Genetic Variations in Nitric Oxide Synthase 1 Adaptor Protein Are Associated With Sudden Cardiac Death in US White Community-Based Populations

  • W.H. Linda Kao
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Dan E. Arking
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Wendy Post
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Thomas D. Rea
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Nona Sotoodehnia
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Ronald J. Prineas
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Bryan Bishe
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Betty Q. Doan
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Eric Boerwinkle
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Bruce M. Psaty
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Gordon F. Tomaselli
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Josef Coresh
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • David S. Siscovick
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Eduardo Marbán
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Peter M. Spooner
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Gregory L. Burke
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...
  • Aravinda Chakravarti
    From the Department of Epidemiology (W.H.L.K., W.P., J.C.), McKusick-Nathans Institute of Genetic Medicine (D.E.A., B.B., B.Q.D., A.C.), Department of Medicine (W.H.L.K., D.E.A., W.P., G.F.T., J.C., P.M.S., A.C.), School of Medicine and Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Md; Departments of Medicine (T.D.R., N.S., B.M.P., D.S.S.) and Epidemiology (B.M.P., D.S.S.), University of Washington, Seattle; Department of Public Health Sciences (R.J.P., G.L.B.), Wake Forest...

抄録

<jats:p> <jats:bold> <jats:italic>Background—</jats:italic> </jats:bold> The ECG QT interval is associated with risk of sudden cardiac death (SCD). A previous genome-wide association study demonstrated that allelic variants (rs10494366 and rs4657139) in the nitric oxide synthase 1 adaptor protein ( <jats:italic>NOS1AP</jats:italic> ), which encodes a carboxy-terminal PDZ ligand of neuronal nitric oxide synthase, are associated with the QT interval in white adults. The present analysis was conducted to validate the association between <jats:italic>NOS1AP</jats:italic> variants and the QT interval and to examine the association with SCD in a combined population of 19 295 black and white adults from the Atherosclerosis Risk In Communities Study and the Cardiovascular Health Study. </jats:p> <jats:p> <jats:bold> <jats:italic>Methods and Results—</jats:italic> </jats:bold> We examined 19 tagging single-nucleotide polymorphisms in the genomic blocks containing rs10494366 and rs4657139 in <jats:italic>NOS1AP</jats:italic> . SCD was defined as a sudden pulseless condition of cardiac origin in a previously stable individual. General linear models and Cox proportional hazards regression models were used. Multiple single-nucleotide polymorphisms in <jats:italic>NOS1AP</jats:italic> , including rs10494366, rs4657139, and rs16847548, were significantly associated with adjusted QT interval in whites ( <jats:italic>P</jats:italic> <0.0001). In whites, after adjustment for age, sex, and study, the relative hazard of SCD associated with each C allele at rs16847548 was 1.31 (95% confidence interval 1.10 to 1.56, <jats:italic>P</jats:italic> =0.002), assuming an additive model. In addition, a downstream neighboring single-nucleotide polymorphism, rs12567209, which was not correlated with rs16847548 or QT interval, was also independently associated with SCD in whites (relative hazard 0.57, 95% confidence interval 0.39 to 0.83, <jats:italic>P</jats:italic> =0.003). Adjustment for QT interval and coronary heart disease risk factors attenuated but did not eliminate the association between rs16847548 and SCD, and such adjustment had no effect on the association between rs12567209 and SCD. No significant associations between tagging single-nucleotide polymorphisms in <jats:italic>NOS1AP</jats:italic> and either QT interval or SCD were observed in blacks. </jats:p> <jats:p> <jats:bold> <jats:italic>Conclusions—</jats:italic> </jats:bold> In a combined analysis of 2 population-based prospective cohort studies, sequence variations in <jats:italic>NOS1AP</jats:italic> were associated with baseline QT interval and the risk of SCD in white US adults. </jats:p>

収録刊行物

  • Circulation

    Circulation 119 (7), 940-951, 2009-02-24

    Ovid Technologies (Wolters Kluwer Health)

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