A common genetic variant within SCN10A modulates cardiac SCN5A expression

作者：van den Boogaard Malou; Smemo Scott; Burnicka Turek Ozanna; Arnolds David E; van de Werken Harmen J G; Klous Petra; McKean David; Muehlschlegel Jochen D; Moosmann Julia; Toka Okan; Yang Xinan H; Koopmann Tamara T; Adriaens Michiel E; Bezzina Connie R; de Laat Wouter; Seidman Christine; Seidman J G; Christoffels Vincent M^*; Nobrega Marcelo A; Barnett Phil; Moskowitz Ivan R

来源：Journal of Clinical Investigation, 2014, 124(4): 1844-1852.

DOI：10.1172/JCI73140

Variants in SCN10A, which encodes a voltage-gated sodium channel, are associated with alterations of cardiac conduction parameters and the cardiac rhythm disorder Brugada syndrome; however, it is unclear how SCN10A variants promote dysfunctional cardiac conduction. Here we showed by high-resolution 4C-seq analysis of the Scn10a-Scn5a locus in murine heart tissue that a cardiac enhancer located in Scn10a, encompassing SCN10A functional variant rs6801957, interacts with the promoter of Scn5a, a sodium channel-encoding gene that is critical for cardiac conduction. We observed that SCN5A transcript levels were several orders of magnitude higher than SCN10A transcript levels in both adult human and mouse heart tissue. Analysis of BAC transgenic mouse strains harboring an engineered deletion of the enhancer within Scn10a revealed that the enhancer was essential for Scn5a expression in cardiac tissue. Furthermore, the common SCN10A variant rs6801957 modulated Scn5a expression in the heart. In humans, the SCN10A variant rs6801957, which correlated with slowed conduction, was associated with reduced SCN5A expression. These observations establish a genomic mechanism for how a common genetic variation at SCN10A influences cardiac physiology and predisposes to arrhythmia.

• 出版日期2014-4