血 natriuretic 水平的遗传性和遗传联系
Thomas J Wang1, Martin G Larson, Daniel Levy
1Framingham Heart Study, MA 01702-5827, USA.
Circulation
|June 25, 2003
概括
遗传因素显著影响尿素水平,影响盐平衡和血压调节. 这项研究揭示了血N-终端亲性尿素 (N-ANP) 和脑内尿素 (BNP) 水平的遗传性.
科学领域:
- 心血管遗传学 心血管遗传学
- 内分泌学 在内分泌学.
- 人体生理学 人体生理学
背景情况:
- 尿酸对于维持液体平衡和血压至关重要.
- 尿素水平的个体间差异可能会影响对高血压和液体过载的易感性.
- 遗传因素对天然尿素水平变化的贡献尚未得到充分理解.
研究的目的:
- 为了研究血N-终端亲性尿素 (N-ANP) 和脑内性尿素 (BNP) 水平的遗传性.
- 为了确定与天然尿素调节相关的潜在遗传位置.
主要方法:
- 1914年弗雷明汉研究参与者血N-ANP和BNP水平的分析.
- 应用差异组件方法 (SOLAR) 来估计遗传性.
- 使用10cM密度基因组扫描对来自大家庭的1142名参与者的全基因组链接分析.
主要成果:
- 在考虑了临床和心声学因素后,对log N-ANP和log BNP的遗传概率估计分别为0.44和0.35 (P<0.0001).
- 年龄,临床和心声学变量解释了42% (男性) 和27% (女性) 的N-ANP变化,以及40% (男性) 和21% (女性) 的BNP变化.
- 对N-ANP和BNP的暗示性联系分别在2p25和12p13染色体上被确定.
结论:
- 血 natriuretic水平的不明原因变化的很大一部分是由于附加的遗传效应.
- 这些发现凸显了遗传学在调节尿素水平方面的作用.
- 需要进一步的研究,包括候选基因研究,以确定特定的遗传调节者.
相关概念视频
Transducer Mechanism: Enzyme-Linked Receptors
5.1K
Enzyme-linked receptors are cell-surface receptors acting as an enzyme or associating with an enzyme intracellularly. They make excellent drug targets. Drugs can bind to the extracellular ligand-binding domain or directly affect their enzymatic domain and alter their activity.
Major types that are helpful drug targets include:
Major types that are helpful drug targets include:
5.1K
Regulation of Sodium and Potassium
3.0K
The regulation of sodium and potassium ion concentrations in the human body is a complex process governed primarily by hormones such as aldosterone, antidiuretic hormone (ADH), and atrial natriuretic peptide (ANP).
Sodium Regulation
Sodium ions make up approximately 90% of extracellular cations, with a normal blood plasma concentration of 136–148 mEq/L. A decrease in blood volume and pressure triggers the release of renin from granular cells in the juxtaglomerular complex (JGC), primarily...
Sodium Regulation
Sodium ions make up approximately 90% of extracellular cations, with a normal blood plasma concentration of 136–148 mEq/L. A decrease in blood volume and pressure triggers the release of renin from granular cells in the juxtaglomerular complex (JGC), primarily...
3.0K
Renal Drug Excretion: Tubular Reabsorption
1.2K
Tubular reabsorption, a process occurring post-glomerular filtration of drugs in the renal tubule, is a critical determinant of drug half-life. During the process of renal excretion, as the glomerular filtrate progresses to the distal convoluted tubule (DCT), drugs that are highly permeable, lipophilic, and nonionized undergo passive reabsorption from the tubular fluid into the surrounding peritubular capillaries. This reabsorption process restricts their elimination through the kidneys. This...
1.2K
Renal Drug Excretion: Tubular Secretion
1.2K
Active tubular secretion is a robust, energy-demanding process that utilizes carrier systems to transport drugs into renal tubules. The active renal secretion systems include the organic anion transporter (OAT) for weak acids and the organic cation transporter (OCT) for weak bases. Structurally similar drugs can compete for the same transporter, potentially leading to drug accumulation and toxicity. However, this principle can be exploited therapeutically. One example is probenecid (Probalan),...
1.2K
Pharmacogenetics of Phase II Enzymes: N-acetyltransferase, Thiopurine S-methyltransferase, UDP-glucuronosyltransferase
78
Phase II biotransformation reactions are essential for detoxifying and eliminating xenobiotics, including many pharmaceutical compounds. These reactions typically involve conjugation, the covalent attachment of polar endogenous groups such as glucuronic acid, sulfate, methyl, or acetyl moieties to functional groups introduced during Phase I metabolism. The resulting conjugates are more water-soluble, enabling efficient renal or biliary excretion.The major classes of Phase II enzymes include...
78
Physiology of the Genitourinary System III: Urine Concentration and Dilution
1.3K
The kidneys concentrate or dilute urine to maintain water and electrolyte balance. Nephrons, particularly the loop of Henle, play a crucial role in this process through the countercurrent multiplication system. This system establishes a high osmolarity in the renal medulla, which is essential for water reabsorption. In the loop of Henle’s descending limb, water is reabsorbed into the surrounding medulla due to its permeability to water. In contrast, the ascending limb actively transports...
1.3K


