Arrhythmias & electrophysiology

Standing genetic variation affects phenotypic heterogeneity in an SCN5A-mutation founder population with excess sudden cardiac death

Heart RhythmPublished Genetic association study

Authors' conclusion

Our data suggest that other variants, alongside a pathogenic mutation, are associated with phenotypic heterogeneity.

Study context

Population
Multigeneration founder pedigree (Worm Study) segregating SCN5A p.(Phe1617del), with excess sudden cardiac deathgenotyped at linkage peak
Participants
70 participants
Outcome
Association of chromosome 3 locus variants (minor allele frequency >0.10) with cardiac conduction disease and isorhythmic dissociation
Methodological detailsfamily-aware phasing, founder population
  • Family-aware phasing
  • Founder population

Main finding

As reported in the abstract

Homozygous SCN10A missense variant (rs12632942) associated with isorhythmic dissociation after multiple-comparison correction: OR 11.23 (95% CI 2.76-23.39)
P = 1.2 × 10-4

Further findings

Haplotype structure

Haplotypes carrying p.Phe1617del deletion
1
Estimated age of deletion (generations)
∼18
Other missense variants on carrier haplotype spanning SCN5A/SCN10A/SCN11A
5
Noncarrier haplotypes
74
Noncarrier haplotype frequency range
0.5% to 5%

Original publication

Standing genetic variation affects phenotypic heterogeneity in an SCN5A-mutation founder population with excess sudden cardiac death. Heart Rhythm. Published 9 February 2023. doi:10.1016/j.hrthm.2023.02.004

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