Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Feb;42(2):153-9.
doi: 10.1038/ng.517. Epub 2010 Jan 10.

Genome-wide association study of PR interval

Affiliations

Genome-wide association study of PR interval

Arne Pfeufer et al. Nat Genet. 2010 Feb.

Abstract

The electrocardiographic PR interval (or PQ interval) reflects atrial and atrioventricular nodal conduction, disturbances of which increase risk of atrial fibrillation. We report a meta-analysis of genome-wide association studies for PR interval from seven population-based European studies in the CHARGE Consortium: AGES, ARIC, CHS, FHS, KORA, Rotterdam Study, and SardiNIA (N = 28,517). We identified nine loci associated with PR interval at P < 5 x 10(-8). At the 3p22.2 locus, we observed two independent associations in voltage-gated sodium channel genes, SCN10A and SCN5A. Six of the loci were near cardiac developmental genes, including CAV1-CAV2, NKX2-5 (CSX1), SOX5, WNT11, MEIS1, and TBX5-TBX3, providing pathophysiologically interesting candidate genes. Five of the loci, SCN5A, SCN10A, NKX2-5, CAV1-CAV2, and SOX5, were also associated with atrial fibrillation (N = 5,741 cases, P < 0.0056). This suggests a role for common variation in ion channel and developmental genes in atrial and atrioventricular conduction as well as in susceptibility to atrial fibrillation.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest Statement: Aravinda Chakravarti is a paid member of the Scientific Advisory Board of Affymetrix, a role that is managed by the Committee on Conflict of Interest of the Johns Hopkins University School of Medicine.

Figures

Figure 1
Figure 1
Manhattan Plot of genome-wide association analyses. Genome-wide association results were combined across all studies by inverse variance weighting. The blue line marks the threshold for genome-wide significance (P= 5×10-8). Coordinates are given in NCBI build 36.
Figure 2
Figure 2
Association results at each significant locus. Associated loci are displayed in genomic order from left to right: MEIS1, SCN5A/SCN10A region, ARHGAP24, NKX2-5 region, CAV1/CAV2 region, WNT11, SOX5 region and TBX5/TBX3 region. Each panel spans ±500 kb around each SNP and has known gene transcripts annotated at the bottom. The SNPs are colored according to their degree of linkage disequilibrium (r2) with the leading variant highlighted with a blue square and displayed by name and achieved significance level in the meta-analysis. The lower right panel shows the QQ plot of the meta-analysis findings with a genomic control factor (λ) of 1.076.

Similar articles

  • Several common variants modulate heart rate, PR interval and QRS duration.
    Holm H, Gudbjartsson DF, Arnar DO, Thorleifsson G, Thorgeirsson G, Stefansdottir H, Gudjonsson SA, Jonasdottir A, Mathiesen EB, Njølstad I, Nyrnes A, Wilsgaard T, Hald EM, Hveem K, Stoltenberg C, Løchen ML, Kong A, Thorsteinsdottir U, Stefansson K. Holm H, et al. Nat Genet. 2010 Feb;42(2):117-22. doi: 10.1038/ng.511. Epub 2010 Jan 10. Nat Genet. 2010. PMID: 20062063
  • Novel loci associated with PR interval in a genome-wide association study of 10 African American cohorts.
    Butler AM, Yin X, Evans DS, Nalls MA, Smith EN, Tanaka T, Li G, Buxbaum SG, Whitsel EA, Alonso A, Arking DE, Benjamin EJ, Berenson GS, Bis JC, Chen W, Deo R, Ellinor PT, Heckbert SR, Heiss G, Hsueh WC, Keating BJ, Kerr KF, Li Y, Limacher MC, Liu Y, Lubitz SA, Marciante KD, Mehra R, Meng YA, Newman AB, Newton-Cheh C, North KE, Palmer CD, Psaty BM, Quibrera PM, Redline S, Reiner AP, Rotter JI, Schnabel RB, Schork NJ, Singleton AB, Smith JG, Soliman EZ, Srinivasan SR, Zhang ZM, Zonderman AB, Ferrucci L, Murray SS, Evans MK, Sotoodehnia N, Magnani JW, Avery CL. Butler AM, et al. Circ Cardiovasc Genet. 2012 Dec;5(6):639-46. doi: 10.1161/CIRCGENETICS.112.963991. Epub 2012 Nov 8. Circ Cardiovasc Genet. 2012. PMID: 23139255 Free PMC article.
  • Fifteen Genetic Loci Associated With the Electrocardiographic P Wave.
    Christophersen IE, Magnani JW, Yin X, Barnard J, Weng LC, Arking DE, Niemeijer MN, Lubitz SA, Avery CL, Duan Q, Felix SB, Bis JC, Kerr KF, Isaacs A, Müller-Nurasyid M, Müller C, North KE, Reiner AP, Tinker LF, Kors JA, Teumer A, Petersmann A, Sinner MF, Buzkova P, Smith JD, Van Wagoner DR, Völker U, Waldenberger M, Peters A, Meitinger T, Limacher MC, Wilhelmsen KC, Psaty BM, Hofman A, Uitterlinden A, Krijthe BP, Zhang ZM, Schnabel RB, Kääb S, van Duijn C, Rotter JI, Sotoodehnia N, Dörr M, Li Y, Chung MK, Soliman EZ, Alonso A, Whitsel EA, Stricker BH, Benjamin EJ, Heckbert SR, Ellinor PT. Christophersen IE, et al. Circ Cardiovasc Genet. 2017 Aug;10(4):e001667. doi: 10.1161/CIRCGENETICS.116.001667. Circ Cardiovasc Genet. 2017. PMID: 28794112 Free PMC article.
  • Common variation in atrial fibrillation: navigating the path from genetic association to mechanism.
    Tucker NR, Clauss S, Ellinor PT. Tucker NR, et al. Cardiovasc Res. 2016 Apr 1;109(4):493-501. doi: 10.1093/cvr/cvv283. Epub 2016 Jan 4. Cardiovasc Res. 2016. PMID: 26733238 Free PMC article. Review.
  • Genome-wide association studies of atrial fibrillation: past, present, and future.
    Sinner MF, Ellinor PT, Meitinger T, Benjamin EJ, Kääb S. Sinner MF, et al. Cardiovasc Res. 2011 Mar 1;89(4):701-9. doi: 10.1093/cvr/cvr001. Epub 2011 Jan 18. Cardiovasc Res. 2011. PMID: 21245058 Free PMC article. Review.

Cited by

References

    1. Havlik RJ, Garrison RJ, Fabsitz R, Feinleib M. Variability of heart rate, P-R, QRS and Q-T durations in twins. J Electrocardiol. 1980;13:45–48. - PubMed
    1. Hanson B, Tuna N, Bouchard T, Heston L, Eckert E, Lykken D, Segal N, Rich S. Genetic factors in the electrocardiogram and heart rate of twins reared apart and together. Am J Cardiol. 1989;63:606–609. - PubMed
    1. Pilia G, Chen WM, Scuteri A, Orrú M, Albai G, Dei M, Lai S, Usala G, Lai M, Loi P, Mameli C, Vacca L, Deiana M, Olla N, Masala M, Cao A, Najjar SS, Terracciano A, Nedorezov T, Sharov A, Zonderman AB, Abecasis GR, Costa P, Lakatta E, Schlessinger D. Heritability of cardiovascular and personality traits in 6,148 Sardinians. PLoS Genet. 2006;2:e132. - PMC - PubMed
    1. Newton-Cheh C, Guo CY, Wang TJ, et al. Genome Wide Association Study of Electrocardiographic and Heart Rate Variability Traits: the Framingham Heart Study. BMC Med Genet. 2007;8(1):S7. - PMC - PubMed
    1. Benjamin EJ, Chen PS, Bild DE, Mascette AM, Albert CM, Alonso A, Calkins H, Connolly SJ, Curtis AB, Darbar D, Ellinor PT, Go AS, Goldschlager NF, Heckbert SR, Jalife J, Kerr CR, Levy D, Lloyd-Jones DM, Massie BM, Nattel S, Olgin JE, Packer DL, Po SS, Tsang TS, Van Wagoner DR, Waldo AL, Wyse DG. Prevention of atrial fibrillation: report from a national heart, lung, and blood institute workshop. Circulation. 2009;119:606–618. - PMC - PubMed

Publication types

Grants and funding