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A rare variant in MYH6 is associated with high risk of sick sinus syndrome
Authors:Holm Hilma  Gudbjartsson Daniel F  Sulem Patrick  Masson Gisli  Helgadottir Hafdis Th  Zanon Carlo  Magnusson Olafur Th  Helgason Agnar  Saemundsdottir Jona  Gylfason Arnaldur  Stefansdottir Hrafnhildur  Gretarsdottir Solveig  Matthiasson Stefan E  Thorgeirsson Gu Mundur  Jonasdottir Aslaug  Sigurdsson Asgeir  Stefansson Hreinn  Werge Thomas  Rafnar Thorunn  Kiemeney Lambertus A  Parvez Babar  Muhammad Raafia  Roden Dan M  Darbar Dawood  Thorleifsson Gudmar  Walters G Bragi  Kong Augustine  Thorsteinsdottir Unnur  Arnar David O  Stefansson Kari
Institution:deCODE Genetics, Sturlugata 8, Reykjavik, Iceland. hilma.holm@decode.is
Abstract:Through complementary application of SNP genotyping, whole-genome sequencing and imputation in 38,384 Icelanders, we have discovered a previously unidentified sick sinus syndrome susceptibility gene, MYH6, encoding the alpha heavy chain subunit of cardiac myosin. A missense variant in this gene, c.2161C>T, results in the conceptual amino acid substitution p.Arg721Trp, has an allelic frequency of 0.38% in Icelanders and associates with sick sinus syndrome with an odds ratio = 12.53 and P = 1.5 × 10?2?. We show that the lifetime risk of being diagnosed with sick sinus syndrome is around 6% for non-carriers of c.2161C>T but is approximately 50% for carriers of the c.2161C>T variant.
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