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Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Atrial natriuretic peptide gene polymorphism is not associated with hypertrophic cardiomyopathy
Hao Xue1, Hu Wang, Xiao-jian Wang
1Department of Cardiology, Chinese People's Liberation Army General Hospital, and Peking Union Medical College, Beijing 100853, China.
Insights
Genetic variations in the atrial natriuretic peptide (ANP) gene are not linked to hypertrophic cardiomyopathy (HCM) risk or its varied clinical presentations in patients. These ANP gene polymorphisms do not appear to modify HCM development.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Genetic Epidemiology
Background:
- Hypertrophic cardiomyopathy (HCM) is an inherited heart muscle disease with diverse clinical outcomes, even among individuals with the same mutation.
- Genetic modifiers may influence HCM's variable phenotypes.
- Elevated atrial natriuretic peptide (ANP) levels are observed in HCM, and ANP gene promoter polymorphisms have been linked to left ventricular hypertrophy in hypertension.
Purpose of the Study:
- To investigate the association between two single nucleotide polymorphisms (SNPs) in the ANP gene (-A2843G and A188G) and the risk of developing HCM.
- To determine if these ANP gene polymorphisms are associated with clinical phenotypes in HCM patients.
Main Methods:
- Genotyping of -A2843G and A188G polymorphisms in the ANP gene.
- Comparison of genotype frequencies between 262 HCM patients and 614 healthy controls.
- Analysis of the association between polymorphisms and clinical phenotypes in HCM patients.
Main Results:
- No significant difference in genotype frequencies for the -A2843G and A188G polymorphisms was found between HCM patients and controls.
- The studied ANP gene polymorphisms were not associated with clinical phenotypes within the HCM patient cohort.
Conclusions:
- Polymorphisms in the ANP gene are not associated with an increased risk of HCM.
- These ANP gene variations do not appear to act as genetic modifiers for HCM development or its clinical manifestations.
Background:
Hypertrophic cardiomyopathy (HCM) is a primary autosomal dominant inheritant myocardial disease with heterogeneity in clinical manifestations, natural history and prognosis. Even carrying an identical gene mutation among family members, a variety of clinical phenotypes have been found in patients with HCM. Modifier genes may contribute to the diversity. The plasma levels of atrial natriuretic peptides (ANP) were found previously to be elevated in HCM. Our studies suggested that ANP gene promoter polymorphism is associated with left ventricular hypertrophy in hypertension. The present study aimed to determine whether the two SNPs in the ANP gene are associated with HCM.
Methods:
We determined the relationships between the ANP gene polymorphism and HCM in 262 HCM patients and 614 age- and sex-matched healthy individuals. All of the subjects were genotyped for -A2843G and A188G polymorphisms.
Results:
The genotype frequency in the -A2843G and A188G polymorphisms of the ANP gene was not significantly different between the HCM patients and controls. The -A2843G and A188G polymorphisms were also not associated with clinical phenotype in cardiomyopathy patients.
Conclusions:
The polymorphisms of the ANP gene are not associated with increasing risk of HCM or clinical phenotypes. The variations of the ANP gene may not serve as a genetic modifier for the development of HCM.
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