubMed  Google Scholar 

  • Mosqueda-Garcia R, Furlan R, Tank J, Fernandez-Violante R (2000) The elusive pathophysiology of neurally mediated syncope. Circulation 102(23):2898–2906

    Article  CAS  PubMed  Google Scholar 

  • Newton JL, Kenny R, Lawson J, Frearson R, Donaldson P (2003a) Prevalence of family history in vasovagal syncope and haemodynamic response to head up tilt in first degree relatives. Clin Auton Res 13(1):22–26

    Article  PubMed  Google Scholar 

  • Newton JL, Kenny R, Lawson J, Frearson R, Donaldson P (2003b) Prevalence of family history in vasovagal syncope and haemodynamic response to head up tilt in first degree relatives: preliminary data for the Newcastle cohort. Clin Auton Res 13(1):22–26

    Article  PubMed  Google Scholar 

  • Sebat J, Lakshmi B, Troge J, Alexander J, Young J, Lundin P, Maner S, Massa H, Walker M, Chi M, Navin N, Lucito R, Healy J, Hicks J, Ye K, Reiner A, Gilliam TC, Trask B, Patterson N, Zetterberg A, Wigler M (2004) Large-scale copy number polymorphism in the human genome. Science 305(5683):525–528

    Article  CAS  PubMed  Google Scholar 

  • Yang Y, Chung EK, Wu YL, Savelli SL, Nagaraja HN, Zhou B, Hebert M, Jones KN, Shu Y, Kitzmiller K, Blanchong CA, McBride KL, Higgins GC, Rennebohm RM, Rice RR, Hackshaw KV, Roubey RA, Grossman JM, Tsao BP, Birmingham DJ, Rovin BH, Hebert LA, Yu CY (2007) Gene copy-number variation and associated polymorphisms of complement component C4 in human systemic lupus erythematosus (SLE): low copy number is a risk factor for and high copy number is a protective factor against SLE susceptibility in European Americans. Am J Hum Genet 80(6):1037–1054

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zaqqa M, Massumi A (2000) Neurally mediated syncope. Tex Heart Inst J 27(3):268–272

    CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

This study (109S206, SBAG-HD-427) was supported by the TÜBİTAK (The Scientific and Technological Research Council of Turkey) Research Foundation.

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Correspondence to Hikmet Hakan Aydin.

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Demir, E., Hasdemir, C., Ak, H. et al. Genome-Wide Association Study of Copy Number Variations in Patients with Familial Neurocardiogenic Syncope. Biochem Genet 54, 487–494 (2016). https://doi.org/10.1007/s10528-016-9735-z

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  • DOI: https://doi.org/10.1007/s10528-016-9735-z

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