Despite advances by genome-wide association studies (GWAS), much of heritability of common human diseases remains missing, a phenomenon referred to as 'missing heritability'. One potential cause for 'missing heritability' is the rare susceptibility variants overlooked by GWAS. Atrial fibrillation (AF) is the most common arrhythmia seen at hospitals and increases risk of stroke by fivefold and doubles risk of heart failure and sudden death. Here, we studied one large Chinese family with AF and hypertrophic cardiomyopathy (HCM). Whole-exome sequencing analysis identified a mutation in TNNI3, R186Q, that co-segregated with the disease in the family, but did not exist in > 1583 controls, suggesting that R186Q causes AF and HCM. High-resolution melting curve analysis and direct DNA sequence analysis were then used to screen mutations in all exons and exon-intron boundaries of TNNI3 in a panel of 1127 unrelated AF patients and 1583 non-AF subjects. Four novel missense variants were identified in TNNI3, including E64G, M154L, E187G and D196G in four independent AF patients, but no variant was found in 1583 non-AF subjects. All variants were not found in public databases, including the ExAC Browser database with 60,706 exomes. These data suggest that rare TNNI3 variants are associated with AF (P = 0.03). TNNI3 encodes troponin I, a key regulator of the contraction-relaxation function of cardiac muscle and was not previously implicated in AF. Thus, this study may identify a new biological pathway for the pathogenesis of AF and provides evidence to support the rare variant hypothesis for missing heritability.
基金:
China National Natural Science Foundation Key Program [31430047]; Chinese National Basic Research Programs (973 Programs) [2013CB531101, 2012CB517801]; Hubei Province's Outstanding Medical Academic Leader Program; Hubei Province Natural Science Key Program [2014CFA074]; China National Natural Science Foundation [91439129, NSFC-J1103514]; NIH/NHLBI [R01 HL121358, R01 HL126729]; Specialized Research Fund for the Doctoral Program of Higher Education from the Ministry of Education; "Innovative Development of New Drugs" Key Scientific Project [2011ZX09307-001-09]
第一作者单位:[1]Huazhong Univ Sci & Technol, Key Lab Mol Biophys, Minist Educ, Ctr Human Genome Res, Wuhan 430074, Peoples R China[2]Huazhong Univ Sci & Technol, Coll Life Sci & Technol, Cardio X Inst, Wuhan 430074, Peoples R China
通讯作者:
通讯机构:[1]Huazhong Univ Sci & Technol, Key Lab Mol Biophys, Minist Educ, Ctr Human Genome Res, Wuhan 430074, Peoples R China[2]Huazhong Univ Sci & Technol, Coll Life Sci & Technol, Cardio X Inst, Wuhan 430074, Peoples R China[9]Cleveland Clin, Lerner Res Inst, Dept Mol Cardiol, Ctr Cardiovasc Genet, Cleveland, OH 44195 USA
推荐引用方式(GB/T 7714):
Wang Chuchu,Wu Manman,Qian Jin,et al.Identification of rare variants in TNNI3 with atrial fibrillation in a Chinese GeneID population[J].MOLECULAR GENETICS AND GENOMICS.2016,291(1):79-92.doi:10.1007/s00438-015-1090-y.
APA:
Wang, Chuchu,Wu, Manman,Qian, Jin,Li, Bin,Tu, Xin...&Wang, Qing K..(2016).Identification of rare variants in TNNI3 with atrial fibrillation in a Chinese GeneID population.MOLECULAR GENETICS AND GENOMICS,291,(1)
MLA:
Wang, Chuchu,et al."Identification of rare variants in TNNI3 with atrial fibrillation in a Chinese GeneID population".MOLECULAR GENETICS AND GENOMICS 291..1(2016):79-92