{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:34:20Z","timestamp":1780446860547,"version":"3.54.1"},"reference-count":15,"publisher":"American Medical Association (AMA)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Cardiol"],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"Importance<\/jats:title>Understanding of the genetics of accessory atrioventricular pathways (APs) and affiliated arrhythmias is limited.<\/jats:p><\/jats:sec>Objective<\/jats:title>To investigate the genetics of APs and affiliated arrhythmias.<\/jats:p><\/jats:sec>Design, Setting, and Participants<\/jats:title>This was a genome-wide association study (GWAS) of APs, defined by International Classification of Diseases<\/jats:italic> (ICD<\/jats:italic>) codes and\/or confirmed by electrophysiology (EP) study. Genome-wide significant AP variants were tested for association with AP-affiliated arrhythmias: paroxysmal supraventricular tachycardia (PSVT), atrial fibrillation (AF), ventricular tachycardia, and cardiac arrest. AP variants were also tested in data on other heart diseases and measures of cardiac physiology. Individuals with APs and control individuals from Iceland (deCODE Genetics), Denmark (Copenhagen Hospital Biobank, Danish Blood Donor Study, and SupraGen\/the Danish General Suburban Population Study [GESUS]), the US (Intermountain Healthcare), and the United Kingdom (UK Biobank) were included. Time of phenotype data collection ranged from January 1983 to December 2022. Data were analyzed from August 2022 to January 2024.<\/jats:p><\/jats:sec>Exposures<\/jats:title>Sequence variants.<\/jats:p><\/jats:sec>Main Outcomes and Measures<\/jats:title>Genome-wide significant association of sequence variants with APs.<\/jats:p><\/jats:sec>Results<\/jats:title>The GWAS included 2310 individuals with APs (median [IQR] age, 43 [28-57] years; 1252 [54.2%] male and 1058 [45.8%] female) and 1\u202f206\u202f977 control individuals (median [IQR] year of birth, 1955 [1945-1970]; 632\u202f888 [52.4%] female and 574\u202f089 [47.6%] male). Of the individuals with APs, 909 had been confirmed in EP study. Three common missense variants were associated with APs, in the genes CCDC141<\/jats:italic> (p.Arg935Trp: adjusted odds ratio [aOR], 1.37; 95% CI, 1.24-1.52, and p.Ala141Val: aOR, 1.55; 95% CI 1.34-1.80) and SCN10A<\/jats:italic> (p.Ala1073Val: OR, 1.22; 95% CI, 1.15-1.30). The 3 variants associated with PSVT and the SCN10A<\/jats:italic> variant associated with AF, supporting an effect on AP-affiliated arrhythmias. All 3 AP risk alleles were associated with higher heart rate and shorter PR interval, and have reported associations with chronotropic response.<\/jats:p><\/jats:sec>Conclusions and Relevance<\/jats:title>Associations were found between sequence variants and APs that were also associated with risk of PSVT, and thus likely atrioventricular reentrant tachycardia, but had allele-specific associations with AF and conduction disorders. Genetic variation in the modulation of heart rate, chronotropic response, and atrial or atrioventricular node conduction velocity may play a role in the risk of AP-affiliated arrhythmias. Further research into CCDC141<\/jats:italic> could provide insights for antiarrhythmic therapeutic targeting in the presence of an AP.<\/jats:p><\/jats:sec>","DOI":"10.1001\/jamacardio.2024.2684","type":"journal-article","created":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T15:05:34Z","timestamp":1725462334000},"page":"1053","source":"Crossref","is-referenced-by-count":5,"title":["Genome-Wide Association Study of Accessory Atrioventricular Pathways"],"prefix":"10.1001","volume":"9","author":[{"given":"Hildur M.","family":"Aegisdottir","sequence":"first","affiliation":[{"name":"deCODE Genetics, Reykjavik, Iceland"},{"name":"Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Andreasen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Hospital of Copenhagen - Rigshospitalet, Copenhagen, Denmark"},{"name":"Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa B.","family":"Thorolfsdottir","sequence":"additional","affiliation":[{"name":"deCODE Genetics, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gardar","family":"Sveinbjornsson","sequence":"additional","affiliation":[{"name":"deCODE Genetics, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea B.","family":"Jonsdottir","sequence":"additional","affiliation":[{"name":"deCODE Genetics, Reykjavik, Iceland"},{"name":"Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilja","family":"Stefansdottir","sequence":"additional","affiliation":[{"name":"deCODE Genetics, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gudmar","family":"Thorleifsson","sequence":"additional","affiliation":[{"name":"deCODE Genetics, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asgeir","family":"Sigurdsson","sequence":"additional","affiliation":[{"name":"deCODE Genetics, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gisli H.","family":"Halldorsson","sequence":"additional","affiliation":[{"name":"deCODE Genetics, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julien","family":"Barc","sequence":"additional","affiliation":[{"name":"Nantes Universit\u00e9, CHU Nantes, CNRS, INSERM, l\u2019institut du thorax, Nantes, France"},{"name":"European Reference Network for Rare and Low Prevalence Complex Diseases of the Heart, Amsterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Floriane","family":"Simonet","sequence":"additional","affiliation":[{"name":"Nantes Universit\u00e9, CHU Nantes, CNRS, INSERM, l\u2019institut du thorax, Nantes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinicius","family":"Tragante","sequence":"additional","affiliation":[{"name":"deCODE Genetics, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asmundur","family":"Oddsson","sequence":"additional","affiliation":[{"name":"deCODE Genetics, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Egil","family":"Ferkingstad","sequence":"additional","affiliation":[{"name":"deCODE Genetics, Reykjavik, Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesper Hastrup","family":"Svendsen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Hospital of Copenhagen - 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