Related Experiment Videos
Association of ATP1A1 and dear single-nucleotide polymorphism haplotypes with essential hypertension: sex-specific
Nicola Glorioso1, Victoria L M Herrera, Pia Bagamasbad
1Hypertension and Cardiovascular Prevention Center, ASL n. 1-Universita di Sassari, Sassari, Sardinia, Italy.
Insights
Essential hypertension susceptibility genes ATP1A1 and Dear were identified in a Sardinian cohort. These genes show stronger links in males and suggest distinct hypertension subtypes, aiding research into complex genetic causes.
Area of Science:
- Human Genetics
- Cardiovascular Disease Research
- Hypertension Etiology
Background:
- Essential hypertension is a significant risk factor for cardiovascular and cerebrovascular diseases.
- Identifying genetic susceptibility loci for hypertension is challenging due to its complex, multifactorial nature.
- ATP1A1 and Dear are candidate genes linked to blood pressure regulation in rats, with human syntenic regions on different chromosomes.
Purpose of the Study:
- To investigate the association of human ATP1A1 and Dear genes with essential hypertension.
- To analyze the genetic contribution of these loci to hypertension susceptibility in a human cohort.
- To explore sex-specific associations and potential haplotype-specific subsets of hypertension.
Main Methods:
- Single-nucleotide polymorphism (SNP) haplotype analysis was performed on a case/control hypertension cohort from northern Sardinia.
- Sex-specific haplotype analyses were conducted to identify gender-related differences in gene association.
- Haplotype trend-regression analyses were used to assess the independence of ATP1A1 and Dear as susceptibility loci.
Main Results:
- Significant associations were found between human ATP1A1 (P<0.000005) and Dear (P<0.03) with hypertension.
- Stronger associations for both loci were observed in males compared to females.
- Haplotype analyses revealed independent contributions of ATP1A1 and Dear and identified haplotype-specific associations with hypertension and normotension.
Conclusions:
- ATP1A1 and Dear are identified as independent susceptibility loci for essential hypertension in the studied population.
- Haplotype subtyping allows for the stratification of hypertension susceptibility and clinical heterogeneity.
- Coexpression of ATP1A1 and Dear in renal and vascular cells suggests a potential pathogenic mechanism contributing to hypertension-related dysfunction.
Abstract:
Essential hypertension remains a major risk factor for cardiovascular and cerebrovascular diseases. As a complex multifactorial disease, elucidation of susceptibility loci remains elusive. ATP1A1 and Dear are candidate genes for 2 closely linked rat chromosome-2 blood pressure quantitative trait loci. Because corresponding human syntenic regions are on different chromosomes, investigation of ATP1A1 (chromosome [chr]-1p21) and Dear (chr-4q31.3) facilitates genetic analyses of each blood pressure quantitative trait locus in human hypertension. Here we report the association of human ATP1A1 (P<0.000005) and Dear (P<0.03) with hypertension in a relatively isolated, case/control hypertension cohort from northern Sardinia by single-nucleotide polymorphism haplotype analysis. Sex-specific haplotype analyses detected stronger association of both loci with hypertension in males than in females. Haplotype trend-regression analyses support ATP1A1 and Dear as independent susceptibility loci and reveal haplotype-specific association with hypertension and normotension, thus delineating haplotype-specific subsets of hypertension. Although investigation in other cohorts needs to be performed to determine genetic effects in other populations, haplotype subtyping already allows systematic stratification of susceptibility and, hence, clinical heterogeneity, a prerequisite for unraveling the polygenic etiology and polygene-environment interactions in essential hypertension. As hypertension susceptibility genes, coexpression of ATP1A1 and Dear in both renal tubular cells and vascular endothelium suggest a cellular pathogenic scaffold for polygenic mechanisms of hypertension, as well as the hypothesis that ATP1A1 and/or Dear could contribute to the known renal and vascular endothelial dysfunction associated with essential (polygenic) hypertension.
Related Concept Videos
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Pharmacogenetics of Drug Transporters: P-Glycoprotein and Solute Carrier Transporters
Genome-wide Association Studies-GWAS
GWAS does not require the identification of the target gene involved in...
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Single Nucleotide Polymorphisms-SNPs
Principles of Pharmacogenetics: Types of Genetic Variants