Arrhythmias & electrophysiology

A Rare Noncoding Enhancer Variant in SCN5A Contributes to the High Prevalence of Brugada Syndrome in Thailand

CirculationPublished Case-control genome sequencing study with hiPSC-CM functional validation

Performance · Rare noncoding variant in an SCN5A intronic enhancer regionResult — go to the resultOdds ratio 45.2

Authors' conclusion

This is the first example of a functionally validated rare noncoding variant at the SCN5A locus and highlights how genome sequencing in understudied populations can identify novel disease mechanisms.

Study context

Population
Brugada syndrome (BrS) probands and population-matched controls from Thailand
Comparison
BrS probands vs population-matched controls; enhancer-variant hiPSC-CMs vs isogenic controls
Outcome
Rare noncoding variants at the SCN5A-SCN10A locus enriched in BrS, and the prioritised variant's effect on SCN5A expression and Nav1.5 sodium current
Methodological detailspopulation-matched controls, CRISPR-Cas9 genome editing, isogenic controls
  • Population-matched controls
  • CRISPR-Cas9 genome editing
  • Isogenic controls

Performance

As reported in the abstract

Rare noncoding variant in an SCN5A intronic enhancer region

Odds ratio

45.2

By group

BrS

3.9%

Further findings

Cardiac arrest in variant carriers

Patients with the variant had severe phenotypes, with cardiac arrest
89%

Original publication

A Rare Noncoding Enhancer Variant in SCN5A Contributes to the High Prevalence of Brugada Syndrome in Thailand. Circulation. Published 11 October 2024. doi:10.1161/circulationaha.124.069041

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