Heart failure & cardiomyopathies

Prevalence and Phenotype of Transthyretin Val122Ile Variant in the Hispanic Community Health Study/Study of Latinos

JACC AdvPublished cross-sectional data from the Hispanic Community Health Study/Study of Latinos cohort

Authors' conclusion

The Val122Ile variant prevalence varied depending on AA proportions among H/Ls and was seen more commonly among Dominicans, highlighting opportunities for preventative hereditary transthyretin amyloid cardiomyopathy screening.

Study context

Population
Community-dwelling Hispanic/Latino adults (aged 18–74) who consented to genome-wide studies and continental ancestry ascertainmentH/L adults, echocardiograms analyzed among 6,376 Hispanics/Latinos ≥44 years
Participants
12,687 adults
Exposure
Val122Ile carriers vs noncarriers
Outcome
Val122Ile variant prevalence
Methodological detailscomplex survey analysis, survey weights
  • Complex survey analysis
  • Survey weights

Main finding

As reported in the abstract

H/Ls carrying the Val122Ile variant

0.82%

H/Ls of Dominican descent (highest prevalence compared to other background groups)

2.60%

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Odds of Val122Ile variant per 1% increase in ancestry1% increase in AA · raised odds by 4%1.04 (1.03–1.06)
Odds of Val122Ile variant per 1% increase in ancestry1% increase in EA · lowered odds by 3%0.97 (0.96–0.99)
Odds of Val122Ile variant per 1% increase in ancestry1% increase in Amerindian ancestry · lowered odds by 2%0.98 (0.97–0.99)
OutcomeVal122Ile carriersNoncarriersP value
Fraction of AAHigher fraction of AA in carriers0.380.15P < 0.0001
Fraction of AA — Highest fraction of continental ancestry in carriers: EA
0.42 ± 0.04

Echocardiographic phenotype

No differences observed in Val122Ile carriers vs noncarriers

Original publication

Prevalence and Phenotype of Transthyretin Val122Ile Variant in the Hispanic Community Health Study/Study of Latinos. JACC Adv. Published 25 July 2025. doi:10.1016/j.jacadv.2025.102034

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