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Updated: May 22, 2026

Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
A two-stage matched case-control study on multiple hypertensive candidate genes in Han Chinese
Tai-Yue Kuo1, Mei-Jyh Kang, Jaw-Wen Chen
1Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.
This study identified two novel single-nucleotide polymorphisms (SNPs) associated with young-onset hypertension in Han Chinese in Taiwan. These genetic markers in GNB3 and INSR genes offer new insights into hypertension risk factors.
Area of Science:
- Genetics
- Cardiovascular Disease Research
- Population Health
Background:
- Hypertension affects over a billion people globally, contributing to significant mortality from stroke and cardiovascular diseases.
- In Taiwan, approximately 3.8 million adults have hypertension, highlighting its public health importance.
- Hypertension is a critical risk factor for severe health outcomes, including stroke, cardiovascular disease, and end-stage renal disease, causing over 13.5 million deaths annually worldwide.
Purpose of the Study:
- To investigate genetic associations with young-onset hypertension in a Han Chinese population in Taiwan.
- To identify novel single-nucleotide polymorphisms (SNPs) linked to hypertension susceptibility.
- To explore the role of candidate genes in the development of hypertension.
Main Methods:
- A two-stage association study was conducted using genotype data from 992 young-onset hypertensive cases and 992 matched controls.
- Genomic analysis focused on 238 single-nucleotide polymorphisms (SNPs) within 36 established hypertension candidate genes.
- Conditional logistic regression was employed for association analysis.
Main Results:
- Two SNPs demonstrated strong associations with hypertension in both study stages.
- rs2301339, located in the guanine nucleotide-binding protein β3 subunit (GNB3) gene, was identified as a significant risk factor.
- rs17254521, situated in the insulin receptor (INSR) gene, was also significantly associated with hypertension.
Conclusions:
- This research identified a novel SNP in GNB3 (rs2301339) and a novel SNP in INSR (rs17254521) associated with young-onset hypertension.
- The identified GNB3 SNP (rs2301339) is in linkage disequilibrium with rs5443, showing an opposite effect compared to previous findings in Caucasian populations.
- Further replication studies with larger sample sizes are recommended to validate these findings and their clinical implications.
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