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Evidence of heterogeneity by race/ethnicity in genetic determinants of QT interval


Seyerle, AA and Young, AM and Jeff, JM and Melton, PE and Jorgensen, NW and Lin, Y and Carty, CL and Deelman, E and Heckbert, SR and Hindorf, LA and Jackson, RD and Martin, LW and Okin, PM and Perez, MV and Psaty, BM and Soliman, EZ and Whitsel, EA and North, KE and Laston, S and Kooperberg, C and Avery, CL, Evidence of heterogeneity by race/ethnicity in genetic determinants of QT interval, Epidemiology, 25, (6) pp. 790-798. ISSN 1044-3983 (2014) [Refereed Article]

Copyright Statement

Copyright 2014 by Lippincott Williams & Wilkins

DOI: doi:10.1097/EDE.0000000000000168


Background: QT interval (QT) prolongation is an established risk factor for ventricular tachyarrhythmia and sudden cardiac death. Previous genome-wide association studies in populations of the European descent have identified multiple genetic loci that influence QT, but few have examined these loci in ethnically diverse populations.

Methods: Here, we examine the direction, magnitude, and precision of effect sizes for 21 previously reported SNPs from 12 QT loci, in populations of European (n = 16,398), African (n = 5,437), American Indian (n = 5,032), Hispanic (n = 1,143), and Asian (n = 932) descent as part of the Population Architecture using Genomics and Epidemiology (PAGE) study. Estimates obtained from linear regression models stratified by race/ethnicity were combined using inverse-variance weighted meta-analysis. Heterogeneity was evaluated using Cochran's Q test.

Results: Of 21 SNPs, 7 showed consistent direction of effect across all 5 populations, and an additional 9 had estimated effects that were consistent across 4 populations. Despite consistent direction of effect, 9 of 16 SNPs had evidence (P < 0.05) of heterogeneity by race/ethnicity. For these 9 SNPs, linkage disequilibrium plots often indicated substantial variation in linkage disequilibrium patterns among the various racial/ethnic groups, as well as possible allelic heterogeneity.

Conclusions: These results emphasize the importance of analyzing racial/ethnic groups separately in genetic studies. Furthermore, they underscore the possible utility of trans-ethnic studies to pinpoint underlying casual variants influencing heritable traits such as QT.

Item Details

Item Type:Refereed Article
Keywords:QT interval, Population Architecture using Genomics and Epidemiology (PAGE) study, genetic epidemiology, health disparities, race
Research Division:Biological Sciences
Research Group:Genetics
Research Field:Gene mapping
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Melton, PE (Dr Phillip Melton)
ID Code:141452
Year Published:2014
Web of Science® Times Cited:19
Deposited By:Menzies Institute for Medical Research
Deposited On:2020-10-21
Last Modified:2021-06-25

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