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Genome scan linkage results for longitudinal systolic blood pressure phenotypes in subjects from the Framingham Heart
Katherine James1, Lindsay-Rae B Weitzel, Corinne D Engelman
1Department of Preventive Medicine and Biometrics, University of Colorado Health Sciences Center, Denver, Colorado, USA. Kathy.James@uchsc.edu
Insights
This study identified a genetic linkage on chromosome 1 associated with systolic blood pressure (SBP) variation. Analyzing Framingham Heart Study data, researchers developed a novel phenotype to pinpoint genetic influences on SBP.
Area of Science:
- Genetics
- Cardiovascular Epidemiology
- Biostatistics
Background:
- Elevated blood pressure, particularly systolic blood pressure (SBP), is a significant risk factor for cardiovascular and cerebrovascular diseases.
- Systolic blood pressure (SBP) is a more critical determinant of cardiovascular risk than diastolic blood pressure.
- Understanding the genetic underpinnings of SBP variability is crucial for developing targeted interventions.
Purpose of the Study:
- To identify genetic loci associated with systolic blood pressure (SBP) using a novel phenotype derived from the Framingham Heart Study.
- To characterize individual SBP trajectories over time using mixed modeling, accounting for covariates like age, gender, BMI, and hypertension treatment.
- To investigate the linkage between this individualized SBP phenotype and genetic markers.
Main Methods:
- Utilized the Framingham Heart Study dataset, selecting clinical data including SBP, age, height, gender, weight, and hypertension treatment.
- Employed linear mixed modeling to define an individualized SBP phenotype, representing deviation from the population average SBP change per year.
- Performed linkage analysis to associate the normalized SBP phenotype with chromosomal regions, specifically examining chromosome 1.
Main Results:
- A significant linkage (p = 0.00002) was detected between the normalized SBP phenotype and a region on chromosome 1.
- Similar linkage results were observed even when excluding SBP measurements taken during hypertension treatment, suggesting robustness.
- The mixed modeling approach effectively adjusted for covariates, providing a refined phenotype for genetic analysis.
Conclusions:
- The study provides evidence for a genetic locus on chromosome 1 influencing systolic blood pressure (SBP) variation.
- Linear mixed models offer a valuable methodology for defining complex phenotypes like SBP trajectories for genetic studies.
- Future research should integrate phenotype estimation more directly into linkage analysis to account for estimation error.
Abstract:
The relationship between elevated blood pressure and cardiovascular and cerebrovascular disease risk is well accepted. Both systolic and diastolic hypertension are associated with this risk increase, but systolic blood pressure appears to be a more important determinant of cardiovascular risk than diastolic blood pressure. Subjects for this study are derived from the Framingham Heart Study data set. Each subject had five records of clinical data of which systolic blood pressure, age, height, gender, weight, and hypertension treatment were selected to characterize the phenotype in this analysis. We modeled systolic blood pressure as a function of age using a mixed modeling methodology that enabled us to characterize the phenotype for each individual as the individual's deviation from the population average rate of change in systolic blood pressure for each year of age while controlling for gender, body mass index, and hypertension treatment. Significant (p = 0.00002) evidence for linkage was found between this normalized phenotype and a region on chromosome 1. Similar linkage results were obtained when we estimated the phenotype while excluding values obtained during hypertension treatment. The use of linear mixed models to define phenotypes is a methodology that allows for the adjustment of the main factor by covariates. Future work should be done in the area of combining this phenotype estimation directly with the linkage analysis so that the error in estimating the phenotype can be properly incorporated into the genetic analysis, which, at present, assumes that the phenotype is measured (or estimated) without error.
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