Left Ventricular Mass in Relation to Genetic Variation in Angiotensin II Receptors, Renin System Genes, and Sodium Excretion
Tatiana Kuznetsova,Jan A. Staessen,Lutgarde Thijs,Christiane Kunath,Agnieszka Olszanecka,A Ryabikov,M. Valérie Tikhonoff,Katarzyna Stolarz,Giuseppe Bianchi,Edoardo Casiglia,Robert Fagard,Stefan-Martin Brand-Herrmann,Kalina Kawecka-Jaszcz,Sofia Malyutina,Yuri Nikitin,Eva Brand +15 more
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TLDR
The present findings support the hypothesis that in men the AGTR2 G1675A and the ACE D/I polymorphisms independently influence LVM and that salt intake modulates these genetic effects.Abstract:
Background— In the European Project On Genes in Hypertension (EPOGH), we investigated in 3 populations to what extent left ventricular mass (LVM) was associated with genetic variation in the angiotensin II receptors type 1 (AGTR1 A1166C) and type 2 (AGTR2 G1675A) while accounting for possible gene–gene interactions with the angiotensin-converting enzyme (ACE D/I) and angiotensinogen (AGT −532C/T) polymorphisms. Methods and Results— We randomly recruited 221 nuclear families (384 parents, 431 offspring) in Cracow (Poland), Novosibirsk (Russia), and Mirano (Italy). Echocardiographic LVM was indexed to body surface area, adjusted for covariates, and subjected to multivariate analyses using generalized estimating equations and quantitative transmission disequilibrium tests in a population-based and family-based approach, respectively. For AGTR1 and AGTR2, there was no heterogeneity in the phenotype–genotype relations across populations. LVM index was unrelated to the AGTR1 A1166C polymorphism. In men, in the ...read more
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