Abstract-Multiple studies have identified resting heart rate as a risk factor for cardiovascular disease independent of other cardiovascular disease risk factors (such as dyslipidemia and hypertension). Previous studies have examined heart rate in hypertensive individuals, but little is known about the genetic determination of resting heart rate in a normal population. Therefore, our objective was to perform a genome screen on a population containing normotensive and hypertensive individuals. We performed variance decomposition linkage analysis using maximum likelihood methods at Ϸ10 cM intervals in 2209 individuals of predominantly North European ancestry. We estimated the heritability of resting heart rate to be 26% and obtained significant evidence of linkage (logarithm of the odds [LOD]ϭ3.9) for resting heart rate on chromosome 4q. This signal is in the same region as a quantitative trait locus (QTL) for long QT syndrome 4 and a QTL for heart rate in rats. However, resting heart rate is often overlooked as a risk factor, even though multiple studies have identified resting heart rate as a CVD risk factor. [3][4][5][6][7][8][9][10][11] Moreover, although associated with other CVD risk factors, resting heart rate is an independent predictor of CVD. 3,6,12 Given the potential clinical significance of resting heart rate, mechanisms of heart rate control are of great biomedical interest. In brief, a heartbeat begins with a small group of specialized muscle cells in the sinoatrial node. These cells generate electrical signals that spread throughout the heart and cause it to contract with a regular, steady beat. Although the sinoatrial node generates the heartbeat, heart rate is under tight neurohumoral control.Interestingly, genetic factors also influence heart rate. Heart rate has been demonstrated to have a significant genetic component of variation. 13 Additionally, quantitative trait locus or loci (QTL) for heart rate have been identified in drosophila, 14 mice, 15 rats, 16 -18 and humans. 19 However, most genetic studies have used hypertensive subjects. Given that heart rate is associated with blood pressure, 4,8,10 it is unclear whether the QTL are applicable to the normal variation in heart rate or are specific to elevated blood pressure. Therefore, our objective was to perform a genome screen on a population not ascertained on hypertensive status. Furthermore, because heart rate has been associated with CVD risk factors, we will examine the relationship between heart rate and CVD risk factors in a subset of unrelated individuals.
Methods
SubjectsSubjects were participants of the Metabolic Risk Complications of Obesity Genes project, which recruited participants and their families from Take Off Pounds Sensibly, Inc (TOPS) membership in the midwestern United States. 20 Research protocols were approved by the Institutional Review Board of the Medical College of Wisconsin.In this study, 2209 individuals distributed across 411 white families of predominantly northern European ancestry participated. Exclusion c...