Zhai Z, Wang Z, Wang L, Chen S, Ren H, Wang D
Department of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430030, Wuhan, Hubei, China.
Department of Cardiology, First Affiliated Hospital, Shihezi Medical College, Shihezi University, 832000, Shihezi, Xinjiang, China.
Herz. 2018 Aug;43(5):461-465. doi: 10.1007/s00059-017-4591-0. Epub 2017 Jul 6.
Inducible nitric oxide synthase (iNOS) single-nucleotide polymorphisms have been reported to confer susceptibility to hypertension, but no consensus has been reached. The aim of this study was to investigate the association between iNOS and hypertension in a Chinese population.
This was a case-control study including 1172 hypertensive and 1172 control subjects to investigate the association between iNOS and hypertension.
There were significant differences in the distribution of genotype and allele frequencies of rs2779249 and rs2297518 between hypertensive and normotensive subjects. Logistic regression analyses were performed with different genetic models (additive, dominant, recessive) adjusting for confounding risk covariates, including age, sex, body mass index, total cholesterol, triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, smoking, drinking, and family history of hypertension. The odds ratio (OR) was 1.27 (1.12, 1.44) in the additive model, 1.31 (1.09, 1.59) in the dominant, and 1.68 (1.28, 2.19) in the recessive model of rs2779249; the OR was 1.26 (1.06, 1.50) in the additive model and 1.46 (1.13, 1.89) in the dominant model of rs2297518.
The current study provides evidence that iNOS is strongly associated with hypertension.
已有报道称诱导型一氧化氮合酶(iNOS)单核苷酸多态性与高血压易感性有关,但尚未达成共识。本研究旨在探讨中国人群中iNOS与高血压之间的关联。
这是一项病例对照研究,纳入1172例高血压患者和1172例对照受试者,以研究iNOS与高血压之间的关联。
高血压组与血压正常组之间,rs2779249和rs2297518的基因型和等位基因频率分布存在显著差异。采用不同遗传模型(加性、显性、隐性)进行逻辑回归分析,并对包括年龄、性别、体重指数、总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、吸烟、饮酒和高血压家族史等混杂风险协变量进行校正。rs2779249的加性模型比值比(OR)为1.27(1.12,1.44),显性模型为1.31(1.09,1.59),隐性模型为1.68(1.28,2.19);rs2297518的加性模型OR为1.26(1.06,1.50),显性模型为1.46(1.13,1.89)。
本研究提供了证据表明iNOS与高血压密切相关。