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A genome-wide association study identifies a novel association between SDC3 and apparent treatment-resistant
Xiao Xiao1, Rui Li1, Cunjin Wu1
1State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, 167 Beilishi Rd, Beijing, China.
Insights
Apparent treatment-resistant hypertension (aTRH) involves genetic factors. This study identified lower SDC3 gene expression in aTRH patients, suggesting SDC3 as a potential therapeutic target for this condition.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Hypertension Research
Background:
- Apparent treatment-resistant hypertension (aTRH) is linked to increased mortality risk.
- The underlying causes of aTRH remain poorly understood.
Purpose of the Study:
- To investigate the genetic basis of apparent treatment-resistant hypertension (aTRH).
- To identify novel genes associated with aTRH pathogenesis.
Main Methods:
- Genome-wide association study (GWAS) in a cohort of 586 aTRH patients and 871 controls.
- Expression quantitative trait locus (eQTL) analysis to link genetic variants with gene expression.
- Validation of candidate genes in an independent cohort using gene expression profiling and RT-qPCR.
Main Results:
- GWAS identified suggestive loci, with SNPs near genes including SDC3, LAPTM5, and UGT2A1.
- eQTL analysis indicated that specific SNPs influenced SDC3 and LAPTM5 expression.
- Validation confirmed significantly lower SDC3 gene expression in aTRH patients compared to controls.
Conclusions:
- SDC3 is newly associated with apparent treatment-resistant hypertension (aTRH).
- This finding contributes to understanding aTRH etiopathogenesis.
- SDC3 represents a potential therapeutic target for aTRH.
Background:
Compared with patients who require fewer antihypertensive agents, those with apparent treatment-resistant hypertension (aTRH) are at increased risk for cardiovascular and all-cause mortality, independent of blood pressure control. However, the etiopathogenesis of aTRH is still poorly elucidated.
Methods:
We performed a genome-wide association study (GWAS) in first cohort including 586 aTRHs and 871 healthy controls. Next, expression quantitative trait locus (eQTL) analysis was used to identify genes that are regulated by single nucleotide polymorphisms (SNPs) derived from the GWAS. Then, we verified the genes obtained from the eQTL analysis in the validation cohort including 65 aTRHs, 96 hypertensives, and 100 healthy controls through gene expression profiling analysis and real-time quantitative polymerase chain reaction (RT-qPCR) assay.
Results:
The GWAS in first cohort revealed four suggestive loci (1p35, 4q13.2-21.1, 5q22-23.2, and 15q11.1-q12) represented by 23 SNPs. The 23 significant SNPs were in or near LAPTM5, SDC3, UGT2A1, FTMT, and NIPA1. eQTL analysis uncovered 14 SNPs in 1p35 locus all had same regulation directions for SDC3 and LAPTM5. The disease susceptible alleles of SNPs in 1p35 locus were associated with lower gene expression for SDC3 and higher gene expression for LAPTM5. The disease susceptible alleles of SNPs in 4q13.2-21.1 were associated with higher gene expression for UGT2B4. GTEx database did not show any statistically significant eQTLs between the SNPs in 5q22-23.2 and 15q11.1-q12 loci and their influenced genes. Then, gene expression profiling analysis in the validation cohort confirmed lower expression of SDC3 in aTRH but no significant differences on LAPTM5 and UGT2B4, when compared with controls and hypertensives, respectively. RT-qPCR assay further verified the lower expression of SDC3 in aTRH.
Conclusions:
Our study identified a novel association of SDC3 with aTRH, which contributes to the elucidation of its etiopathogenesis and provides a promising therapeutic target.
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