Five Single-Nucleotide Polymorphisms in the PITX2 Gene as Risk Factors for Atrial Fibrillation

Highlights: • A genetic variable has been identified as an atrial fibrillation risk factor. • Rs2200733 is a type of SNP that increases atrial fibrillation risk, whereas rs3853445, rs6838973, and rs17570669 have the reverse effect. Abstract: Atrial fibrillation (AF) is a highly prevalent ar...

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Main Authors: Rendra Mahardhika Putra, Budi Bakti Dharmadjati, Budi Susetyo Pikir, Irma Maghfirah, Ilma Alfia Isaridha, Jannatin Nisa Arnindita
Format: Article
Language:English
Published: Universitas Airlangga 2023-03-01
Series:Folia Medica Indonesiana
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Online Access:https://e-journal.unair.ac.id/FMI/article/view/37126
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author Rendra Mahardhika Putra
Budi Bakti Dharmadjati
Budi Susetyo Pikir
Irma Maghfirah
Ilma Alfia Isaridha
Jannatin Nisa Arnindita
author_facet Rendra Mahardhika Putra
Budi Bakti Dharmadjati
Budi Susetyo Pikir
Irma Maghfirah
Ilma Alfia Isaridha
Jannatin Nisa Arnindita
author_sort Rendra Mahardhika Putra
collection DOAJ
description Highlights: • A genetic variable has been identified as an atrial fibrillation risk factor. • Rs2200733 is a type of SNP that increases atrial fibrillation risk, whereas rs3853445, rs6838973, and rs17570669 have the reverse effect. Abstract: Atrial fibrillation (AF) is a highly prevalent arrhythmia. The involvement of molecular mechanisms in increased AF risk remains uncertain. However, the paired-like homeodomain transcription factor 2 or pituitary homeobox 2 (PITX2) gene has been linked to AF development. A comprehensive search was carried out to identify all eligible case-control studies in order to assess the association between five single-nucleotide polymorphisms (SNPs) in the PITX2 gene and the risk of AF. This meta-analysis employed the Review Manager (RevMan) software version 5.3 (Cochrane). There were 13 clinical studies, with a total of 11,961 subjects, that met the inclusion criteria. These subjects consisted of 4,440 patients with AF and 7,521 controls. The meta-analysis of five SNP types in the PITX2 gene was done using crude odds ratios (ORs). This revealed that rs2200733 increased the risk of AF (OR=1.80; 95% CI=1.53-2.11; p=0.0005; I2=80%). On the other hand, the other three SNPs decreased the risk of AF, namely, rs385344 (OR=0.75; 95% CI=0.59-0.95; p=0.002; I2=85%), rs6838973 (OR=0.64; 95% CI=0.51-0.81; p=0.0001; I2=73%), and rs17570669 (OR=0.80; 95% CI=0.65-0.98; p=0.03; I2=70%). However, there was no significant association between rs10033464 and AF (OR=1.21; 95% CI=0.97-1.50; p=0.13; I2=83%). In conclusion, depending on the type, SNPs in the PITX2 gene correlate with AF risk factors, either by alleviating or reducing the risk.
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publisher Universitas Airlangga
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spelling doaj-art-9d24fe1372b04dcca0aed38557dbc7262025-08-20T02:09:47ZengUniversitas AirlanggaFolia Medica Indonesiana2355-83932599-056X2023-03-0159110.20473/fmi.v59i1.3712635194Five Single-Nucleotide Polymorphisms in the PITX2 Gene as Risk Factors for Atrial FibrillationRendra Mahardhika Putra0Budi Bakti Dharmadjati1Budi Susetyo Pikir2Irma Maghfirah 3Ilma Alfia Isaridha4Jannatin Nisa Arnindita5Faculty of Medicine, Universitas Airlangga; Department of Cardiology and Vascular Medicine, Dr. Soetomo General Academic Hospital, Surabaya, IndonesiaDepartment of Cardiology and Vascular Medicine, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia; Indonesian Society of Interventional CardiologyFaculty of Medicine, Universitas Airlangga; Department of Cardiology and Vascular Medicine, Dr. Soetomo General Academic Hospital,Surabaya, IndonesiaFaculty of Medicine, Universitas Airlangga; Department of Cardiology and Vascular Medicine, Dr. Soetomo General Academic Hospital, Surabaya, IndonesiaFaculty of Medicine, Universitas Airlangga; Department of Cardiology and Vascular Medicine, Dr. Soetomo General Academic Hospital, Surabaya, IndonesiaFaculty of Medicine, Universitas Airlangga, Surabaya, Indonesia Highlights: • A genetic variable has been identified as an atrial fibrillation risk factor. • Rs2200733 is a type of SNP that increases atrial fibrillation risk, whereas rs3853445, rs6838973, and rs17570669 have the reverse effect. Abstract: Atrial fibrillation (AF) is a highly prevalent arrhythmia. The involvement of molecular mechanisms in increased AF risk remains uncertain. However, the paired-like homeodomain transcription factor 2 or pituitary homeobox 2 (PITX2) gene has been linked to AF development. A comprehensive search was carried out to identify all eligible case-control studies in order to assess the association between five single-nucleotide polymorphisms (SNPs) in the PITX2 gene and the risk of AF. This meta-analysis employed the Review Manager (RevMan) software version 5.3 (Cochrane). There were 13 clinical studies, with a total of 11,961 subjects, that met the inclusion criteria. These subjects consisted of 4,440 patients with AF and 7,521 controls. The meta-analysis of five SNP types in the PITX2 gene was done using crude odds ratios (ORs). This revealed that rs2200733 increased the risk of AF (OR=1.80; 95% CI=1.53-2.11; p=0.0005; I2=80%). On the other hand, the other three SNPs decreased the risk of AF, namely, rs385344 (OR=0.75; 95% CI=0.59-0.95; p=0.002; I2=85%), rs6838973 (OR=0.64; 95% CI=0.51-0.81; p=0.0001; I2=73%), and rs17570669 (OR=0.80; 95% CI=0.65-0.98; p=0.03; I2=70%). However, there was no significant association between rs10033464 and AF (OR=1.21; 95% CI=0.97-1.50; p=0.13; I2=83%). In conclusion, depending on the type, SNPs in the PITX2 gene correlate with AF risk factors, either by alleviating or reducing the risk. https://e-journal.unair.ac.id/FMI/article/view/37126Atrial fibrillationpituitary homeobox 2 (PITX2) gene chromosome 4q25single-nucleotide polymorphisms (SNPs) cardiovascular diseases
spellingShingle Rendra Mahardhika Putra
Budi Bakti Dharmadjati
Budi Susetyo Pikir
Irma Maghfirah
Ilma Alfia Isaridha
Jannatin Nisa Arnindita
Five Single-Nucleotide Polymorphisms in the PITX2 Gene as Risk Factors for Atrial Fibrillation
Folia Medica Indonesiana
Atrial fibrillation
pituitary homeobox 2 (PITX2) gene
chromosome 4q25
single-nucleotide polymorphisms (SNPs)
cardiovascular diseases
title Five Single-Nucleotide Polymorphisms in the PITX2 Gene as Risk Factors for Atrial Fibrillation
title_full Five Single-Nucleotide Polymorphisms in the PITX2 Gene as Risk Factors for Atrial Fibrillation
title_fullStr Five Single-Nucleotide Polymorphisms in the PITX2 Gene as Risk Factors for Atrial Fibrillation
title_full_unstemmed Five Single-Nucleotide Polymorphisms in the PITX2 Gene as Risk Factors for Atrial Fibrillation
title_short Five Single-Nucleotide Polymorphisms in the PITX2 Gene as Risk Factors for Atrial Fibrillation
title_sort five single nucleotide polymorphisms in the pitx2 gene as risk factors for atrial fibrillation
topic Atrial fibrillation
pituitary homeobox 2 (PITX2) gene
chromosome 4q25
single-nucleotide polymorphisms (SNPs)
cardiovascular diseases
url https://e-journal.unair.ac.id/FMI/article/view/37126
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