A rare variant in MYH6 is associated with high risk of sick sinus syndrome

  • Nat Genet. 2011 Mar 6;43(4):316-20. doi: 10.1038/ng.781.
Hilma Holm  1 ,  Daniel F Gudbjartsson ,  Patrick Sulem ,  Gisli Masson ,  Hafdis Th Helgadottir ,  Carlo Zanon ,  Olafur Th Magnusson ,  Agnar Helgason ,  Jona Saemundsdottir ,  Arnaldur Gylfason ,  Hrafnhildur Stefansdottir ,  Solveig Gretarsdottir ,  Stefan E Matthiasson ,  Gu Mundur Thorgeirsson ,  Aslaug Jonasdottir ,  Asgeir Sigurdsson ,  Hreinn Stefansson ,  Thomas Werge ,  Thorunn Rafnar ,  Lambertus A Kiemeney ,  Babar Parvez ,  Raafia Muhammad ,  Dan M Roden ,  Dawood Darbar ,  Gudmar Thorleifsson ,  G Bragi Walters ,  Augustine Kong ,  Unnur Thorsteinsdottir ,  David O Arnar ,  Kari Stefansson
Affiliations
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 × 10⁻²⁹. 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.