Key result
Reduced Na/K-ATPase expression in DCM correlates with lower LVEF compared to non-failing hearts.
Why the study?
The relationship between gene expression and cardiac function in dilated cardiomyopathy patients, including racial differences, was not fully understood.
Observational (n=366)
Answers are grounded in this paper and cite their sources.
African American and Caucasian patients with dilated cardiomyopathy share similar genetic regulations associated with LVEF, with Na/K-ATPase expression playing a significant role.
Dilated cardiomyopathy (DCM) is a major cause of cardiac death and heart transplantation. It has been known that black people have a higher incidence of heart failure and related diseases compared to white people. To identify the relationship between gene expression and cardiac function in DCM patients, we performed pathway analysis and weighted gene co-expression network analysis (WGCNA) using RNA-sequencing data (GSE141910) from the NCBI Gene Expression Omnibus (GEO) database and identified several gene modules that were significantly associated with the left ventricle ejection fraction (LVEF) and DCM phenotype. Genes included in these modules are enriched in three major categories of signaling pathways: fibrosis-related, small molecule transporting-related, and immune response-related. Through consensus analysis, we found that gene modules associated with LVEF in African Americans are almost identical as in Caucasians, suggesting that the two groups may have more common rather than disparate genetic regulations in the etiology of DCM. In addition to the identified modules, we found that the gene expression level of Na/K-ATPase, an important membrane ion transporter, has a strong correlation with the LVEF. These clinical results are consistent with our previous findings and suggest the clinical significance of Na/K-ATPase regulation in DCM.
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Gao et al. (2022) conducted an observational in Dilated cardiomyopathy (n=366). Dilated cardiomyopathy vs. Non-failing donors was evaluated on Na/K-ATPase gene expression level (p=<0.01). Dilated cardiomyopathy patients had significantly lower expression of Na/K-ATPase compared to non-failing donors, which strongly correlated with decreased left ventricular ejection fraction.
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