Li Xinghui, Xie Ping, He Jin, Cai Hui, Yang Ruixuan, Zhang Qing, Li Baojuan, Qi Wenhua, Ma Haizhong
a Department of Cardiology , Gansu Provincial Hospital , LanZhou , PR China.
b Department of Cardiology , West China Hospital of Sichuan University , Chengdu , PR China.
Clin Exp Hypertens. 2016;38(4):375-80. doi: 10.3109/10641963.2015.1131287. Epub 2016 May 5.
Essential hypertension (EH) is a complex multifactorial condition influenced by both genetic and environmental factors; aldosterone synthase (CYP11B2) is a key enzyme which involves in the terminal steps of aldosterone synthesis. The result of relationship between C-344T of CYP11B2 polymorphism and EH was controversial. This study was undertaken to investigate the association of C-344T polymorphism with EH in the populations of Tibetan, Dongxiang and Han from northwest of China. A total of 2115 participants aged 18-70 years were enrolled in this study. In total, 1776 blood samples, including 545 Tibetan (305 hypertensive and 240 normotensive), 530 Dongxiang (254 hypertensive and 276 normotensive) and 701 Han (338 hypertensive and 363 normotensive), were analyzed successfully by using Snapshot minisequencing method, 30 samples were also performed by direct sequencing (5 hypertensive and 5 normotensive in each population, respectively). The frequencies of genotype and allele of CYP11B2 (C-344T) were not significantly different between EH group and control group in every ethnic population (p > 0.05). However, in female population of Tibetan, the frequencies of CC and CT genotype and C allele in EH group were higher than in control (p < 0.05) group. The frequencies of CC genotype and C allele in both the normotensive controls and EH patients in Tibetan population were higher than in Dongxiang and Han populations. Our study suggests that there is lack of association between C-344T polymorphism of CYP11B2 gene and EH in Dongxiang and Han populations, whereas the polymorphism was correlated with EH in female population of Tibetan.
原发性高血压(EH)是一种受遗传和环境因素影响的复杂多因素疾病;醛固酮合酶(CYP11B2)是参与醛固酮合成终末步骤的关键酶。CYP11B2基因多态性C-344T与EH之间关系的研究结果存在争议。本研究旨在调查中国西北藏族、东乡族和汉族人群中C-344T多态性与EH的相关性。本研究共纳入2115名年龄在18至70岁之间的参与者。总共1776份血样,包括545名藏族(305名高血压患者和240名血压正常者)、530名东乡族(254名高血压患者和276名血压正常者)和701名汉族(338名高血压患者和363名血压正常者),通过Snapshot微测序法成功进行了分析,每个群体还分别对5名高血压患者和5名血压正常者的30份样本进行了直接测序。在每个民族人群中,EH组和对照组之间CYP11B2(C-344T)的基因型和等位基因频率无显著差异(p>0.05)。然而,在藏族女性人群中,EH组CC和CT基因型以及C等位基因的频率高于对照组(p<0.05)。藏族人群中血压正常对照组和EH患者的CC基因型和C等位基因频率均高于东乡族和汉族人群。我们的研究表明,东乡族和汉族人群中CYP11B2基因的C-344T多态性与EH之间缺乏关联,而该多态性与藏族女性人群的EH相关。