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Human Molecular Genetics Advance Access published online on October 16, 2008

Human Molecular Genetics, doi:10.1093/hmg/ddn341
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© The Author 2008. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Identification of a Common Variant at the NOS1AP Locus Strongly Associated to QT – Interval Duration

Mark Eijgelsheim1, Adrianus L.H.J. Aarnoudse1, Fernando Rivadeneira1,2, Jan A. Kors3, Jacqueline C. M. Witteman1, Albert Hofman1,4, Cornelia M. van Duijn1, André G. Uitterlinden1,2 and Bruno H.C. Stricker1,2,5,*

1 Department of Epidemiology, Erasmus Medical Center, 3000 CA, Rotterdam, The Netherlands 2 Department of Internal Medicine, Erasmus Medical Center, 3000CA, Rotterdam, The Netherlands 3 Department of Medical Informatics, Erasmus Medical Center, 3000 CA, Rotterdam, The Netherlands 4 Member of the Netherlands Consortium on Healthy Aging (NCHA) 5 Inspectorate of Health Care, 2511 VX, The Hague, The Netherlands

* Corresponding author: Department of Epidemiology, Erasmus Medical Center, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands, E-mail: b.stricker{at}erasmusmc.nl, Telephone: +31 10 7043482, Fax: +31 10 7044657

Received July 17, 2008; Revised October 14, 2008; Accepted October 14, 2008

QT-interval prolongation is an electrophysiologic phenomenon associated with sudden cardiac death. The QT-interval in the general population is for about 35% heritable. In genome-wide association studies a common variant (rs10494366T>G) within the nitric oxide synthase 1 adaptor protein (NOS1AP) gene was identified and consistently associated with QT-interval duration. Yet, the causal variant remains unclear. Therefore, we performed fine mapping of the association of the NOS1AP locus with QT-interval within the Rotterdam Study, a population–based, prospective cohort study of individuals ≥55 years of age. First, we tested the association of single-nucleotide polymorphisms (SNPs) in or within ±100kb of the NOS1AP gene with QT-interval duration, using sex – specific unstandardized residuals after regression on age and RR-interval, in 385 individuals using the combined set of SNPs present in the Affymetrix 500 k and Illumina 550 k chip arrays. Subsequently, we examined correspondence of the association signals in 4,606 individuals using the Illumina 550 k array. A C-to-T SNP at chromosome 1 position 160300514 (rs12143842, T-allele frequency=24%) was associated with a QT-interval duration increase of 4.4-ms. per additional T-allele (P=4.4x10–28). For comparison, the most strongly associated variant to date, rs10494366T>G, was associated with a 3.5-ms. increase (P=1.6x10–23) per additional G-allele. None of the inferred haplotypes showed a stronger effect than the individual rs12143842C>T SNP. In conclusion, we found rs12143842 6kb upstream distance of NOS1AP to be more strongly associated to QT-interval duration than rs10494366T>G. Functional analysis of this marker is warranted.


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