Arrhythmias & electrophysiologyResearch article

Causal mitochondrial signatures in atrial fibrillation: Insights from integrated multi-omics and multi-faceted approaches

Heart RhythmPublished

  • Mendelian Randomization, summary-based Mendelian Randomization, and colocalization analysis
  • integrated multi-omics
  • Benjamini-Hochberg method employed to control for false positives
  • single-cell RNA sequencing
  • predictive models

Authors' conclusion

The study identified 16 mitochondrial genes associated with AF and demonstrated the potential of mitochondrial genes as biomarkers.

Study context

Population
Mitochondrial genes from MitoCarta version 3.0 and atrial fibrillation (AF) (from FinnGen)
Comparison
Mitochondrial gene methylation, expression and protein QTLs as instrumental variables vs risk of AF

Main finding

As reported in the abstract

Mitochondrial genes identified via MR and SMR analyses

genes identified via MR and SMR analyses

16

Further findings

NME4 gene and AF

NME4 demonstrated consistent causal associations with AF across all 3 levels; methylation at cg08183303, high gene expression and elevated protein levels associated with an increased risk of AF

Cellular-level expression of key gene

key gene highly expressed in fibroblasts, with expression levels dynamically changing as cells evolve

Machine learning prediction models

good performance in disease prediction

Original publication

Causal mitochondrial signatures in atrial fibrillation: Insights from integrated multi-omics and multi-faceted approaches. Heart Rhythm. Published 2 July 2026. doi:10.1016/j.hrthm.2026.06.041

Summarised from the published abstract; every number is checked against it