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Lack of MEF2A Δ7aa mutation in Irish families with early onset ischaemic heart disease, a family based study

Paul G Horan1 email, Adrian R Allen2 email, Anne E Hughes3 email, Chris C Patterson4 email, Mark Spence1 email, Paul G McGlinchey1 email, Christine Belton2 email, Tracy CL Jardine1 email and Pascal P McKeown1,2 email

Regional Medical Cardiology Centre, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA, Northern Ireland, UK

Department of Medicine, Queen's University Belfast, Institute of Clinical Science, Grosvenor Road, Belfast, BT12 6BJ, Northern Ireland, UK

Department of Medical Genetics, Queen's University Belfast, Institute of Pathology, Grosvenor Road, Belfast, BT12 6BJ, Northern Ireland, UK

Department of Epidemiology and Public Health, Queen's University Belfast, Mulhouse Building, Grosvenor Road, Belfast, BT12 6BJ, Northern Ireland, UK

author email corresponding author email

BMC Medical Genetics 2006, 7:65doi:10.1186/1471-2350-7-65

Published: 27 July 2006

Abstract

Background

Ischaemic heart disease (IHD) is a complex disease due to the combination of environmental and genetic factors. Mutations in the MEF2A gene have recently been reported in patients with IHD. In particular, a 21 base pair deletion (Δ7aa) in the MEF2A gene was identified in a family with an autosomal dominant pattern of inheritance of IHD. We investigated this region of the MEF2A gene using an Irish family-based study, where affected individuals had early-onset IHD.

Methods

A total of 1494 individuals from 580 families were included (800 discordant sib-pairs and 64 parent-child trios). The Δ7aa region of the MEF2A gene was investigated based on amplicon size.

Results

The Δ7aa mutation was not detected in any individual. Variation in the number of CAG (glutamate) and CCG (proline) residues was detected in a nearby region. However, this was not found to be associated with IHD.

Conclusion

The Δ7aa mutation was not detected in any individual within the study population and is unlikely to play a significant role in the development of IHD in Ireland. Using family-based tests of association the number of tri-nucleotide repeats in a nearby region of the MEF2A gene was not associated with IHD in our study group.


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