Genome-wide association study of blood pressure extremes identifies variant near UMOD associated with hypertension.

Détails

Ressource 1Télécharger: BIB_88EC5A692A5D.P001.pdf (1798.61 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_88EC5A692A5D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Genome-wide association study of blood pressure extremes identifies variant near UMOD associated with hypertension.
Périodique
Plos Genetics
Auteur⸱e⸱s
Padmanabhan Sandosh, Melander Olle, Johnson Toby, Di Blasio Anna Maria, Lee Wai K., Gentilini Davide, Hastie Claire E., Menni Cristina, Monti Maria Cristina, Delles Christian, Laing Stewart, Corso Barbara, Navis Gerjan, Kwakernaak Arjan J., Van der Harst Pim, Bochud Murielle, Maillard Marc, Burnier Michel, Hedner Thomas, Kjeldsen Sverre, Wahlstrand Björn, Sjögren Marketa, Fava Cristiano, Montagnana Martina, Danese Elisa, Torffvit Ole, Hedblad Bo, Snieder Harold, Connell John M.C., Brown Morris, Samani Nilesh J., Farrall Martin, Cesana Giancarlo, Mancia Giuseppe, Signorini Stefano, Grassi Guido, Eyheramendy Susana, Wichmann H. Erich , Laan Maris, Strachan David P., Sever Peter, Shields Denis Colm, Stanton Alice, Vollenweider Peter, Teumer Alexander, Völzke Henry, Rettig Rainer, Newton-Cheh Christopher, Arora Pankaj, Zhang Feng, Soranzo Nicole, Spector Timothy D., Lucas Gavin, Kathiresan Sekar, Siscovick David S., Luan Jian'an, Loos Ruth J.F., Wareham Nicholas J., Penninx Brenda W., Nolte Ilja M., McBride Martin, Miller William H., Nicklin Suart A., Baker Andrew H., Graham Delyth, McDonald Robert A., Pell Jill P., Sattar Naveed, Welsh Paul, Munroe Patricia, Caulfield Mark J., Zanchetti Alberto, Dominiczak Anna F.
Collaborateur⸱rice⸱s
Global BPGen Consortium
ISSN
1553-7404[electronic], 1553-7390[linking]
Statut éditorial
Publié
Date de publication
2010
Peer-reviewed
Oui
Volume
6
Numéro
10
Pages
e1001177
Langue
anglais
Résumé
Hypertension is a heritable and major contributor to the global burden of disease. The sum of rare and common genetic variants robustly identified so far explain only 1%-2% of the population variation in BP and hypertension. This suggests the existence of more undiscovered common variants. We conducted a genome-wide association study in 1,621 hypertensive cases and 1,699 controls and follow-up validation analyses in 19,845 cases and 16,541 controls using an extreme case-control design. We identified a locus on chromosome 16 in the 5' region of Uromodulin (UMOD; rs13333226, combined P value of 3.6×10(-11)). The minor G allele is associated with a lower risk of hypertension (OR [95%CI]: 0.87 [0.84-0.91]), reduced urinary uromodulin excretion, better renal function; and each copy of the G allele is associated with a 7.7% reduction in risk of CVD events after adjusting for age, sex, BMI, and smoking status (H.R. = 0.923, 95% CI 0.860-0.991; p = 0.027). In a subset of 13,446 individuals with estimated glomerular filtration rate (eGFR) measurements, we show that rs13333226 is independently associated with hypertension (unadjusted for eGFR: 0.89 [0.83-0.96], p = 0.004; after eGFR adjustment: 0.89 [0.83-0.96], p = 0.003). In clinical functional studies, we also consistently show the minor G allele is associated with lower urinary uromodulin excretion. The exclusive expression of uromodulin in the thick portion of the ascending limb of Henle suggests a putative role of this variant in hypertension through an effect on sodium homeostasis. The newly discovered UMOD locus for hypertension has the potential to give new insights into the role of uromodulin in BP regulation and to identify novel drugable targets for reducing cardiovascular risk.
Mots-clé
Colaus Study
Pubmed
Web of science
Open Access
Oui
Création de la notice
18/11/2010 15:53
Dernière modification de la notice
20/08/2019 15:48
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