Association of NOS1AP Genetic Variants With QT Interval Duration in Families From the Diabetes Heart Study

Association of NOS1AP Genetic Variants With QT Interval Duration in Families From the Diabetes Heart Study Allison B. Lehtinen 1 2 , Christopher Newton-Cheh 3 4 , Julie T. Ziegler 5 , Carl D. Langefeld 5 , Barry I. Freedman 6 , Kurt R. Daniel 6 , David M. Herrington 6 and Donald W. Bowden 1 2 6 1 De...

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Veröffentlicht in:Diabetes (New York, N.Y.) N.Y.), 2008-04, Vol.57 (4), p.1108-1114
Hauptverfasser: LEHTINEN, Allison B, NEWTON-CHEH, Christopher, ZIEGLER, Julie T, LANGEFELD, Carl D, FREEDMAN, Barry I, DANIEL, Kurt R, HERRINGTON, David M, BOWDEN, Donald W
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container_end_page 1114
container_issue 4
container_start_page 1108
container_title Diabetes (New York, N.Y.)
container_volume 57
creator LEHTINEN, Allison B
NEWTON-CHEH, Christopher
ZIEGLER, Julie T
LANGEFELD, Carl D
FREEDMAN, Barry I
DANIEL, Kurt R
HERRINGTON, David M
BOWDEN, Donald W
description Association of NOS1AP Genetic Variants With QT Interval Duration in Families From the Diabetes Heart Study Allison B. Lehtinen 1 2 , Christopher Newton-Cheh 3 4 , Julie T. Ziegler 5 , Carl D. Langefeld 5 , Barry I. Freedman 6 , Kurt R. Daniel 6 , David M. Herrington 6 and Donald W. Bowden 1 2 6 1 Department of Biochemistry, Wake Forest University School of Medicine, Winston-Salem, North Carolina 2 Center for Human Genomics, Wake Forest University School of Medicine, Winston-Salem, North Carolina 3 Cardiology Division, Massachusetts General Hospital, Boston, Massachusetts 4 Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, Massachusetts 5 Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina 6 Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina Address correspondence and reprint requests to Donald W. Bowden, PhD, Department of Biochemistry, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157. E-mail: dbowden{at}wfubmc.edu Abstract OBJECTIVES— Prolongation of the electrocardiographic QT interval is a risk factor for sudden cardiac death (SCD). Diabetic individuals are at increased risk for prolonged QT interval and SCD. We sought to replicate the finding that genetic variants in the nitric oxide synthase 1 adaptor protein ( NOS1AP ) gene are associated with QT interval duration in a type 2 diabetes–enriched sample of European ancestry. RESEARCH DESIGN AND METHODS— Two single nucleotide polymorphisms (SNPs) in NOS1AP were genotyped in 624 European Americans and 127 African Americans from 400 pedigrees enriched for type 2 diabetes. An additive genetic model was tested for each SNP in ancestry-specific analyses in the total sample and the diabetic subset (European Americans, n = 514; African Americans, n = 115), excluding from the analyses individuals taking QT-altering medications. RESULTS— In European Americans, rs10494366 minor homozygotes had a 9.3-ms-longer QT interval compared with major homozygotes ( P = 5.7 × 10 −5 ); rs10918594 minor homozygotes had a 12.5-ms-longer QT interval compared with major homozygotes ( P = 1.5 × 10 −6 ). Restricting analyses to the diabetic European Americans strengthened the effect despite the reduction in sample size (11.3-ms difference, P = 5.1 × 10 −5 ; 13.9-ms difference, P = 1.6 × 10 −6 , respectively). No association between the N
doi_str_mv 10.2337/db07-1365
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Lehtinen 1 2 , Christopher Newton-Cheh 3 4 , Julie T. Ziegler 5 , Carl D. Langefeld 5 , Barry I. Freedman 6 , Kurt R. Daniel 6 , David M. Herrington 6 and Donald W. Bowden 1 2 6 1 Department of Biochemistry, Wake Forest University School of Medicine, Winston-Salem, North Carolina 2 Center for Human Genomics, Wake Forest University School of Medicine, Winston-Salem, North Carolina 3 Cardiology Division, Massachusetts General Hospital, Boston, Massachusetts 4 Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, Massachusetts 5 Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina 6 Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina Address correspondence and reprint requests to Donald W. Bowden, PhD, Department of Biochemistry, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157. E-mail: dbowden{at}wfubmc.edu Abstract OBJECTIVES— Prolongation of the electrocardiographic QT interval is a risk factor for sudden cardiac death (SCD). Diabetic individuals are at increased risk for prolonged QT interval and SCD. We sought to replicate the finding that genetic variants in the nitric oxide synthase 1 adaptor protein ( NOS1AP ) gene are associated with QT interval duration in a type 2 diabetes–enriched sample of European ancestry. RESEARCH DESIGN AND METHODS— Two single nucleotide polymorphisms (SNPs) in NOS1AP were genotyped in 624 European Americans and 127 African Americans from 400 pedigrees enriched for type 2 diabetes. An additive genetic model was tested for each SNP in ancestry-specific analyses in the total sample and the diabetic subset (European Americans, n = 514; African Americans, n = 115), excluding from the analyses individuals taking QT-altering medications. RESULTS— In European Americans, rs10494366 minor homozygotes had a 9.3-ms-longer QT interval compared with major homozygotes ( P = 5.7 × 10 −5 ); rs10918594 minor homozygotes had a 12.5-ms-longer QT interval compared with major homozygotes ( P = 1.5 × 10 −6 ). Restricting analyses to the diabetic European Americans strengthened the effect despite the reduction in sample size (11.3-ms difference, P = 5.1 × 10 −5 ; 13.9-ms difference, P = 1.6 × 10 −6 , respectively). No association between the NOS1AP SNPs and QT interval duration was observed in the limited number of African Americans. CONCLUSIONS— Two NOS1AP SNPs are strongly associated with QT interval duration in a predominately diabetic European-American sample. Stronger effects of NOS1AP variants in diabetic individuals suggest that this patient subset may be particularly susceptible to genetic variants that influence myocardial depolarization and repolarization as manifest in the QT interval. ECG, electrocardiogram NOS1AP, nitric oxide synthase 1 adaptor protein QTc, corrected QT interval SCD, sudden cardiac death SNP, single nucleotide polymorphism Footnotes Published ahead of print at http://diabetes.diabetesjournals.org on 30 January 2008. DOI: 10.2337/db07-1365. A.B.L. and C.N.-C. contributed equally to this work. Additional information can be found in an online appendix at http://dx.doi.org/10.2337/db07-1365 . The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Accepted January 10, 2008. Received September 25, 2007. DIABETES</description><identifier>ISSN: 0012-1797</identifier><identifier>ISSN: 1939-327X</identifier><identifier>EISSN: 1939-327X</identifier><identifier>DOI: 10.2337/db07-1365</identifier><identifier>PMID: 18235038</identifier><identifier>CODEN: DIAEAZ</identifier><language>eng</language><publisher>Alexandria, VA: American Diabetes Association</publisher><subject>Adaptor Proteins, Signal Transducing - genetics ; African Americans ; Aged ; Biological and medical sciences ; Black or African American ; Black People - genetics ; Body Mass Index ; Cardiac arrest ; Complications and side effects ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Type 2 - enzymology ; Diabetes Mellitus, Type 2 - genetics ; Diabetes. Impaired glucose tolerance ; Diabetic Angiopathies - enzymology ; Diabetic Angiopathies - genetics ; DNA - blood ; DNA - genetics ; DNA - isolation &amp; purification ; Electrocardiography ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; Genetic aspects ; Genetic Variation ; Genotype ; Health aspects ; Heart attacks ; Heart rate ; Hormone replacement therapy ; Humans ; Long QT Syndrome - genetics ; Long QT Syndrome - physiopathology ; Male ; Medical sciences ; Middle Aged ; Myocardial Infarction - enzymology ; Myocardial Infarction - genetics ; Nitric oxide ; Polymorphism, Single Nucleotide ; Proteins ; Reference Values ; Research design ; Risk factors ; Sudden cardiac death ; White People - genetics</subject><ispartof>Diabetes (New York, N.Y.), 2008-04, Vol.57 (4), p.1108-1114</ispartof><rights>2008 INIST-CNRS</rights><rights>COPYRIGHT 2008 American Diabetes Association</rights><rights>Copyright American Diabetes Association Apr 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c643t-f5cb160b8b09cefc36c237a260c8177cc82c41ea7565d5888d39c70d94ac45fe3</citedby><cites>FETCH-LOGICAL-c643t-f5cb160b8b09cefc36c237a260c8177cc82c41ea7565d5888d39c70d94ac45fe3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9969196/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9969196/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20228117$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18235038$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LEHTINEN, Allison B</creatorcontrib><creatorcontrib>NEWTON-CHEH, Christopher</creatorcontrib><creatorcontrib>ZIEGLER, Julie T</creatorcontrib><creatorcontrib>LANGEFELD, Carl D</creatorcontrib><creatorcontrib>FREEDMAN, Barry I</creatorcontrib><creatorcontrib>DANIEL, Kurt R</creatorcontrib><creatorcontrib>HERRINGTON, David M</creatorcontrib><creatorcontrib>BOWDEN, Donald W</creatorcontrib><title>Association of NOS1AP Genetic Variants With QT Interval Duration in Families From the Diabetes Heart Study</title><title>Diabetes (New York, N.Y.)</title><addtitle>Diabetes</addtitle><description>Association of NOS1AP Genetic Variants With QT Interval Duration in Families From the Diabetes Heart Study Allison B. Lehtinen 1 2 , Christopher Newton-Cheh 3 4 , Julie T. Ziegler 5 , Carl D. Langefeld 5 , Barry I. Freedman 6 , Kurt R. Daniel 6 , David M. Herrington 6 and Donald W. Bowden 1 2 6 1 Department of Biochemistry, Wake Forest University School of Medicine, Winston-Salem, North Carolina 2 Center for Human Genomics, Wake Forest University School of Medicine, Winston-Salem, North Carolina 3 Cardiology Division, Massachusetts General Hospital, Boston, Massachusetts 4 Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, Massachusetts 5 Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina 6 Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina Address correspondence and reprint requests to Donald W. Bowden, PhD, Department of Biochemistry, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157. E-mail: dbowden{at}wfubmc.edu Abstract OBJECTIVES— Prolongation of the electrocardiographic QT interval is a risk factor for sudden cardiac death (SCD). Diabetic individuals are at increased risk for prolonged QT interval and SCD. We sought to replicate the finding that genetic variants in the nitric oxide synthase 1 adaptor protein ( NOS1AP ) gene are associated with QT interval duration in a type 2 diabetes–enriched sample of European ancestry. RESEARCH DESIGN AND METHODS— Two single nucleotide polymorphisms (SNPs) in NOS1AP were genotyped in 624 European Americans and 127 African Americans from 400 pedigrees enriched for type 2 diabetes. An additive genetic model was tested for each SNP in ancestry-specific analyses in the total sample and the diabetic subset (European Americans, n = 514; African Americans, n = 115), excluding from the analyses individuals taking QT-altering medications. RESULTS— In European Americans, rs10494366 minor homozygotes had a 9.3-ms-longer QT interval compared with major homozygotes ( P = 5.7 × 10 −5 ); rs10918594 minor homozygotes had a 12.5-ms-longer QT interval compared with major homozygotes ( P = 1.5 × 10 −6 ). Restricting analyses to the diabetic European Americans strengthened the effect despite the reduction in sample size (11.3-ms difference, P = 5.1 × 10 −5 ; 13.9-ms difference, P = 1.6 × 10 −6 , respectively). No association between the NOS1AP SNPs and QT interval duration was observed in the limited number of African Americans. CONCLUSIONS— Two NOS1AP SNPs are strongly associated with QT interval duration in a predominately diabetic European-American sample. Stronger effects of NOS1AP variants in diabetic individuals suggest that this patient subset may be particularly susceptible to genetic variants that influence myocardial depolarization and repolarization as manifest in the QT interval. ECG, electrocardiogram NOS1AP, nitric oxide synthase 1 adaptor protein QTc, corrected QT interval SCD, sudden cardiac death SNP, single nucleotide polymorphism Footnotes Published ahead of print at http://diabetes.diabetesjournals.org on 30 January 2008. DOI: 10.2337/db07-1365. A.B.L. and C.N.-C. contributed equally to this work. Additional information can be found in an online appendix at http://dx.doi.org/10.2337/db07-1365 . The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Accepted January 10, 2008. Received September 25, 2007. DIABETES</description><subject>Adaptor Proteins, Signal Transducing - genetics</subject><subject>African Americans</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Black or African American</subject><subject>Black People - genetics</subject><subject>Body Mass Index</subject><subject>Cardiac arrest</subject><subject>Complications and side effects</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus, Type 2 - enzymology</subject><subject>Diabetes Mellitus, Type 2 - genetics</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetic Angiopathies - enzymology</subject><subject>Diabetic Angiopathies - genetics</subject><subject>DNA - blood</subject><subject>DNA - genetics</subject><subject>DNA - isolation &amp; purification</subject><subject>Electrocardiography</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Female</subject><subject>Genetic aspects</subject><subject>Genetic Variation</subject><subject>Genotype</subject><subject>Health aspects</subject><subject>Heart attacks</subject><subject>Heart rate</subject><subject>Hormone replacement therapy</subject><subject>Humans</subject><subject>Long QT Syndrome - genetics</subject><subject>Long QT Syndrome - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - enzymology</subject><subject>Myocardial Infarction - genetics</subject><subject>Nitric oxide</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Proteins</subject><subject>Reference Values</subject><subject>Research design</subject><subject>Risk factors</subject><subject>Sudden cardiac death</subject><subject>White People - genetics</subject><issn>0012-1797</issn><issn>1939-327X</issn><issn>1939-327X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kl1v0zAUhiMEYmNwwR9AFggkhDL8kcTODVLV0W5SRUEbH3eW4zipq8QetjPYv8dRo42iCvnC1vFzXp_j8ybJcwRPMSH0fV1BmiJS5A-SY1SSMiWY_niYHEOIcIpoSY-SJ95vIYRFXI-TI8QwySFhx8l25r2VWgRtDbAN-LS-RLPPYKmMClqCb8JpYYIH33XYgC9X4MIE5W5EB84Gt0vSBixErzutPFg424OwUeBMi0qFGDlXwgVwGYb69mnyqBGdV8-m_ST5uvh4NT9PV-vlxXy2SmWRkZA2uaxQAStWwVKqRpJCYkIFLqBkiFIpGZYZUoLmRV7njLGalJLCusyEzPJGkZPkw073eqh6VUtlghMdv3a6F-6WW6H5_o3RG97aG16WRYnKIgq8mQSc_TkoH3ivvVRdJ4yyg-cUZjmCkEbw5T_g1g7OxOY4RkXGGC5hhF7toFZ0imvT2PioHBX5LPZDMSJwpNIDVBvHECu0RjU6hvf40wN8XLXqtTyY8HYvITJB_Q6tGLznbLn6XzETK23XqVbxOK35-qC2dNZ7p5q7z0aQjw7lo0P56NDIvvh7OvfkZMkIvJ4A4aXoGieM1P6OwxBjhtD4-e923Ea3m1_aKV5Pprs_5JRnHCHIyB_hk_hk</recordid><startdate>20080401</startdate><enddate>20080401</enddate><creator>LEHTINEN, Allison B</creator><creator>NEWTON-CHEH, Christopher</creator><creator>ZIEGLER, Julie T</creator><creator>LANGEFELD, Carl D</creator><creator>FREEDMAN, Barry I</creator><creator>DANIEL, Kurt R</creator><creator>HERRINGTON, David M</creator><creator>BOWDEN, Donald W</creator><general>American Diabetes Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20080401</creationdate><title>Association of NOS1AP Genetic Variants With QT Interval Duration in Families From the Diabetes Heart Study</title><author>LEHTINEN, Allison B ; NEWTON-CHEH, Christopher ; ZIEGLER, Julie T ; LANGEFELD, Carl D ; FREEDMAN, Barry I ; DANIEL, Kurt R ; HERRINGTON, David M ; BOWDEN, Donald W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c643t-f5cb160b8b09cefc36c237a260c8177cc82c41ea7565d5888d39c70d94ac45fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adaptor Proteins, Signal Transducing - genetics</topic><topic>African Americans</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Black or African American</topic><topic>Black People - genetics</topic><topic>Body Mass Index</topic><topic>Cardiac arrest</topic><topic>Complications and side effects</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus, Type 2 - enzymology</topic><topic>Diabetes Mellitus, Type 2 - genetics</topic><topic>Diabetes. 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Target tissue resistance</topic><topic>Female</topic><topic>Genetic aspects</topic><topic>Genetic Variation</topic><topic>Genotype</topic><topic>Health aspects</topic><topic>Heart attacks</topic><topic>Heart rate</topic><topic>Hormone replacement therapy</topic><topic>Humans</topic><topic>Long QT Syndrome - genetics</topic><topic>Long QT Syndrome - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - enzymology</topic><topic>Myocardial Infarction - genetics</topic><topic>Nitric oxide</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Proteins</topic><topic>Reference Values</topic><topic>Research design</topic><topic>Risk factors</topic><topic>Sudden cardiac death</topic><topic>White People - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LEHTINEN, Allison B</creatorcontrib><creatorcontrib>NEWTON-CHEH, Christopher</creatorcontrib><creatorcontrib>ZIEGLER, Julie T</creatorcontrib><creatorcontrib>LANGEFELD, Carl D</creatorcontrib><creatorcontrib>FREEDMAN, Barry I</creatorcontrib><creatorcontrib>DANIEL, Kurt R</creatorcontrib><creatorcontrib>HERRINGTON, David M</creatorcontrib><creatorcontrib>BOWDEN, Donald W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Diabetes (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LEHTINEN, Allison B</au><au>NEWTON-CHEH, Christopher</au><au>ZIEGLER, Julie T</au><au>LANGEFELD, Carl D</au><au>FREEDMAN, Barry I</au><au>DANIEL, Kurt R</au><au>HERRINGTON, David M</au><au>BOWDEN, Donald W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of NOS1AP Genetic Variants With QT Interval Duration in Families From the Diabetes Heart Study</atitle><jtitle>Diabetes (New York, N.Y.)</jtitle><addtitle>Diabetes</addtitle><date>2008-04-01</date><risdate>2008</risdate><volume>57</volume><issue>4</issue><spage>1108</spage><epage>1114</epage><pages>1108-1114</pages><issn>0012-1797</issn><issn>1939-327X</issn><eissn>1939-327X</eissn><coden>DIAEAZ</coden><abstract>Association of NOS1AP Genetic Variants With QT Interval Duration in Families From the Diabetes Heart Study Allison B. Lehtinen 1 2 , Christopher Newton-Cheh 3 4 , Julie T. Ziegler 5 , Carl D. Langefeld 5 , Barry I. Freedman 6 , Kurt R. Daniel 6 , David M. Herrington 6 and Donald W. Bowden 1 2 6 1 Department of Biochemistry, Wake Forest University School of Medicine, Winston-Salem, North Carolina 2 Center for Human Genomics, Wake Forest University School of Medicine, Winston-Salem, North Carolina 3 Cardiology Division, Massachusetts General Hospital, Boston, Massachusetts 4 Program in Medical and Population Genetics, Broad Institute of Harvard and MIT, Cambridge, Massachusetts 5 Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina 6 Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina Address correspondence and reprint requests to Donald W. Bowden, PhD, Department of Biochemistry, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157. E-mail: dbowden{at}wfubmc.edu Abstract OBJECTIVES— Prolongation of the electrocardiographic QT interval is a risk factor for sudden cardiac death (SCD). Diabetic individuals are at increased risk for prolonged QT interval and SCD. We sought to replicate the finding that genetic variants in the nitric oxide synthase 1 adaptor protein ( NOS1AP ) gene are associated with QT interval duration in a type 2 diabetes–enriched sample of European ancestry. RESEARCH DESIGN AND METHODS— Two single nucleotide polymorphisms (SNPs) in NOS1AP were genotyped in 624 European Americans and 127 African Americans from 400 pedigrees enriched for type 2 diabetes. An additive genetic model was tested for each SNP in ancestry-specific analyses in the total sample and the diabetic subset (European Americans, n = 514; African Americans, n = 115), excluding from the analyses individuals taking QT-altering medications. RESULTS— In European Americans, rs10494366 minor homozygotes had a 9.3-ms-longer QT interval compared with major homozygotes ( P = 5.7 × 10 −5 ); rs10918594 minor homozygotes had a 12.5-ms-longer QT interval compared with major homozygotes ( P = 1.5 × 10 −6 ). Restricting analyses to the diabetic European Americans strengthened the effect despite the reduction in sample size (11.3-ms difference, P = 5.1 × 10 −5 ; 13.9-ms difference, P = 1.6 × 10 −6 , respectively). No association between the NOS1AP SNPs and QT interval duration was observed in the limited number of African Americans. CONCLUSIONS— Two NOS1AP SNPs are strongly associated with QT interval duration in a predominately diabetic European-American sample. Stronger effects of NOS1AP variants in diabetic individuals suggest that this patient subset may be particularly susceptible to genetic variants that influence myocardial depolarization and repolarization as manifest in the QT interval. ECG, electrocardiogram NOS1AP, nitric oxide synthase 1 adaptor protein QTc, corrected QT interval SCD, sudden cardiac death SNP, single nucleotide polymorphism Footnotes Published ahead of print at http://diabetes.diabetesjournals.org on 30 January 2008. DOI: 10.2337/db07-1365. A.B.L. and C.N.-C. contributed equally to this work. Additional information can be found in an online appendix at http://dx.doi.org/10.2337/db07-1365 . The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Accepted January 10, 2008. Received September 25, 2007. DIABETES</abstract><cop>Alexandria, VA</cop><pub>American Diabetes Association</pub><pmid>18235038</pmid><doi>10.2337/db07-1365</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adaptor Proteins, Signal Transducing - genetics
African Americans
Aged
Biological and medical sciences
Black or African American
Black People - genetics
Body Mass Index
Cardiac arrest
Complications and side effects
Diabetes
Diabetes mellitus
Diabetes Mellitus, Type 2 - enzymology
Diabetes Mellitus, Type 2 - genetics
Diabetes. Impaired glucose tolerance
Diabetic Angiopathies - enzymology
Diabetic Angiopathies - genetics
DNA - blood
DNA - genetics
DNA - isolation & purification
Electrocardiography
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Genetic aspects
Genetic Variation
Genotype
Health aspects
Heart attacks
Heart rate
Hormone replacement therapy
Humans
Long QT Syndrome - genetics
Long QT Syndrome - physiopathology
Male
Medical sciences
Middle Aged
Myocardial Infarction - enzymology
Myocardial Infarction - genetics
Nitric oxide
Polymorphism, Single Nucleotide
Proteins
Reference Values
Research design
Risk factors
Sudden cardiac death
White People - genetics
title Association of NOS1AP Genetic Variants With QT Interval Duration in Families From the Diabetes Heart Study
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