Evidence map›Paper›PMID 42346503›Full record

ArticleJournal of cardiovascular development and disease2026

ANO1 (TMEM16A) Genetic Variants, Promoter Methylation, and Chloride Dysregulation in Pulmonary Hypertension.

İrfan Yaman, Hasan Korkmaz, Arzu Etem Akağaç, Tuğçe Kaymaz, Rauf Önder, Ebru Etem Önalan

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Article in Journal of cardiovascular development and disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

İrfan YamanDepartment of Cardiology, Faculty of Medicine, Firat University, 23119 Elazig, Turkey.
Hasan KorkmazDepartment of Cardiology, Faculty of Medicine, Firat University, 23119 Elazig, Turkey.
Arzu Etem AkağaçDepartment of Biochemistry, Uskudar State Hospital, 34668 Istanbul, Turkey.
Tuğçe KaymazDepartment of Molecular Biology and Genetics, Nevsehir Haci Bektas Veli University, 50300 Nevsehir, Turkey.ORCID 0000-0002-7389-9390
Rauf ÖnderDepartment of Cardiology, Gaziantep City Hospital, 27470 Gaziantep, Turkey.ORCID 0000-0003-4433-7855
Ebru Etem ÖnalanDepartment of Cardiology, Faculty of Medicine, Firat University, 23119 Elazig, Turkey.

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6 · The paper itself

Abstract

backgroundPulmonary arterial hypertension (PAH) is a rare and progressive disorder characterized by increased pulmonary vascular resistance and vascular remodeling. Genetic polymorphisms, epigenetic modifications, and ion channel dysregulation are increasingly recognized as key contributors to disease pathogenesis. Anoctamin-1 (ANO1/TMEM16A), a calcium-activated chloride channel, plays a critical role in vascular tone regulation.

objectiveThis study aimed to investigate the association between ANO1 gene polymorphisms (rs7127129 and rs2509153), promoter methylation status, and serum chloride levels in patients with idiopathic pulmonary arterial hypertension (IPAH), congenital heart disease (CHD), and chronic thromboembolic pulmonary hypertension (CTEPH).

methodsA total of 106 IPAH patients, 40 CHD patients, and 30 CTEPH patients, together with 125 healthy controls, were included. The control group had a comparable age distribution, with a balanced sex ratio, whereas females predominated in all three PH groups. Genotyping was performed using TaqMan-based real-time PCR. Promoter methylation was analyzed using bisulfite conversion followed by quantitative real-time PCR. Serum chloride levels were measured using an ion-selective electrode method.

resultsNo significant association was observed between rs7127129 and rs2509153 polymorphisms and IPAH or CTEPH (

conclusionsANO1 polymorphisms are not major determinants of IPAH or CTEPH but may contribute to CHD susceptibility. Increased serum chloride levels, together with decreased promoter methylation, suggest a potential mechanistic link between ion channel dysregulation and epigenetic alterations in pulmonary hypertension. Further large-scale and functional studies are warranted.

Indexed as

ANO1chloride channelsmethylationpulmonary arterial hypertensionrs2509153rs7127129

Identifiers

PMID42346503
PMCPMC13300953

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