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Investigation of homocysteine-pathway-related variants in essential hypertension
Javed Y Fowdar1, Marta V Lason, Attila L Szvetko
1Genomics Research Centre, Griffith Health Institute, Gold Coast Campus, Griffith University, Southport, QLD 4222, Australia.
Insights
This study investigated the link between homocysteine (Hcy) pathway gene variants and essential hypertension (EH). Researchers found no significant individual or interactive associations, suggesting these Hcy markers do not play a role in hypertension development.
Area of Science:
- Genetics
- Cardiovascular Disease
- Metabolic Pathways
Background:
- Hyperhomocysteinemia (hHcy) is linked to cardiovascular disease and stroke.
- Essential hypertension (EH), a complex genetic disorder, also increases cardiovascular risk.
Purpose of the Study:
- To investigate the association between homocysteine (Hcy) metabolism pathway gene variants and essential hypertension (EH).
- To explore potential epistatic interactions among Hcy pathway gene polymorphisms in EH.
Main Methods:
- Case-control association study of Caucasian hypertensives and normotensives.
- Genotyping of MTHFR (C677T, A1298C), MTRR (A66G), and MTHFD1 (G1958A) polymorphisms.
- Chi-square analysis and multifactor dimensionality reduction (MDR) for association and interaction analyses.
Main Results:
- No single polymorphism in MTHFR, MTRR, or MTHFD1 showed a significant association with EH.
- A moderate synergistic interaction between MTHFR A1298C and MTRR A66G was observed but not statistically significant (P = 0.2367).
Conclusions:
- The study found no evidence of individual or interactive genetic associations between the investigated Hcy pathway markers and essential hypertension.
- These findings do not support a role for these specific Hcy pathway gene variants in the pathogenesis of EH.
Abstract:
Hyperhomocysteinemia (hHcy) has been associated with an increased risk of cardiovascular disease and stroke. Essential hypertension (EH), a polygenic condition, has also been associated with increased risk of cardiovascular related disorders. To investigate the role of the homocysteine (Hcy) metabolism pathway in hypertension we conducted a case-control association study of Hcy pathway gene variants in a cohort of Caucasian hypertensives and age- and sex-matched normotensives. We genotyped two polymorphisms in the methylenetetrahydrofolate reductase gene (MTHFR C677T and MTHFR A1298C), one polymorphism in the methionine synthase reductase gene (MTRR A66G), and one polymorphism in the methylenetetrahydrofolate dehydrogenase 1 gene (MTHFD1 G1958A) and assessed their association with hypertension using chi-square analysis. We also performed a multifactor dimensionality reduction (MDR) analysis to investigate any potential epistatic interactions among the four polymorphisms and EH. None of the four polymorphisms was significantly associated with EH and although we found a moderate synergistic interaction between MTHFR A1298C and MTRR A66G, the association of the interaction model with EH was not statistically significant (P = 0.2367). Our findings therefore suggest no individual or interactive association between four prominent Hcy pathway markers and EH.
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