Evidence map›Paper›PMID 22939041›Full record

ArticleJournal of cardiac failure2012

Angiotensin receptor type 1 single nucleotide polymorphism 1166A/C is associated with malignant arrhythmias and altered circulating miR-155 levels in patients with chronic heart failure.

Raul R Blanco, Harland Austin, Richard N Vest, Ravinder Valadri, Wei Li, Bernard Lassegue, Qing Song, Barry London, Samuel C Dudley, Heather L Bloom and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of cardiac failure, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02045043 (Genetic Risk Assessment of Defibrillator Events), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02045043 completednot on this map

Genetic Risk Assessment of Defibrillator Events: A Prospective Multicenter Observational Study

TypeobservationalSponsorUniversity of IowaRan2002 to 2012Enrolled1,807ConditionsSudden Cardiac Death, Arrhythmias, Congestive Heart Failure, Cardiomyopathy
3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Non-coding RNA and arrhythmias: expression, function, and molecular mechanism.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Review
  5. Allele С (rs5186) of at1r is associated with the severity of COVID-19 in the Ukrainian population.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2022
    Observational
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  11. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Raul R BlancoEmory University School of Medicine, Atlanta, GA, USA.
Harland Austin
Richard N Vest
Ravinder Valadri
Wei Li
Bernard Lassegue
Qing Song
Barry London
Samuel C Dudley
Heather L Bloom
Charles D Searles
A Maziar Zafari

Funding

Morehouse School of Medicine Center of Excellence Research Endowment ProgramS21MD000101 · NIMHD · MOREHOUSE SCHOOL OF MEDICINE · PI MONTGOMERY-RICE, VALERIE C. · 2001 to 2015
$74.3M
Research Trainng in Academic CardiologyT32HL007745 · NHLBI · EMORY UNIVERSITY · PI TAYLOR, WILLIAM ROBERT · 1994 to 2023
$10.6M
Modulation of Endothelial Cell Function by the Shear Stress-Responsive miR-155R01HL109559 · NHLBI · EMORY UNIVERSITY · PI SEARLES, CHARLES D · 2011 to 2014
$1.3M
NHLBI NIH HHS HHSN268201000043CNHLBI NIH HHS HL109559NHLBI NIH HHS R01 HL109559NHLBI NIH HHS T32 HL007745NHLBI NIH HHS T32HL007745NIMHD NIH HHS S21 MD000101
6 · The paper itself

Abstract

backgroundSudden cardiac death (SCD) from ventricular tachyarrhythmias accounts for approximately 450,000 annual deaths in the United States; many of these cases involve patients with chronic heart failure (HF). Prediction of which HF patients are most susceptible to SCD is difficult, and it is uncertain whether gene polymorphisms associated with HF outcomes are also linked to arrhythmic risk.

methodsWe evaluated 485 patients with chronic HF to see whether the angiotensin receptor type 1 (AT1R) 1166A/C or angiotensin-converting enzyme insertion/deletion (ACE I/D) polymorphisms were associated with a higher rate of ventricular arrhythmias requiring implantable cardioverter defibrillator (ICD) therapies over a 5-year period. We assessed the correlation between polymorphisms and antitachycardia pacing (ATP) and/or ICD shocks.

resultsPatients with AT1R-1166CC genotype had an increased rate of all events: ATP plus ICD shocks (P = .02). There was no association between ACE I/D genotype and ICD therapies. Furthermore, circulating levels of microRNA-155 (miR-155), a microRNA known to posttranscriptionally regulate AT1R expression, were significantly decreased in the CC compared with the AC and AA genotypes and were associated with ICD events.

conclusionOur study suggests that the AT1R-1166CC genotype is associated with increased ICD therapies in patients with chronic HF, and the level of circulating miR-155 may be a potential marker for arrhythmic risk. Although these findings are novel, they will need replication and validation in larger cohorts of chronic HF patients.

Indexed as

Defibrillators, ImplantableArrhythmias, CardiacDeath, Sudden, CardiacFemaleGenotypeHeart FailureHumansMaleMicroRNAsMiddle AgedPolymorphism, Single NucleotideReceptor, Angiotensin, Type 1RiskStatistics as TopicMicroRNAsMIRN155 microRNA, humanReceptor, Angiotensin, Type 1

Identifiers

PMID22939041
PMCPMC3640363

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.