Key result
The NaV1.5 p.His558Arg variant is in linkage disequilibrium with six other variants, indicating that its modulating effect on clinical phenotype depends on epistatic interactions with linked variants.
Why the study?
Common genetic polymorphisms can modify phenotypic outcomes, but the genetic backgrounds associated with the modulating effect of the SCN5A p.His558Arg variant remained to be evaluated.
The phenotypic severity and modulating effect of the SCN5A p.His558Arg variant in cardiac diseases likely depend on epistatic interactions with other linked polymorphic variants.
Haplotype context required for NaV1.5 variant interpretation; leaves open independent modifier effects without epistatic data.
Common genetic polymorphisms may modify the phenotypic outcome when co-occurring with a disease-causing variant, and therefore understanding their modulating role in health and disease is of great importance. The polymorphic p.His558Arg variant of the sodium voltage-gated channel alpha subunit 5 (Na V 1.5) encoded by the SCN5A gene is a case in point, as several studies have shown it can modify the clinical phenotype in a number of cardiac diseases. To evaluate the genetic backgrounds associated with this modulating effect, we reanalysed previous electrophysiological findings regarding the p.His558Arg variant and further assessed its patterns of genetic diversity in human populations. The Na V 1.5 p.His558Arg variant was found to be in linkage disequilibrium with six other polymorphic variants that previously were also associated with cardiac traits in GWAS analyses. On account of this, incongruent reports that Arg558 allele can compensate, aggravate or have no effect on Na V 1.5, likely might have arose due to a role of p.His558Arg depending on the additional linked variants. Altogether, these results indicate a major influence of the epistatic interactions between SCN5A variants, revealing also that phenotypic severity may depend on the polymorphic background associated to each individual genome.
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Lopes‐Marques et al. (2022) conducted a review in Cardiac diseases. p.His558Arg variant of NaV1.5 (SCN5A gene) was evaluated on Linkage disequilibrium and epistatic interactions. The NaV1.5 p.His558Arg variant is in linkage disequilibrium with six other variants, indicating that its modulating effect on clinical phenotype depends on epistatic interactions with linked variants.
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