Association and interaction of PPAR-complex gene variants with latent traits of left ventricular diastolic function
Association and interaction of PPAR-complex gene variants with latent traits of left ventricular diastolic function
Abstract Background Abnormalities in myocardial metabolism and/or regulatory genes have been implicated in left ventricular systolic dysfunction. However, the extent to which these modulate left ventricular diastolic function (LVDF) is uncertain. Methods Independent component analysis was applied to extract latent LVDF traits from 14 measured echocardiography-derived endophenotypes of LVDF in 403 Caucasians. Genetic association was assessed between measured and latent LVDF traits and 64 single nucleotide polymorphisms (SNPs) in three peroxisome proliferator-activated receptor (PPAR)-complex genes involved in the transcriptional regulation of fatty acid metabolism. Results By linear regression analysis, 7 SNPs (4 in PPARA, 2 in PPARGC1A, 1 in PPARG) were significantly associated with the latent LVDF trait, whereas a range of 0-4 SNPs were associated with each of the 14 measured echocardiography-derived endophenotypes. Frequency distribution of P values showed a greater proportion of significant associations with the latent LVDF trait than for the measured endophenotypes, suggesting that analyses of the latent trait improved detection of the genetic underpinnings of LVDF. Ridge regression was applied to investigate within-gene and gene-gene interactions. In the within-gene analysis, there were five significant pair-wise interactions in PPARGC1A and none in PPARA or PPARG. In the gene-gene analysis, significant interactions were found between rs4253655 in PPARA and rs1873532 (p = 0.02) and rs7672915 (p = 0.02), both in PPARGC1A, and between rs1151996 in PPARG and rs4697046 in PPARGC1A (p = 0.01). Conclusions Myocardial metabolism PPAR-complex genes, including within and between genes interactions, may play an important role modulating left ventricular diastolic function.
- National Taiwan University of Arts Taiwan
- University of Mary United States
- WASHINGTON UNIVERSITY
- Washington University in St. Louis United States
- Washington University in St. Louis School of Medicine United States
Male, Myocardium, QH426-470, Middle Aged, RC31-1245, Polymorphism, Single Nucleotide, Ventricular Function, Left, Ventricular Dysfunction, Left, Diastole, Echocardiography, Medicine and Health Sciences, Genetics, Humans, Genetics(clinical), Female, PPAR alpha, Internal medicine, Research Article
Male, Myocardium, QH426-470, Middle Aged, RC31-1245, Polymorphism, Single Nucleotide, Ventricular Function, Left, Ventricular Dysfunction, Left, Diastole, Echocardiography, Medicine and Health Sciences, Genetics, Humans, Genetics(clinical), Female, PPAR alpha, Internal medicine, Research Article
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