Carotid artery atherosclerosis in hypertensive patients with a functional LDL receptor-related protein 6 gene variant
R Sarzani1, F Salvi, M Bordicchia
1Department of Internal Medicine, "Hypertension Excellence Centre" of the European Society of Hypertension, University "Politecnica delle Marche", Ancona, Italy. r.sarzani@univpm.it
Insights
The common 1062V variant of Low-Density Lipoprotein Receptor-Related Protein 6 (LRP6) is a significant risk factor for carotid artery atherosclerosis in hypertensive individuals. This LRP6 variant is associated with lower LRP6 gene expression in atherosclerotic plaques.
Area of Science:
- Genetics and Molecular Biology
- Cardiovascular Disease Research
- Hypertension Studies
Background:
- Low-Density Lipoprotein Receptor-Related Protein 6 (LRP6) variants, including rare (611C) and common (1062V), affect Wnt/ß-catenin signaling.
- The rare LRP6 variant is linked to hypertension, metabolic issues, and early coronary artery disease.
Purpose of the Study:
- To determine if the common 1062V LRP6 variant is associated with carotid artery atherosclerosis (CAA) in hypertensive patients.
- To investigate the relationship between LRP6 genotypes and LRP6 gene expression in carotid plaques.
Main Methods:
- Retrospective analysis of 334 hypertensive patients (<65 years) undergoing carotid ultrasonography.
- Evaluation of hypertension, type 2 diabetes, dyslipidemia, glomerular filtration rate, and smoking.
- Carotid artery atherosclerosis (CAA) defined by atherosclerotic plaques (intima-media thickness ≥ 1.3 mm); logistic regression used.
Main Results:
- The 1062V LRP6 variant was an independent risk factor for CAA in both unadjusted (OR 2.08) and adjusted (OR 1.92) models (p<0.05).
- No significant clinical differences between genotypes, except higher fasting glucose in 1062V carriers.
- LRP6 gene expression was significantly lower in carotid plaques of 1062V carriers (p=0.015).
Conclusions:
- The 1062V LRP6 variant is strongly associated with CAA in hypertensive patients, independent of other risk factors.
- LRP6 emerges as a novel candidate gene for atherosclerosis development in the context of hypertension.
Background And Aims:
Rare (611C) and common (1062V) variants of the Low-Density Lipoprotein Receptor-Related Protein 6 (LRP6) display reduced activation of Wnt/ß-catenin signaling. The rare gene variant was associated with hypertension, metabolic abnormalities, and early coronary artery disease. We investigated whether the common 1062V LRP6 variant was related to carotid artery atherosclerosis (CAA) in hypertensive patients.
Methods And Results:
Retrospective study of 334 hypertensive patients (<65 years old) who underwent carotid artery ultrasonography. Hypertension, type 2 diabetes, dyslipidemia, glomerular filtration rate, and smoking habit were evaluated. CAA was defined by the presence of atherosclerotic plaques (focal intima-media thickness ≥ 1.3 mm). Logistic regression models were used to estimate the independent effect of 1062V allele. The relationship between LRP6 genotypes and LRP6 gene expression in carotid plaques was also investigated. No difference was observed between genotypes in clinical variables except for a slightly higher fasting glucose in 1062V carriers. The 1062V LRP6 variant was an independent risk factor for CAA in both unadjusted (OR 2.08, 95%CI 1.27-3.41, p=0.003) and adjusted models (OR 1.92, 95%CI 1.09-3.39, p=0.02). LRP6 was expressed in carotid atherosclerotic plaques at significantly lower levels (p=0.015) in 1062V carriers.
Conclusion:
Beside the role of established risk factors, 1062V variant of LRP6 and CAA are strongly associated in hypertensive patients, making LRP6 a novel relevant candidate gene for atherosclerosis in the presence of hypertension.
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