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Influence of polymorphisms in candidate genes on early vascular alterations in obese children
Agnès Tounian1, Yacine Aggoun, Jean-Marc Lacorte
1Département de gastro-entérologie et nutrition pédiatriques, hôpital Armand-Trousseau, AP-HP, 26, avenue du Dr-A.-Netter, 75012 Paris, France.
Insights
Genetic variants common in adults do not appear to predict early vascular changes in obese children. Instead, metabolic complications from obesity are the primary drivers of arterial alterations in this population.
Area of Science:
- Pediatrics
- Cardiovascular Genetics
- Obesity Research
Background:
- Adult studies indicate genetic factors contribute to vascular alterations and cardiovascular disease risk.
- Research has not previously examined the role of gene polymorphisms in pediatric cardiovascular risk.
- Childhood obesity presents a growing concern for long-term vascular health.
Purpose of the Study:
- To investigate genetic variants associated with early vascular alterations in obese children.
- To explore the co-involvement of gene polymorphisms as cardiovascular risk factors in pediatric populations.
Main Methods:
- An association study was conducted in 232 obese children.
- Functional gene variants in the renin-angiotensin system, vascular remodeling, inflammation, adiponectin, and lipoprotein metabolism were analyzed.
- Non-invasive arterial measurements assessed common carotid artery mechanics and brachial artery endothelial function.
Main Results:
- No significant association was found between the studied gene polymorphisms and arterial variables, individually or in combination.
- The investigated genetic variants did not predict early vascular alterations in obese children.
Conclusions:
- The hypothesis that specific genetic variants influence early vascular changes in obese children was not supported.
- Obesity-related metabolic complications are identified as the primary predictors of arterial alterations in this cohort.
- Further research may focus on metabolic pathways rather than specific gene polymorphisms for pediatric cardiovascular risk assessment.
Background:
Many studies performed in adults have reported the involvement of genetic determinants in vascular alterations that predispose to cardiovascular diseases later in life. To date, no study has assessed the co-involvement of gene polymorphisms as cardiovascular risk factors in children.
Aims:
To search for variants involved in early vascular alterations in obese children.
Methods:
In 232 obese children, we performed an association study between variables related to endothelial function or arterial mechanical properties and functional variants reported to predispose towards vascular alterations in adults. Candidate polymorphisms were selected in genes involved in the renin-angiotensin system, vascular endothelial cell remodelling and communication, arterial inflammation, adiponectin production and lipoprotein metabolism. Non-invasive arterial measurements were performed to evaluate the mechanical characteristics of the common carotid artery and the endothelial function of the brachial artery.
Results:
We found no association between the polymorphisms studied, taken alone or in combination with the arterial variables measured.
Conclusion:
Our hypothesis predicting that the tested genetic variants, which are involved in adult cardiovascular diseases, may influence the susceptibility to early vascular alterations in obese children was not validated. Thus, obesity-associated metabolic complications appear to remain the main predictors of arterial alterations in obese children.
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