Skip to main content
Top
Published in: Netherlands Heart Journal 1/2016

Open Access 01-01-2016 | Review Article

Cardiac dyssynchrony and response to cardiac resynchronisation therapy in heart failure: can genetic predisposition play a role?

Authors: N. Lahrouchi, C.R. Bezzina

Published in: Netherlands Heart Journal | Issue 1/2016

Login to get access

Abstract

Cardiac resynchronisation therapy (CRT) is an accepted treatment for heart failure patients with depressed left ventricular (LV) function and dyssynchrony. However, despite better clinical outcome and improved cardiac function after CRT in the majority of eligible heart failure patients, a large proportion of implanted patients do not seem to benefit clinically from this therapy. In this review we consider whether genetic factors may play a role in modulating response to CRT and summarise the few genetic studies that have investigated the role of genetic variation in candidate genes.
Literature
1.
go back to reference Kirk JA, Kass DA. Electromechanical dyssynchrony and resynchronisation of the failing heart. Circ Res. 2013;113:765–76.PubMedCrossRef Kirk JA, Kass DA. Electromechanical dyssynchrony and resynchronisation of the failing heart. Circ Res. 2013;113:765–76.PubMedCrossRef
2.
go back to reference Prinzen FW, Vernooy K, Auricchio A. Cardiac resynchronisation therapy: state-of-the-art of current applications, guidelines, ongoing trials, and areas of controversy. Circulation. 2013;128:2407–18.PubMedCrossRef Prinzen FW, Vernooy K, Auricchio A. Cardiac resynchronisation therapy: state-of-the-art of current applications, guidelines, ongoing trials, and areas of controversy. Circulation. 2013;128:2407–18.PubMedCrossRef
3.
go back to reference Brignole M, Auricchio A, Baron-Esquivias G, et al. 2013 ESC Guidelines on cardiac pacing and cardiac resynchronisation therapy: the Task Force on cardiac pacing and resynchronisation therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association. Eur Heart J. 2013;34:2281–329.PubMedCrossRef Brignole M, Auricchio A, Baron-Esquivias G, et al. 2013 ESC Guidelines on cardiac pacing and cardiac resynchronisation therapy: the Task Force on cardiac pacing and resynchronisation therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association. Eur Heart J. 2013;34:2281–329.PubMedCrossRef
4.
go back to reference Leyva F, Nisam S, Auricchio A. 20 years of cardiac resynchronisation therapy. J Am Coll Cardiol. 2014;64:1047–58.PubMedCrossRef Leyva F, Nisam S, Auricchio A. 20 years of cardiac resynchronisation therapy. J Am Coll Cardiol. 2014;64:1047–58.PubMedCrossRef
5.
go back to reference Bax JJ, Gorcsan J. Echocardiography and noninvasive imaging in cardiac resynchronisation therapy: results of the PROSPECT (Predictors of Response to Cardiac Resynchronisation Therapy) study in perspective. J Am Coll Cardiol. 2009;53:1933–43.PubMedCrossRef Bax JJ, Gorcsan J. Echocardiography and noninvasive imaging in cardiac resynchronisation therapy: results of the PROSPECT (Predictors of Response to Cardiac Resynchronisation Therapy) study in perspective. J Am Coll Cardiol. 2009;53:1933–43.PubMedCrossRef
6.
go back to reference Auricchio A, Prinzen FW. Non-responders to cardiac resynchronisation therapy: the magnitude of the problem and the issues. Circ J. 2011;75:521–7.PubMedCrossRef Auricchio A, Prinzen FW. Non-responders to cardiac resynchronisation therapy: the magnitude of the problem and the issues. Circ J. 2011;75:521–7.PubMedCrossRef
7.
go back to reference Lee DS, Pencina MJ, Benjamin EJ, et al. Association of parental heart failure with risk of heart failure in offspring. N Engl J Med. 2006;355:138–47.PubMedCrossRef Lee DS, Pencina MJ, Benjamin EJ, et al. Association of parental heart failure with risk of heart failure in offspring. N Engl J Med. 2006;355:138–47.PubMedCrossRef
8.
go back to reference Friedlander Y, Siscovick DS, Arbogast P, et al. Sudden death and myocardial infarction in first degree relatives as predictors of primary cardiac arrest. Atherosclerosis. 2002;162:211–6.PubMedCrossRef Friedlander Y, Siscovick DS, Arbogast P, et al. Sudden death and myocardial infarction in first degree relatives as predictors of primary cardiac arrest. Atherosclerosis. 2002;162:211–6.PubMedCrossRef
9.
go back to reference Dekker LRC, Bezzina CR, Henriques JPS, et al. Familial sudden death is an important risk factor for primary ventricular fibrillation: a case-control study in acute myocardial infarction patients. Circulation. 2006;114:1140–5.PubMedCrossRef Dekker LRC, Bezzina CR, Henriques JPS, et al. Familial sudden death is an important risk factor for primary ventricular fibrillation: a case-control study in acute myocardial infarction patients. Circulation. 2006;114:1140–5.PubMedCrossRef
10.
go back to reference Kolder ICRM, Tanck MWT, Bezzina CR. Common genetic variation modulating cardiac ECG parameters and susceptibility to sudden cardiac death. J Mol Cell Cardiol. 2012;52:620–9.PubMedCrossRef Kolder ICRM, Tanck MWT, Bezzina CR. Common genetic variation modulating cardiac ECG parameters and susceptibility to sudden cardiac death. J Mol Cell Cardiol. 2012;52:620–9.PubMedCrossRef
11.
go back to reference Post WS, Larson MG, Myers RH, Galderisi M, Levy D. Heritability of left ventricular mass: the Framingham Heart Study. Hypertension. 1997;30:1025–8.PubMedCrossRef Post WS, Larson MG, Myers RH, Galderisi M, Levy D. Heritability of left ventricular mass: the Framingham Heart Study. Hypertension. 1997;30:1025–8.PubMedCrossRef
13.
go back to reference Sinner MF, Ellinor PT, Meitinger T, Benjamin EJ, Kääb S. Genome-wide association studies of atrial fibrillation: past, present, and future. Cardiovasc Res. 2011;89:701–9.PubMedPubMedCentralCrossRef Sinner MF, Ellinor PT, Meitinger T, Benjamin EJ, Kääb S. Genome-wide association studies of atrial fibrillation: past, present, and future. Cardiovasc Res. 2011;89:701–9.PubMedPubMedCentralCrossRef
14.
go back to reference Bezzina CR, Lahrouchi N, Priori SG. Genetics of sudden cardiac death. Circ Res. 2015;116:1919–36.PubMedCrossRef Bezzina CR, Lahrouchi N, Priori SG. Genetics of sudden cardiac death. Circ Res. 2015;116:1919–36.PubMedCrossRef
15.
go back to reference Frazer KA, Murray SS, Schork NJ, Topol EJ. Human genetic variation and its contribution to complex traits. Nat Rev Genet. 2009;10:241–51.PubMedCrossRef Frazer KA, Murray SS, Schork NJ, Topol EJ. Human genetic variation and its contribution to complex traits. Nat Rev Genet. 2009;10:241–51.PubMedCrossRef
16.
go back to reference De Maria R, Landolina M, Gasparini M, et al. Genetic variants of the renin-angiotensin-aldosterone system and reverse remodeling after cardiac resynchronisation therapy. J Card Fail. 2012;18:762–8.PubMedCrossRef De Maria R, Landolina M, Gasparini M, et al. Genetic variants of the renin-angiotensin-aldosterone system and reverse remodeling after cardiac resynchronisation therapy. J Card Fail. 2012;18:762–8.PubMedCrossRef
17.
go back to reference Messaoudi S, Azibani F, Delcayre C, Jaisser F. Aldosterone, mineralocorticoid receptor, and heart failure. Mol Cell Endocrinol. 2012;350:266–72.PubMedCrossRef Messaoudi S, Azibani F, Delcayre C, Jaisser F. Aldosterone, mineralocorticoid receptor, and heart failure. Mol Cell Endocrinol. 2012;350:266–72.PubMedCrossRef
18.
go back to reference Bleumink GS, Schut AFC, Sturkenboom MCJM, Deckers JW, Duijn CM van, Stricker BHC. Genetic polymorphisms and heart failure. Genet Med. 2004;6:465–74.PubMedCrossRef Bleumink GS, Schut AFC, Sturkenboom MCJM, Deckers JW, Duijn CM van, Stricker BHC. Genetic polymorphisms and heart failure. Genet Med. 2004;6:465–74.PubMedCrossRef
19.
go back to reference Schmitz B, De Maria R, Gatsios D, et al. Identification of genetic markers for treatment success in heart failure patients: insight from cardiac resynchronisation therapy. Circ Cardiovasc Genet. 2014;7:760–70.PubMedCrossRef Schmitz B, De Maria R, Gatsios D, et al. Identification of genetic markers for treatment success in heart failure patients: insight from cardiac resynchronisation therapy. Circ Cardiovasc Genet. 2014;7:760–70.PubMedCrossRef
20.
go back to reference Chakir K, Daya SK, Aiba T, et al. Mechanisms of enhanced beta-adrenergic reserve from cardiac resynchronisation therapy. Circulation. 2009;119:1231–40.PubMedPubMedCentralCrossRef Chakir K, Daya SK, Aiba T, et al. Mechanisms of enhanced beta-adrenergic reserve from cardiac resynchronisation therapy. Circulation. 2009;119:1231–40.PubMedPubMedCentralCrossRef
21.
go back to reference Vanderheyden M, Mullens W, Delrue L, et al. Endomyocardial upregulation of beta1 adrenoreceptor gene expression and myocardial contractile reserve following cardiac resynchronisation therapy. J Card Fail. 2008;14:172–8.PubMedCrossRef Vanderheyden M, Mullens W, Delrue L, et al. Endomyocardial upregulation of beta1 adrenoreceptor gene expression and myocardial contractile reserve following cardiac resynchronisation therapy. J Card Fail. 2008;14:172–8.PubMedCrossRef
22.
go back to reference Pezzali N, Curnis A, Specchia C, et al. Adrenergic receptor gene polymorphism and left ventricular reverse remodelling after cardiac resynchronisation therapy: preliminary results. Europace. 2013;15:1475–81.PubMedCrossRef Pezzali N, Curnis A, Specchia C, et al. Adrenergic receptor gene polymorphism and left ventricular reverse remodelling after cardiac resynchronisation therapy: preliminary results. Europace. 2013;15:1475–81.PubMedCrossRef
23.
go back to reference Kaye DM, Smirk B, Williams C, Jennings G, Esler M, Holst D. Beta-adrenoceptor genotype influences the response to carvedilol in patients with congestive heart failure. Pharmacogenetics. 2003;13:379–82.PubMedCrossRef Kaye DM, Smirk B, Williams C, Jennings G, Esler M, Holst D. Beta-adrenoceptor genotype influences the response to carvedilol in patients with congestive heart failure. Pharmacogenetics. 2003;13:379–82.PubMedCrossRef
24.
go back to reference Metra M, Covolo L, Pezzali N, et al. Role of beta-adrenergic receptor gene polymorphisms in the long-term effects of beta-blockade with carvedilol in patients with chronic heart failure. Cardiovasc Drugs Ther. 2010;24:49–60.PubMedCrossRef Metra M, Covolo L, Pezzali N, et al. Role of beta-adrenergic receptor gene polymorphisms in the long-term effects of beta-blockade with carvedilol in patients with chronic heart failure. Cardiovasc Drugs Ther. 2010;24:49–60.PubMedCrossRef
25.
go back to reference Taylor MR, Sun AY, Davis G, Fiuzat M, Liggett SB, Bristow MR. Race, common genetic variation, and therapeutic response disparities in heart failure. JACC Heart Fail. 2014;2:561–72.PubMedPubMedCentralCrossRef Taylor MR, Sun AY, Davis G, Fiuzat M, Liggett SB, Bristow MR. Race, common genetic variation, and therapeutic response disparities in heart failure. JACC Heart Fail. 2014;2:561–72.PubMedPubMedCentralCrossRef
26.
go back to reference Sotoodehnia N, Siscovick DS, Vatta M, et al. Beta2-adrenergic receptor genetic variants and risk of sudden cardiac death. Circulation. 2006;113(15):1842–8.PubMedCrossRef Sotoodehnia N, Siscovick DS, Vatta M, et al. Beta2-adrenergic receptor genetic variants and risk of sudden cardiac death. Circulation. 2006;113(15):1842–8.PubMedCrossRef
27.
go back to reference Marfella R, Di Filippo C, Potenza N, et al. Circulating microRNA changes in heart failure patients treated with cardiac resynchronisation therapy: responders vs. non-responders. Eur J Heart Fail. 2013;15:1277–88.PubMedCrossRef Marfella R, Di Filippo C, Potenza N, et al. Circulating microRNA changes in heart failure patients treated with cardiac resynchronisation therapy: responders vs. non-responders. Eur J Heart Fail. 2013;15:1277–88.PubMedCrossRef
28.
go back to reference Melman YF, Shah R, Danielson K, et al. Circulating MicroRNA-30d is Associated with Response to Cardiac Resynchronisation Therapy in Heart Failure and Regulates Cardiomyocyte Apoptosis: a Translational Pilot Study. Circulation. 2015;131:2202–16.PubMedCrossRef Melman YF, Shah R, Danielson K, et al. Circulating MicroRNA-30d is Associated with Response to Cardiac Resynchronisation Therapy in Heart Failure and Regulates Cardiomyocyte Apoptosis: a Translational Pilot Study. Circulation. 2015;131:2202–16.PubMedCrossRef
29.
go back to reference Fichtlscherer S, Zeiher AM, Dimmeler S. Circulating microRNAs: biomarkers or mediators of cardiovascular diseases? Arterioscler Thromb Vasc Biol. 2011;31:2383–90.PubMedCrossRef Fichtlscherer S, Zeiher AM, Dimmeler S. Circulating microRNAs: biomarkers or mediators of cardiovascular diseases? Arterioscler Thromb Vasc Biol. 2011;31:2383–90.PubMedCrossRef
30.
go back to reference Dorn GW. Great Expectations: MicroRNA-30d and Cardiac Resynchronisation Therapy. Circulation. 2015;131:2172–5.PubMedCrossRef Dorn GW. Great Expectations: MicroRNA-30d and Cardiac Resynchronisation Therapy. Circulation. 2015;131:2172–5.PubMedCrossRef
31.
go back to reference Iyengar S, Haas G, Lamba S, et al. Effect of cardiac resynchronisation therapy on myocardial gene expression in patients with nonischemic dilated cardiomyopathy. J Card Fail. 2007;13:304–11.PubMedCrossRef Iyengar S, Haas G, Lamba S, et al. Effect of cardiac resynchronisation therapy on myocardial gene expression in patients with nonischemic dilated cardiomyopathy. J Card Fail. 2007;13:304–11.PubMedCrossRef
32.
go back to reference Mullens W, Bartunek J, Wilson Tang WH, et al. Early and late effects of cardiac resynchronisation therapy on force-frequency relation and contractility regulating gene expression in heart failure patients. Heart Rhythm. 2008;5:52–9.PubMedCrossRef Mullens W, Bartunek J, Wilson Tang WH, et al. Early and late effects of cardiac resynchronisation therapy on force-frequency relation and contractility regulating gene expression in heart failure patients. Heart Rhythm. 2008;5:52–9.PubMedCrossRef
33.
go back to reference Vanderheyden M, Mullens W, Delrue L, et al. Myocardial gene expression in heart failure patients treated with cardiac resynchronisation therapy responders versus nonresponders. J Am Coll Cardiol. 2008;51:129–36.PubMedCrossRef Vanderheyden M, Mullens W, Delrue L, et al. Myocardial gene expression in heart failure patients treated with cardiac resynchronisation therapy responders versus nonresponders. J Am Coll Cardiol. 2008;51:129–36.PubMedCrossRef
34.
go back to reference Barth AS, Aiba T, Halperin V, et al. Cardiac resynchronisation therapy corrects dyssynchrony-induced regional gene expression changes on a genomic level. Circ Cardiovasc Genet. 2009;2(4):371–8.PubMedPubMedCentralCrossRef Barth AS, Aiba T, Halperin V, et al. Cardiac resynchronisation therapy corrects dyssynchrony-induced regional gene expression changes on a genomic level. Circ Cardiovasc Genet. 2009;2(4):371–8.PubMedPubMedCentralCrossRef
35.
go back to reference Cho H, Barth AS, Tomaselli GF. Basic science of cardiac resynchronisation therapy: molecular and electrophysiological mechanisms. Circ Arrhythm Electrophysiol. 2012;5:594–603.PubMedPubMedCentralCrossRef Cho H, Barth AS, Tomaselli GF. Basic science of cardiac resynchronisation therapy: molecular and electrophysiological mechanisms. Circ Arrhythm Electrophysiol. 2012;5:594–603.PubMedPubMedCentralCrossRef
36.
go back to reference Di Biase L, Gasparini M, Lunati M, et al. Antiarrhythmic effect of reverse ventricular remodeling induced by cardiac resynchronisation therapy: the InSync ICD (Implantable Cardioverter-Defibrillator) Italian Registry. J Am Coll Cardiol. 2008;52:1442–9.PubMedCrossRef Di Biase L, Gasparini M, Lunati M, et al. Antiarrhythmic effect of reverse ventricular remodeling induced by cardiac resynchronisation therapy: the InSync ICD (Implantable Cardioverter-Defibrillator) Italian Registry. J Am Coll Cardiol. 2008;52:1442–9.PubMedCrossRef
37.
go back to reference Harper AR, Topol EJ. Pharmacogenomics in clinical practice and drug development. Nat Biotechnol.2012;30:1117–24. (Nature Publishing Group, a division of Macmillan Publishers Limited. All Rights Reserved).PubMedCrossRef Harper AR, Topol EJ. Pharmacogenomics in clinical practice and drug development. Nat Biotechnol.2012;30:1117–24. (Nature Publishing Group, a division of Macmillan Publishers Limited. All Rights Reserved).PubMedCrossRef
Metadata
Title
Cardiac dyssynchrony and response to cardiac resynchronisation therapy in heart failure: can genetic predisposition play a role?
Authors
N. Lahrouchi
C.R. Bezzina
Publication date
01-01-2016
Publisher
Bohn Stafleu van Loghum
Published in
Netherlands Heart Journal / Issue 1/2016
Print ISSN: 1568-5888
Electronic ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-015-0766-6

Other articles of this Issue 1/2016

Netherlands Heart Journal 1/2016 Go to the issue