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Mitochondrial DNA copy number and incident atrial fibrillation
BMC Medicine
  • Di Zhao, Welch Center for Prevention Epidemiology and Clinical Research
  • Traci M. Bartz, University of Washington
  • Nona Sotoodehnia, University of Washington
  • Wendy S. Post, Welch Center for Prevention Epidemiology and Clinical Research
  • Susan R. Heckbert, University of Washington
  • Alvaro Alonso, Rollins School of Public Health
  • Ryan J. Longchamps, Johns Hopkins School of Medicine
  • Christina A. Castellani, Johns Hopkins School of Medicine
  • Yun Soo Hong, Welch Center for Prevention Epidemiology and Clinical Research
  • Jerome I. Rotter, Harbor-UCLA Medical Center
  • Henry J. Lin, Harbor-UCLA Medical Center
  • Brian O'Rourke, Johns Hopkins School of Medicine
  • Nathan Pankratz, University of Minnesota Twin Cities
  • John A. Lane, University of Minnesota Twin Cities
  • Stephanie Y. Yang, Johns Hopkins School of Medicine
  • Eliseo Guallar, Welch Center for Prevention Epidemiology and Clinical Research
  • Dan E. Arking, Johns Hopkins School of Medicine
Document Type
Article
Publication Date
9-16-2020
URL with Digital Object Identifier
10.1186/s12916-020-01715-6
Abstract

Background: Mechanistic studies suggest that mitochondria DNA (mtDNA) dysfunction may be associated with increased risk of atrial fibrillation (AF). The association between mtDNA copy number (mtDNA-CN) and incident AF in the general population, however, remains unknown. Methods: We conducted prospective analyses of 19,709 participants from the Atherosclerosis Risk in Communities Study (ARIC), the Multi-Ethnic Study of Atherosclerosis (MESA), and the Cardiovascular Health Study (CHS). mtDNA-CN from the peripheral blood was calculated from probe intensities on the Affymetrix Genome-Wide Human single nucleotide polymorphisms (SNP) Array 6.0 in ARIC and MESA and from multiplexed real-time quantitative polymerase chain reaction (qPCR) in CHS. Incident AF cases were identified through electrocardiograms, review of hospital discharge codes, Medicare claims, and death certificates. Results: The median follow-up time was 21.4 years in ARIC, 12.9 years in MESA, and 11.0 years in CHS, during which 4021 participants developed incident atrial fibrillation (1761 in ARIC, 790 in MESA, and 1470 in CHS). In fully adjusted models, participants with the lowest quintile of mitochondria DNA copy number had an overall 13% increased risk (95% CI 1 to 27%) of incident atrial fibrillation compared to those with the highest quintile. Dose-response spline analysis also showed an inverse association between mitochondria DNA copy number and hazard for atrial fibrillation for all three cohorts. These associations were consistent across subgroups. Conclusions: Mitochondria DNA copy number was inversely associated with the risk of AF independent of traditional cardiovascular risk factors. These findings implicate mitochondria DNA copy number as a novel risk factor for atrial fibrillation. Further research is warranted to understand the underlying mechanisms and to evaluate the role of mitochondria DNA copy number in the management of atrial fibrillation risk.

Citation Information
Di Zhao, Traci M. Bartz, Nona Sotoodehnia, Wendy S. Post, et al.. "Mitochondrial DNA copy number and incident atrial fibrillation" BMC Medicine Vol. 18 Iss. 1 (2020)
Available at: http://works.bepress.com/christina-castellani/11/