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Genetic Background of Hypertension in Connective Tissue Diseases
Bogna Grygiel-Górniak1, Iwona Ziółkowska-Suchanek2, Elżbieta Kaczmarek3
1Department of Rheumatology and Internal Diseases, Poznan University of Medical Sciences, Poznan 61-545, Poland.
Insights
Connective tissue diseases (CTD) and specific gene variations like PPAR gamma-2 and ADRB3 influence hypertension risk. These genetic factors, along with age and body fat, predict hypertension and metabolic complications in CTD patients.
Area of Science:
- Genetics and Molecular Biology
- Cardiovascular Disease Research
- Metabolic Syndrome Studies
Background:
- Peroxisome proliferator-activated receptors (PPAR gamma-2) and beta-3-adrenergic receptors (ADRB3) are implicated in hypertension risk.
- The specific roles of PPAR gamma-2 and ADRB3 in blood pressure regulation within connective tissue diseases (CTD) remain unclear.
Purpose of the Study:
- To investigate the association between PPAR gamma-2 and ADRB3 gene polymorphisms and hypertension in patients with CTD.
- To identify genetic and clinical predictors of hypertension and associated metabolic complications in CTD.
Main Methods:
- Genotyping of 104 CTD patients and 103 controls for PPAR gamma-2 (Pro12Ala, C1431T) and ADRB3 (Trp64Arg) polymorphisms.
- Analysis of anthropometric, biochemical data, and blood pressure measurements.
- Utilized TaqMan® SNP genotyping assays and PCR-RFLP for genotyping.
Main Results:
- No significant difference in genotype/allele prevalence between CTD patients and controls, or between hypertensive and normotensive subjects.
- CTD patients exhibited lower body fat, higher body water, glucose, and triglyceride levels.
- Hypertensive subjects were older with higher BMI, waist circumference, body water, glucose, and TG.
- Multivariate analysis indicated that Ala12/X or Trp64Trp genotypes were associated with higher body mass and WC in hypertensive individuals.
- Trp64Trp polymorphism correlated with higher TG levels, and T1431/X with higher WC.
- CTD presence, visceral fat distribution, and age were identified as hypertension predictors.
- Hypertensive CTD patients with Trp64Trp showed increased risk of visceral obesity and metabolic issues.
- Ala12/X or T1431/X predicted visceral fat distribution in hypertensive subjects.
Conclusions:
- Age, CTD, and visceral fat distribution are key predictors of hypertension.
- Specific PPAR gamma-2 and ADRB3 polymorphisms may influence body composition and metabolic parameters, impacting hypertension risk and severity in CTD patients.
- Trp64Trp polymorphism is linked to increased risk of visceral obesity and metabolic complications in hypertensive CTD patients.
Abstract:
Peroxisome proliferator-activated receptors (PPAR gamma-2) and beta-3-adrenergic receptors (ADRB3) are involved in the risk of hypertension. But their exact role in blood pressure modulation in patients with connective tissue diseases (CTD) is still not well defined. In this study, 104 patients with CTD and 103 gender- and age-matched controls were genotyped for Pro12Ala and C1431T polymorphisms of the PPAR gamma-2 gene and Trp64Arg polymorphism of the ADRB gene. Anthropometric and biochemical measurements were evaluated, followed by genotyping using TaqMan® SNP genotyping assays and polymerase chain reaction-restriction fragment length polymorphism. The prevalence of analyzed genotypes and alleles was comparable between patients with CTD and the control group, as well as hypertensive and normotensive subjects. Patients with CTD have lower body fat and higher body water amount, serum glucose, and triglyceride (TG) levels. Hypertensive subjects are older and have higher body mass, BMI, waist circumference (WC), body water content, glucose, and TG concentration. The multivariate analysis revealed that hypertensive subjects with Ala12/X or Trp64Trp have higher body mass and WC when compared to normotensive subjects. Trp64Trp polymorphism was also characterized by a higher TG level, while T1431/X subjects had higher WC. The presence of CTD, visceral fat distribution, and increased age are the predictors of hypertension development. Hypertensive patients with CTD and Trp64Trp polymorphism have an increased risk of visceral obesity development and metabolic complications, which in turn affects the value of blood pressure. In addition, either Ala12/X or T1431/X predicts the visceral body fat distribution in hypertensive subjects.
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