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Role of C677T and A1298C MTHFR, A2756G MTR and -786 C/T eNOS gene polymorphisms in atrial fibrillation susceptibility

Hyperhomocysteinemia has been suggested to play a role in the NonValvular Atrial Fibrillation (NVAF) pathogenesis. Polymorphisms in genes coding for homocysteine (Hcy) metabolism enzymes may be associated with hyperhomocysteinemia and NVAF. 456 NVAF patients and 912 matched controls were genotyped b...

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Published in:PloS one 2007-06, Vol.2 (6), p.e495-e495
Main Authors: Giusti, Betti, Gori, Anna Maria, Marcucci, Rossella, Sestini, Ilaria, Saracini, Claudia, Sticchi, Elena, Gensini, Francesca, Fatini, Cinzia, Abbate, Rosanna, Gensini, Gian Franco
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cited_by cdi_FETCH-LOGICAL-c662t-1f5bc9220a1fc5ed3cfcac3eb31c4485a69ed71b58bc9f92bc829f20e337d1f23
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creator Giusti, Betti
Gori, Anna Maria
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Abbate, Rosanna
Gensini, Gian Franco
description Hyperhomocysteinemia has been suggested to play a role in the NonValvular Atrial Fibrillation (NVAF) pathogenesis. Polymorphisms in genes coding for homocysteine (Hcy) metabolism enzymes may be associated with hyperhomocysteinemia and NVAF. 456 NVAF patients and 912 matched controls were genotyped by an electronic microchip technology for C677T and A1298C MTHFR, A2756G MTR, and -786C/T eNOS gene polymorphisms. Hcy was determined by an immunoassay method. The genotype distribution of the four polymorphisms as well as genotype combinations did not differ in patients and controls. Hcy was higher in patients than in controls (15.2, 95%CI 14.7-15.7 vs 11.3, 95%CI 11.0-11.6 micromol/L; p
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Polymorphisms in genes coding for homocysteine (Hcy) metabolism enzymes may be associated with hyperhomocysteinemia and NVAF. 456 NVAF patients and 912 matched controls were genotyped by an electronic microchip technology for C677T and A1298C MTHFR, A2756G MTR, and -786C/T eNOS gene polymorphisms. Hcy was determined by an immunoassay method. The genotype distribution of the four polymorphisms as well as genotype combinations did not differ in patients and controls. Hcy was higher in patients than in controls (15.2, 95%CI 14.7-15.7 vs 11.3, 95%CI 11.0-11.6 micromol/L; p&lt;0.0001). In both populations, a genotype-phenotype association (p&lt;0.0001) between Hcy and C677T MTHFR polymorphism was observed; in controls a significant (p = 0.029) association between tHcy and -786C/T eNOS polymorphism was also observed. At the multivariate analysis the NVAF risk significantly increased in the upper quartiles of Hcy compared to the lowest: OR from 2.8 (1.68-4.54 95%CI) in Q2 to 12.9 (7.96-21.06 95%CI) in Q4. Our data demonstrated the four polymorphisms, although able, at least in part, to affect Hcy, were not associated with an increased risk of NVAF per se or in combination.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0000495</identifier><identifier>PMID: 17551576</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase - blood ; 5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase - genetics ; Adult ; Aged ; Aged, 80 and over ; Analysis ; Atrial fibrillation ; Atrial Fibrillation - blood ; Atrial Fibrillation - genetics ; Atrial Fibrillation - pathology ; Blood &amp; organ donations ; Cardiac arrhythmia ; Cardiovascular Disorders/Arrhythmias, Electrophysiology, and Pacing ; Case-Control Studies ; Clinical trials ; Colorectal cancer ; Critical care ; Deoxyribonucleic acid ; Diabetes ; Dihydrofolate reductase ; Disease susceptibility ; DNA ; Education ; Enzymes ; Epigenetics ; Female ; Fibrillation ; Gene polymorphism ; Genes ; Genetic aspects ; Genetic polymorphisms ; Genetic Predisposition to Disease ; Genetics and Genomics/Complex Traits ; Genetics and Genomics/Genetics of Disease ; Genetics and Genomics/Medical Genetics ; Genotype ; Genotype &amp; phenotype ; Haplotypes ; Homocysteine ; Humans ; Hyperhomocysteinemia ; Hyperhomocysteinemia - blood ; Hyperhomocysteinemia - complications ; Hyperhomocysteinemia - genetics ; Immunoassay ; Leukemia ; Male ; Marfan syndrome ; Metabolism ; Methylenetetrahydrofolate reductase ; Methylenetetrahydrofolate Reductase (NADPH2) - blood ; Methylenetetrahydrofolate Reductase (NADPH2) - genetics ; Middle Aged ; Multivariate analysis ; Mutation ; Nitric Oxide Synthase Type III - blood ; Nitric Oxide Synthase Type III - genetics ; Pathogenesis ; Pathology/Molecular Pathology ; Patients ; Polymorphism ; Polymorphism, Single Nucleotide - genetics ; Prognosis ; Quartiles ; Risk analysis ; Risk Factors ; Tumors ; Young Adult</subject><ispartof>PloS one, 2007-06, Vol.2 (6), p.e495-e495</ispartof><rights>COPYRIGHT 2007 Public Library of Science</rights><rights>2007 Giusti et al. 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Polymorphisms in genes coding for homocysteine (Hcy) metabolism enzymes may be associated with hyperhomocysteinemia and NVAF. 456 NVAF patients and 912 matched controls were genotyped by an electronic microchip technology for C677T and A1298C MTHFR, A2756G MTR, and -786C/T eNOS gene polymorphisms. Hcy was determined by an immunoassay method. The genotype distribution of the four polymorphisms as well as genotype combinations did not differ in patients and controls. Hcy was higher in patients than in controls (15.2, 95%CI 14.7-15.7 vs 11.3, 95%CI 11.0-11.6 micromol/L; p&lt;0.0001). In both populations, a genotype-phenotype association (p&lt;0.0001) between Hcy and C677T MTHFR polymorphism was observed; in controls a significant (p = 0.029) association between tHcy and -786C/T eNOS polymorphism was also observed. At the multivariate analysis the NVAF risk significantly increased in the upper quartiles of Hcy compared to the lowest: OR from 2.8 (1.68-4.54 95%CI) in Q2 to 12.9 (7.96-21.06 95%CI) in Q4. 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Polymorphisms in genes coding for homocysteine (Hcy) metabolism enzymes may be associated with hyperhomocysteinemia and NVAF. 456 NVAF patients and 912 matched controls were genotyped by an electronic microchip technology for C677T and A1298C MTHFR, A2756G MTR, and -786C/T eNOS gene polymorphisms. Hcy was determined by an immunoassay method. The genotype distribution of the four polymorphisms as well as genotype combinations did not differ in patients and controls. Hcy was higher in patients than in controls (15.2, 95%CI 14.7-15.7 vs 11.3, 95%CI 11.0-11.6 micromol/L; p&lt;0.0001). In both populations, a genotype-phenotype association (p&lt;0.0001) between Hcy and C677T MTHFR polymorphism was observed; in controls a significant (p = 0.029) association between tHcy and -786C/T eNOS polymorphism was also observed. At the multivariate analysis the NVAF risk significantly increased in the upper quartiles of Hcy compared to the lowest: OR from 2.8 (1.68-4.54 95%CI) in Q2 to 12.9 (7.96-21.06 95%CI) in Q4. Our data demonstrated the four polymorphisms, although able, at least in part, to affect Hcy, were not associated with an increased risk of NVAF per se or in combination.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>17551576</pmid><doi>10.1371/journal.pone.0000495</doi><tpages>e495</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
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issn 1932-6203
1932-6203
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source Publicly Available Content Database; PubMed Central
subjects 5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase - blood
5-Methyltetrahydrofolate-Homocysteine S-Methyltransferase - genetics
Adult
Aged
Aged, 80 and over
Analysis
Atrial fibrillation
Atrial Fibrillation - blood
Atrial Fibrillation - genetics
Atrial Fibrillation - pathology
Blood & organ donations
Cardiac arrhythmia
Cardiovascular Disorders/Arrhythmias, Electrophysiology, and Pacing
Case-Control Studies
Clinical trials
Colorectal cancer
Critical care
Deoxyribonucleic acid
Diabetes
Dihydrofolate reductase
Disease susceptibility
DNA
Education
Enzymes
Epigenetics
Female
Fibrillation
Gene polymorphism
Genes
Genetic aspects
Genetic polymorphisms
Genetic Predisposition to Disease
Genetics and Genomics/Complex Traits
Genetics and Genomics/Genetics of Disease
Genetics and Genomics/Medical Genetics
Genotype
Genotype & phenotype
Haplotypes
Homocysteine
Humans
Hyperhomocysteinemia
Hyperhomocysteinemia - blood
Hyperhomocysteinemia - complications
Hyperhomocysteinemia - genetics
Immunoassay
Leukemia
Male
Marfan syndrome
Metabolism
Methylenetetrahydrofolate reductase
Methylenetetrahydrofolate Reductase (NADPH2) - blood
Methylenetetrahydrofolate Reductase (NADPH2) - genetics
Middle Aged
Multivariate analysis
Mutation
Nitric Oxide Synthase Type III - blood
Nitric Oxide Synthase Type III - genetics
Pathogenesis
Pathology/Molecular Pathology
Patients
Polymorphism
Polymorphism, Single Nucleotide - genetics
Prognosis
Quartiles
Risk analysis
Risk Factors
Tumors
Young Adult
title Role of C677T and A1298C MTHFR, A2756G MTR and -786 C/T eNOS gene polymorphisms in atrial fibrillation susceptibility
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