α-adducin1(rs4961)基因及其表达与高血压患者的钠敏感性相关:一项针对乌克兰西部人群的队列研究。

Q3 Medicine
Endocrine regulations Pub Date : 2024-10-01 Print Date: 2024-01-01 DOI:10.2478/enr-2024-0023
Larysa Sydorchuk, Bogdan Lytvyn, Andrii Sydorchuk, Yulia Yarynych, Sai Praveen Daruvuri, Svitlana Semenenko, Alisa Hoshovska, Ruslan Sydorchuk, Igor Biryuk
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引用次数: 0

摘要

研究目的本研究旨在评估乌克兰西部人群中α-adducin-1基因(ADD1)(Gly460Trp [rs4961])多态性及其表达与高血压患者肾功能障碍和钠敏感性的相关性。研究方法100 名患有原发性动脉高血压(EAH)和高血压介导的靶器官损害(2 期)、中度、高度和极高度心血管风险的患者被纳入病例对照研究。60 名健康人作为对照组。通过盐负荷反应测定钠敏感性和钠抵抗性。通过 RT-PCR 对 ADD1 (rs4961) 进行基因分型。结果ADD1基因(rs4961)(chr4:2906707 [hg19])的数量性状位点(eQTL)在37个组织和器官中的表达与23个表型性状得到了证实。发现了 200 个 eQTL 关联--所有顺式变异(cis-QTL)、73 个甲基化 QTL(mQTL)、34 个剪接 QTL(sQTL)、14 个组蛋白修饰 QTL(hQTL)、2 个蛋白质 QTL(pQTL)、23 个转录本利用 QTL(tuQTL)和 4 个纳入 RNA 长非编码区(lncRNA)的位点。GG基因型不可靠地增加了EAH风险(OR=1.92;95%CI:0.90-4.10;p=0.066)。54.0%的患者和20.0%的对照组(c2=17.89;pADD1基因(1378G>T;rs4961)对钠的敏感性占主导地位,一般为12倍(OR 95%CI:2.24-64.29;p=0.001),女性为4.71倍(OR 95%CI:1.92-11.56;p结论。T-等位基因与原发性动脉高血压患者的钠敏感性有关,并增加了高血压的风险,与性别无关。在观察人群中,钠敏感性会增加患严重本质性动脉高血压的概率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Alpha-adducin 1 (rs4961) gene and its expression associated with sodium sensitivity in hypertensive patients: a cohort study in the western Ukrainian population.

Objective. The aim of this study was to evaluate the association of the α-adducin-1 gene (ADD1) (Gly460Trp [rs4961]) polymorphism and its expression in association with renal dysfunction and sodium sensitivity in hypertensive patients in western Ukrainian population. Methods. One-hundred patients with essential arterial hypertension (EAH) and hypertensive-mediated target organ damage (stage 2), moderate, high, and very high cardiovascular risk were enrolled in case-control study. Sixty healthy individuals were assigned as controls. Sodium sensitivity and sodium resistance were determined by salt load reaction. The ADD1 (rs4961) genotyping was performed in RT-PCR. Results. The expression of the quantitative trait loci (eQTL) of ADD1 gene (rs4961) (chr4:2906707 [hg19]) was confirmed in 37 tissues and organs with 23 phenotypic traits. Two hundred eQTL associations revealed - all cis-variants (cis-QTL); 73 methylation QTL (mQTL), 34 splicing QTL (sQTL), 14 histone modification QTL (hQTL), 2 protein QTL (pQTL), 23 transcript utilization QTL (tuQTL), and 4 loci of incorporated long noncoding areas of RNA (lncRNA). GG-genotype unreliably enhances EAH risk (OR=1.92; 95%CI: 0.90-4.10; p=0.066). Sodium sensitivity was observed in 54.0% of patients and in 20.0% of controls (c2=17.89; p<0.001). Sodium sensitivity in T-allele carriers of the ADD1 gene (1378G>T; rs4961) dominated 12-fold in general (OR 95%CI: 2.24-64.29; p=0.001), in women - 4.71 times (OR 95%CI: 1.92-11.56; p<0.001), and in men - 4.09 times (OR 95%CI: 1.03-16.28; p=0.041). Sodium sensitivity elevated the likelihood of severe EAH twice (OR=2.19; OR 95%CI: 1.00-5.05; p=0.049). Conclusion. T-allele associates with sodium sensitivity in essential arterial hypertension patients and increases the risk of hypertension regardless the gender. Sodium sensitivity enhances the probability of severe essential arterial hypertension in observed population.

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来源期刊
Endocrine regulations
Endocrine regulations Medicine-Endocrinology, Diabetes and Metabolism
CiteScore
2.70
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0.00%
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33
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8 weeks
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