Hengstenberg C, Schunkert H, Mayer B, Döring A, Löwel H, Hense H W, Fischer M, Riegger G A, Holmer S R
Department of Internal Medicine, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.
Cardiovasc Res. 2001 Mar;49(4):820-7. doi: 10.1016/s0008-6363(00)00292-3.
A polymorphism at position 825(C-->T) of the G protein beta3 (GNB3) gene was found to be associated with enhanced transmembrane signalling as well as with an increased prevalence of arterial hypertension. The aim of the present study was to further investigate the association of the GNB3 C825T allele status with arterial hypertension in a large population-based sample and its association with specific end organ damage, i.e. myocardial infarction (MI).
Individuals from a population-based sample (n=2052) and patients suffering from premature MI (age at first MI < or = 60 years, n = 606) were studied by questionnaire as well as by physical examination and biochemical analyses.
In the population-based sample, the prevalence of arterial hypertension (blood pressure > or = 160/95 mmHg and/or antihypertensive medication) was higher in individuals with the TT genotype (41.8%) as compared to heterozygote individuals (36.6%) or those with the CC genotype (32.75%) (P = 0.02). This association was predominantly found in men. Moreover, men without antihypertensive medication carrying the TT genotype showed higher diastolic blood pressure than those carrying the CC genotype (86.5 vs. 83.7 mmHg, P = 0.04). However, the genotype distribution and the allele frequencies were similar in both, the population-based and the MI patient sample. Furthermore, neither the age at the time of MI nor the location of the MI were related to the genotype distribution. Similarly, gender and age stratified analyses did not show any association of the GNB3 genotype and MI.
In male individuals from a large population-based sample, the T allele of the GNB3 polymorphism was associated with arterial hypertension. However, the effects of the GNB3 825T allele on blood pressure were small and did not translate to a clinically relevant increase of risk for MI.
已发现G蛋白β3(GNB3)基因825位(C→T)的多态性与跨膜信号增强以及动脉高血压患病率增加有关。本研究的目的是在一个基于人群的大样本中进一步研究GNB3 C825T等位基因状态与动脉高血压的关联及其与特定终末器官损害即心肌梗死(MI)的关联。
通过问卷调查、体格检查和生化分析对来自基于人群样本的个体(n = 2052)和患有早发心肌梗死的患者(首次心肌梗死年龄≤60岁,n = 606)进行研究。
在基于人群的样本中,TT基因型个体的动脉高血压患病率(血压≥160/95 mmHg和/或使用抗高血压药物)高于杂合子个体(36.6%)或CC基因型个体(32.75%)(41.8%)(P = 0.02)。这种关联主要在男性中发现。此外,未使用抗高血压药物且携带TT基因型的男性的舒张压高于携带CC基因型的男性(86.5对83.7 mmHg,P = 0.04)。然而,基于人群的样本和心肌梗死患者样本的基因型分布和等位基因频率相似。此外,心肌梗死发生时的年龄和心肌梗死的部位均与基因型分布无关。同样,按性别和年龄分层分析未显示GNB3基因型与心肌梗死有任何关联。
在一个基于人群的大样本男性个体中,GNB3多态性的T等位基因与动脉高血压有关。然而,GNB3 825T等位基因对血压的影响较小,并未转化为临床上相关的心肌梗死风险增加。