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  1. Article ; Online: Causative Variants for Inherited Cardiac Conditions in a Southeast Asian Population Cohort.

    Tomar, Swati / Klinzing, David C / Chen, Ching Kit / Gan, Louis Hanqiang / Moscarello, Tia / Reuter, Chloe / Ashley, Euan A / Foo, Roger

    Circulation. Genomic and precision medicine

    2022  Volume 15, Issue 2, Page(s) e003536

    Abstract: Background: Variable penetrance and late-onset phenotypes are key challenges for classifying causal as well as incidental findings in inherited cardiac conditions. Allele frequencies of variants in ancestry-specific populations, along with clinical ... ...

    Abstract Background: Variable penetrance and late-onset phenotypes are key challenges for classifying causal as well as incidental findings in inherited cardiac conditions. Allele frequencies of variants in ancestry-specific populations, along with clinical variant analysis and interpretation, are critical to determine their true significance.
    Methods: Here, we carefully reviewed and classified variants in genes associated with inherited cardiac conditions based on a population whole-genome sequencing cohort of 4810 Singaporeans representing Southeast Asian ancestries.
    Results: Eighty-nine (1.85%) individuals carried either pathogenic or likely pathogenic variants across 25 genes. Forty-six (51.7%) had variants in causal genes for familial hyperlipidemia, but there were also recurrent variants in
    Conclusions: Our findings highlight the incidence of disease-related variants in inherited cardiac conditions and emphasize the value of large-scale sequencing in specific ancestries. Follow-up detailed phenotyping and analysis of pedigrees are crucial because assigning pathogenicity will significantly affect clinical management for individuals and their family members.
    MeSH term(s) Arrhythmias, Cardiac/genetics ; Asians/genetics ; Cohort Studies ; Humans ; Pedigree ; Phenotype
    Language English
    Publishing date 2022-02-07
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2574-8300
    ISSN (online) 2574-8300
    DOI 10.1161/CIRCGEN.121.003536
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Platform for the interdisciplinary study of cardiovascular, metabolic and neurovascular diseases (PICMAN) protocol.

    Dalakoti, Mayank / Leow, Melvin Khee Shing / Khoo, Chin Meng / Yang, Hayang / Ling, Lieng Hsi / Muthiah, Mark / Tan, Eunice / Lee, Jonathan / Dan, Yock Young / Chew, Nicholas / Seow, Wei Qiang / Soong, Poh Loong / Gan, Louis / Gurung, Rijan / Ackers-Johnson, Matthew / Hou, Han Wei / Sachaphibulkij, Karishma / MacAry, Paul / Low, Gwen /
    Ang, Christy / Yeo, Tee Joo / Djohan, Andie Hartanto / Li, Tony / Yeung, Wesley / Soh, Rodney / Sia, Ching Hui / Panday, Vinay / Loong, Shaun S E / Tan, Benjamin Y Q / Yeo, Leonard L L / Teo, Lynette / Chow, Pierce / Foo, Roger

    Scientific reports

    2023  Volume 13, Issue 1, Page(s) 20521

    Abstract: Through extensive multisystem phenotyping, the central aim of Project PICMAN is to correlate metabolic flexibility to measures of cardiometabolic health, including myocardial diastolic dysfunction, coronary and cerebral atherosclerosis, body fat ... ...

    Abstract Through extensive multisystem phenotyping, the central aim of Project PICMAN is to correlate metabolic flexibility to measures of cardiometabolic health, including myocardial diastolic dysfunction, coronary and cerebral atherosclerosis, body fat distribution and severity of non-alcoholic fatty liver disease. This cohort will form the basis of larger interventional trials targeting metabolic inflexibility in the prevention of cardiovascular disease. Participants aged 21-72 years with no prior manifest atherosclerotic cardiovascular disease (ASCVD) are being recruited from a preventive cardiology clinic and an existing cohort of non-alcoholic fatty liver disease (NAFLD) in an academic medical centre. A total of 120 patients will be recruited in the pilot phase of this study and followed up for 5 years. Those with 10-year ASCVD risk ≥ 5% as per the QRISK3 calculator are eligible. Those with established diabetes mellitus are excluded. Participants recruited undergo a detailed assessment of health behaviours and physical measurements. Participants also undergo a series of multimodality clinical phenotyping comprising cardiac tests, vascular assessments, metabolic tests, liver and neurovascular testing. Blood samples are also being collected and banked for plasma biomarkers, 'multi-omics analyses' and for generation of induced pluripotent stem cells (iPSC). Extensive evidence points to metabolic dysregulation as an early precursor of cardiovascular disease, particularly in Asia. We hypothesise that quantifiable metabolic inflexibility may be representative of an individual in his/her silent, but high-risk progression towards insulin resistance, diabetes and cardiovascular disease. The platform for interdisciplinary cardiovascular-metabolic-neurovascular diseases (PICMAN) is a pilot, prospective, multi-ethnic cohort study.
    MeSH term(s) Humans ; Male ; Female ; Cardiovascular Diseases ; Non-alcoholic Fatty Liver Disease ; Cohort Studies ; Prospective Studies ; Cardiovascular System ; Atherosclerosis ; Risk Factors
    Language English
    Publishing date 2023-11-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-023-47407-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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