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Genetics of Atrial Fibrillation: The Clinician's Perspective

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Atrial Fibrillation

Part of the book series: Contemporary Cardiology ((CONCARD))

Abstract

Atrial fibrillation (AF) remains one of the most challenging arrhythmias for the clinician and basic researcher. Different approaches have been undertaken from the basic standpoint to improve its understanding, from the development of animal models to the analysis of genetic backgrounds in individuals with familial and acquired forms of the disease. In recent years, a large body of evidence has shown that alterations in ionic currents are involved in the disease. Only recently, the genetic link between mutations in proteins responsible for these ionic currents and the familial disease has given the final evidence that AF can also be primarily an ion channelopathy. In this regard, despite the limited prevalence of inherited diseases, it has been shown that the knowledge gained from their study will be helpful in dealing with the most common acquired forms of the disease. Moreover, data from family studies and preliminary association studies stress the relevance of common genetic variants as modifiers of susceptibility to AF. Therefore, as new data continue to appear, clinicians can expect that soon better therapeutic and preventive options for this arrhythmia will emerge from basic science.

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References

  1. 1. Feinberg WM, Blackshear JL, Laupacis A, Kronmal R, Hart RG. Prevalence, age distribution, and gender of patients with atrial fibrillation. Analysis and implications. Arch Intern Med. 1995155(5):469–473.

    Article  CAS  PubMed  Google Scholar 

  2. 2. Wolf PA, Singer DE. Preventing stroke in atrial fibrillation. Am Fam Physician. 199756(9):2242–2250.

    CAS  PubMed  Google Scholar 

  3. 3. Fuster V, Ryden LE, Cannom DS, et al. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation—executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients with Atrial Fibrillation). Circulation. 2006;114:700–752.

    Article  Google Scholar 

  4. 4. Brugada R. Molecular biology of atrial fibrillation. Minerva Cardioangiol. 2004;52(2):65–72.

    CAS  PubMed  Google Scholar 

  5. 5. Barth AS, Merk S, Arnoldi E, Zwermann L, Kloos P, Gebauer M, Steinmeyer K, Bleich M, Kaab S, Hinterseer M, Kartmann H, Kreuzer E, Dugas M, Steinbeck G, Nabauer M. Reprogramming of the human atrial transcriptome in permanent atrial fibrillation: expression of a ventricular-like genomic signature. Circ Res. 2005;96(9):1022–1029.

    Article  CAS  PubMed  Google Scholar 

  6. 6. Barth AS, Hare JM. The potential for the transcriptome to serve as a clinical biomarker for cardiovascular diseases. Circ Res. 2006;98(12):1459–1461.

    Article  CAS  PubMed  Google Scholar 

  7. 7. Wolff L. Familiar auricular fibrillation. N Engl J Med. 1943;229:396.

    Article  Google Scholar 

  8. 8. Fox CS, Parise H, D'Agostino RB, Sr., Lloyd-Jones DM, Vasan RS, Wang TJ, Levy D, Wolf PA, Benjamin EJ. Parental atrial fibrillation as a risk factor for atrial fibril lation in offspring. JAMA. 2004;291(23):2851–2855.

    Article  CAS  PubMed  Google Scholar 

  9. 9. Arnar DO, Thorvaldsson S, Manolio TA, Thorgeirsson G, Kristjansson K, Hakonarson H, Stefansson K. Familial aggregation of atrial fibrillation in Iceland. Eur Heart J. 2006;27(6):708–712.

    Article  PubMed  Google Scholar 

  10. 10. Darbar D, Herron KJ, Ballew JD, Jahangir A, Gersh BJ, Shen WK, Hammill SC, Packer DL, Olson TM. Familial atrial fibrillation is a genetically heterogeneous disorder. J Am Coll Cardiol. 2003;41(12):2185–2192.

    Article  PubMed  Google Scholar 

  11. 11. Brugada R, Tapscott T, Czernuszewicz GZ, Marian AJ, Iglesias A, Mont L, Brugada J, Girona J, Domingo A, Bachinski LL, Roberts R. Identification of a genetic locus for familial atrial fibrillation. N Engl J Med. 1997;336(13):905–911.

    Article  CAS  PubMed  Google Scholar 

  12. 12. Chen YH, Xu SJ, Bendahhou S, Wang XL, Wang Y, Xu WY, Jin HW, Sun H, Su XY, Zhuang QN, Yang YQ, Li YB, Liu Y, Xu HJ, Li XF, Ma N, Mou CP, Chen Z, Barhanin J, Huang W. KCNQ1 gain-of-function mutation in familial atrial fibrilla tion. Science. 2003;299(5604):251–254.

    Article  CAS  PubMed  Google Scholar 

  13. 13. Hong K, Piper DR, az-Valdecantos A, Brugada J, Oliva A, Burashnikov E, Santos-de-Soto J, Grueso-Montero J, az-Enfante E, Brugada P, Sachse F, Sanguinetti MC, Brugada R. De novo KCNQ1 mutation responsible for atrial fibrillation and short QT syndrome in utero. Cardiovasc Res. 2005;68(3):433–440.

    Article  CAS  PubMed  Google Scholar 

  14. 14. Yang Y, Xia M, Jin Q, Bendahhou S, Shi J, Chen Y, Liang B, Lin J, Liu Y, Liu B, Zhou Q, Zhang D, Wang R, Ma N, Su X, Niu K, Pei Y, Xu W, Chen Z, Wan H, Cui J, Barhanin J, Chen Y. Identification of a KCNE2 gain-of-function mutation in patients with familial atrial fibrillation. Am J Hum Genet. 2004;75(5):899–905.

    Article  CAS  PubMed  Google Scholar 

  15. 15. Zhang DF, Liang B, Lin J, Liu B, Zhou QS, Yang YQ. [KCNE3 R53H substitution in familial atrial fibrillation]. Chin Med J (Engl. 2005;118(20):1735–1738.

    CAS  Google Scholar 

  16. 16. Xia M, Jin Q, Bendahhou S, He Y, Larroque MM, Chen Y, Zhou Q, Yang Y, Liu Y, Liu B, Zhu Q, Zhou Y, Lin J, Liang B, Li L, Dong X, Pan Z, Wang R, Wan H, Qiu W, Xu W, Eurlings P, Barhanin J, Chen Y. A Kir2.1 gain-of-function mutation under lies familial atrial fibrillation. Biochem Biophys Res Commun. 2005;332(4):1012– 1019.

    Article  CAS  PubMed  Google Scholar 

  17. 17. Olson TM, Alekseev AE, Liu XK, Park S, Zingman LV, Bienengraeber M, Sattiraju S, Ballew JD, Jahangir A, Terzic A. Kv1.5 channelopathy due to KCNA5 loss-of-function mutation causes human atrial fibrillation. Hum Mol Genet. 2006;15(14):2185–2191.

    Article  CAS  PubMed  Google Scholar 

  18. 18. Ellinor PT, Shin JT, Moore RK, Yoerger DM, MacRae CA. Locus for atrial fibril lation maps to chromosome 6q14–16. Circulation. 2003;107(23):2880–2883.

    Article  PubMed  Google Scholar 

  19. 19. Oberti C, Wang L, Li L, Dong J, Rao S, Du W, Wang Q. Genome-wide linkage scan identifies a novel genetic locus on chromosome 5p13 for neonatal atrial fibril lation associated with sudden death and variable cardiomyopathy. Circulation. 2005;110(25):3753–3759.

    Article  Google Scholar 

  20. 20. Gollob MH, Jones DL, Krahn AD, Danis L, Gong XQ, Shao Q, Liu X, Veinot JP, Tang AS, Stewart AF, Tesson F, Klein GJ, Yee R, Skanes AC, Guiraudon GM, Ebihara L, Bai D. Somatic mutations in the connexin 40 gene (GJA5. in atrial fibril lation. N Engl J Med. 2006;354(25):2677–2688.

    Article  CAS  PubMed  Google Scholar 

  21. 21. Gruver EJ, Fatkin D, Dodds GA, Kisslo J, Maron BJ, Seidman JG, Seidman CE. Familial hypertrophic cardiomyopathy and atrial fibrillation caused by Arg663His beta-cardiac myosin heavy chain mutation. Am J Cardiol. 1999;83(12A):13H–18H.

    Article  CAS  PubMed  Google Scholar 

  22. 22. Ohkubo R, Nakagawa M, Higuchi I, Utatsu Y, Miyazato H, Atsuchi Y, Osame M. Familial skeletal myopathy with atrioventricular block. Intern Med. 1999;38(11):856–860.

    Article  CAS  PubMed  Google Scholar 

  23. 23. Gillmore JD, Booth DR, Pepys MB, Hawkins PN. Hereditary cardiac amyloido-sis associated with the transthyretin Ile122 mutation in a white man. Heart. 1999;82(3):e2.

    CAS  PubMed  Google Scholar 

  24. 24. Schott JJ, Charpentier F, Peltier S, Foley P, Drouin E, Bouhour JB, Donnelly P, Vergnaud G, Bachner L, Moisan JP. Mapping of a gene for long QT syndrome to chromosome 4q25–27. Am J Hum Genet. 1995;57(5):1114–1122.

    CAS  PubMed  Google Scholar 

  25. 25. Morita H, Kusano-Fukushima K, Nagase S, Fujimoto Y, Hisamatsu K, Fujio H, Haraoka K, Kobayashi M, Morita ST, Nakamura K, Emori T, Matsubara H, Hina K, Kita T, Fukatani M, Ohe T. Atrial fibrillation and atrial vulnerability in patients with Brugada syndrome. J Am Coll Cardiol. 2002;40(8):1437–1444.

    Article  PubMed  Google Scholar 

  26. 26. Brugada R, Hong K, Dumaine R, Cordeiro J, Gaita F, Borggrefe M, Menendez TM, Brugada J, Pollevick GD, Wolpert C, Burashnikov E, Matsuo K, Wu YS, Guerchicoff A, Bianchi F, Giustetto C, Schimpf R, Brugada P, Antzelevitch C. Sudden death associated with short-QT syndrome linked to mutations in HERG. Circulation. 2004;109(1):30–35.

    Article  CAS  PubMed  Google Scholar 

  27. 27. Gussak I, Brugada P, Brugada J, Wright RS, Kopecky SL, Chaitman BR, Bjerregaard P. Idiopathic short QT interval: a new clinical syndrome? Cardiology. 2000;94(2):99–102.

    Article  CAS  PubMed  Google Scholar 

  28. 28. Hong K, Bjerregaard P, Gussak I, Brugada R. Short QT syndrome and atrial fibrillation caused by mutation in KCNH2. J Cardiovasc Electrophysiol. 2005;16(4):394–396.

    Article  PubMed  Google Scholar 

  29. 29. Yamashita T, Hayami N, Ajiki K, Oikawa N, Sezaki K, Inoue M, Omata M, Murakawa Y. Is ACE gene polymorphism associated with lone atrial fibrillation? Jpn Heart J. 1997;38(5):637–641.

    CAS  PubMed  Google Scholar 

  30. 30. Nakai K, Itoh C, Miura Y, Hotta K, Musha T, Itoh T, Miyakawa T, Iwasaki R, Hiramori K. Deletion polymorphism of the angiotensin I-converting enzyme gene is associated with serum ACE concentration and increased risk for CAD in the Japanese. Circulation. 1994;90(5):2199–2202.

    CAS  PubMed  Google Scholar 

  31. 31. Tsai CT, Lai LP, Lin JL, Chiang FT, Hwang JJ, Ritchie MD, Moore JH, Hsu KL, Tseng CD, Liau CS, Tseng YZ. Renin—angiotensin system gene polymorphisms and atrial fibrillation. Circulation. 2004;109(13):1640–1646.

    Article  CAS  PubMed  Google Scholar 

  32. 32. Ehrlich JR, Zicha S, Coutu P, Hebert TE, Nattel S. Atrial fibrillation-associated minK38G/S polymorphism modulates delayed rectifier current and membrane localization. Cardiovasc Res. 2005;67(3):520–528.

    Article  CAS  PubMed  Google Scholar 

  33. 33. Lai LP, Lin JL, Huang SK. Molecular genetic studies in atrial fibrillation. Cardiology. 2003;100(3):109–113.

    Article  CAS  PubMed  Google Scholar 

  34. 34. Gaudino M, Andreotti F, Zamparelli R, Di CA, Nasso G, Burzotta F, Iacoviello L, Donati MB, Schiavello R, Maseri A, Possati G. The -174G/C interleukin-6 polymorphism influences postoperative interleukin-6 levels and postoperative atrial fibrillation. Is atrial fibrillation an inflammatory complication? Circulation. 2003;108(suppl 1):II195–II199.

    PubMed  Google Scholar 

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© 2008 Humana Press, a part of Springer Science+Business Media, LLC

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Brugada, R., Kääb, S. (2008). Genetics of Atrial Fibrillation: The Clinician's Perspective. In: Natale, A., Jalife, J. (eds) Atrial Fibrillation. Contemporary Cardiology. Humana Press. https://doi.org/10.1007/978-1-59745-163-5_6

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  • DOI: https://doi.org/10.1007/978-1-59745-163-5_6

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-856-0

  • Online ISBN: 978-1-59745-163-5

  • eBook Packages: MedicineMedicine (R0)

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