CXCL5 polymorphisms are associated with variable blood pressure in cardiovascular disease-free adults
Amber L Beitelshees1, Christina L Aquilante, Hooman Allayee
1Division of Endocrinology, Diabetes and Nutrition, University of Maryland School of Medicine, Baltimore, MD 21201, USA. abeitels@medicine.umaryland.edu
Insights
Genetic variations in the CXCL5 gene are linked to higher blood pressure in adults without cardiovascular disease. These CXCL5 gene polymorphisms are functional and may play a role in hypertension susceptibility.
Area of Science:
- Cardiovascular Genetics
- Molecular Biology
- Hypertension Research
Background:
- Leukocyte count is associated with blood pressure and hypertension.
- The CXCL5 gene encodes ENA-78, a chemokine involved in neutrophil activity.
- Previous research suggests a link between inflammatory markers and blood pressure regulation.
Purpose of the Study:
- To investigate the association between CXCL5 gene polymorphisms and blood pressure in adults without cardiovascular disease (CVD).
- To determine if identified CXCL5 polymorphisms are functional.
- To explore the potential role of CXCL5 in hypertension and CVD susceptibility.
Main Methods:
- Genotyping of two CXCL5 polymorphisms (-156 G>C and 398 G>A) in 192 community-dwelling adults without CVD.
- Measurement of allele-specific mRNA expression in leukocytes to assess allelic expression imbalance.
- Statistical analysis to correlate polymorphisms with systolic blood pressure (SBP) and diastolic blood pressure (DBP), adjusting for covariates.
Main Results:
- Carriers of the -156 C variant in the CXCL5 gene exhibited significantly higher SBP (7 mmHg increase) and DBP (4 mmHg increase) compared to wild-type homozygotes.
- The -156 G>C polymorphism was independently associated with SBP and DBP in multivariate analysis.
- Allelic expression imbalance and elevated circulating ENA-78 levels were observed in variant carriers, indicating functional effects.
Conclusions:
- CXCL5 gene polymorphisms are functional and significantly associated with variations in blood pressure in individuals free of CVD.
- CXCL5 warrants further investigation as a potential susceptibility gene for hypertension and cardiovascular disease.
Objective:
Leukocyte count has been associated with blood pressure, hypertension, and hypertensive complications. We hypothesized that polymorphisms in the CXCL5 gene, which encodes the neutrophilic chemokine ENA-78, are associated with blood pressure in cardiovascular disease (CVD)-free adults and that these polymorphisms are functional.
Methods And Results:
A total of 192 community-dwelling participants without CVD or risk equivalents were enrolled. Two CXCL5 polymorphisms (-156 G > C (rs352046) and 398 G > A (rs425535)) were tested for associations with blood pressure. Allele-specific mRNA expression in leukocytes was also measured to determine whether heterozygosity was associated with allelic expression imbalance. In -156 C variant carriers, systolic blood pressure (SBP) was 7 mmHg higher than in -156 G/G wild-type homozygotes (131 ± 17 vs. 124 ± 14 mmHg; P = 0.008). Similarly, diastolic blood pressure (DBP) was 4 mmHg higher in -156 C variant carriers (78 ± 11 vs. 74 ± 11 mmHg; P = 0.013). In multivariate analysis of SBP, age, sex, body mass index, and the -156 G > C polymorphism were identified as significant variables. Age, sex, and the -156 G > C SNP were further associated with DBP, along with white blood cells. Allelic expression imbalance and significantly higher circulating ENA-78 concentrations were noted for variant carriers.
Conclusion:
CXCL5 gene polymorphisms are functional and associated with variable blood pressure in CVD-free individuals. The role of CXCL5 as a hypertension- and CVD-susceptibility gene should be further explored.
Related Concept Videos
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Factors affecting Blood pressure
Physiological Factors:
Alterations in Blood Pressure
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart beats)...
Hypertension and Regulation of Blood Pressure
Hormonal Regulation of Blood Pressure
Epinephrine and Norepinephrine
The adrenal medulla releases epinephrine and norepinephrine, catecholamines that enhance and extend the sympathetic or "fight or flight" physiological response. These hormones escalate heart rate and the force of contraction while...
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
