Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Cellular and Molecular Endocrine Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Hum Hypertens. 2019 Nov;33(11):775-785. doi: 10.1038/s41371-019-0253-4. Epub 2019 Sep 24.
To understand the genetic architecture and make inferences about transmissible resemblance of systolic and diastolic blood pressure (SBP and DBP) traits in relatives, the polygenic effect of individual alleles in terms of narrow heritability (h) is usually assessed. The heritability estimates for BP traits are population specific parameters with a wide range in different studies (6-68%), and there is no comprehensive evidence comparing its source(s) of heterogeneity. To fill the gap, this systematic review and meta-analysis study was carried out. Using MeSH terms, 647 records were detected through searching, "Pubmed," "Ebsco," "Web of Science," and "Scopus" databases. From these, 24 relevant full-text articles with 47 comparisons for final quantitative meta-analysis were included in our review over the five continents. The additive genetic effects of both traits showed a widespread distribution (h: 17-52%, h:19-41%). Different categories of transmissible resemblance for BP traits were explained by ethnicity; higher heritability was estimated in Europeans and Mexican Americans, while lower heritability was seen in the Middle Eastern, Asians, Africans, Latinos, Hispanics, and American Indians. Low heterogeneity of polygenic effects was seen for both traits in subgroups of the Middle East, Asians, Africans, and Latinos, Hispanics, American Indians. However, there was a substantial heterogeneity of h within European and Mexican American studies. Neither pedigree type nor other covariates explained the variance of additive genetic effects of BP traits in different ethnicities.
为了了解遗传结构,并对收缩压和舒张压(SBP 和 DBP)特征的可传递相似性进行推断,通常会根据狭义遗传率(h)评估个体等位基因的多基因效应。BP 特征的遗传率估计是特定于人群的参数,在不同的研究中有很大的差异(6-68%),并且没有全面的证据来比较其异质性的来源。为了填补这一空白,进行了这项系统评价和荟萃分析研究。使用 MeSH 术语,通过搜索“Pubmed”、“Ebsco”、“Web of Science”和“Scopus”数据库,检测到 647 条记录。从这些记录中,我们的综述纳入了 24 篇相关的全文文章,涉及 5 大洲的 47 项比较,进行最终的定量荟萃分析。这两种特征的加性遗传效应呈广泛分布(h:17-52%,h:19-41%)。BP 特征的可传递相似性的不同类别可通过种族来解释;欧洲人和墨西哥裔美国人的遗传率较高,而中东人、亚洲人、非洲人、拉丁裔、西班牙裔和美洲印第安人的遗传率较低。在中东人、亚洲人、非洲人和拉丁裔、西班牙裔、美洲印第安人的亚组中,两种特征的多基因效应的异质性较低。然而,欧洲人和墨西哥裔美国人的研究中存在很大的 h 异质性。无论家系类型还是其他协变量,都不能解释不同种族中 BP 特征的加性遗传效应的方差。