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10.1093/ajh/hpx004

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suck abstract from ncbi


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pmid28199472
      Am+J+Hypertens 2017 ; 30 (5 ): 495-501
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  • Resequencing Study Identifies Rare Renin-Angiotensin-Aldosterone System Variants Associated With Blood Pressure Salt-Sensitivity: The GenSalt Study #MMPMID28199472
  • Kelly TN ; Li C ; Hixson JE ; Gu D ; Rao DC ; Huang J ; Rice TK ; Chen J ; Cao J ; Li J ; Anderson CE ; He J
  • Am J Hypertens 2017[May]; 30 (5 ): 495-501 PMID28199472 show ga
  • BACKGROUND: The role of rare variants in blood pressure (BP) salt-sensitivity is unknown. We conducted a resequencing study of the renin-angiotensin-aldosterone system (RAAS) to identify rare variants associated with BP salt-sensitivity among participants of the Genetic Epidemiology Network of Salt-Sensitivity (GenSalt) study. METHODS: The GenSalt study was conducted among 1,906 participants who underwent a 7-day low-sodium (51.3 mmol sodium/day) followed by a 7-day high-sodium feeding study (307.8 mmol sodium/day). The 300 most salt-sensitive and 300 most salt-resistant GenSalt participants were selected for the resequencing study. Seven RAAS genes were resequenced using capillary-based sequencing methods. Rare variants were tested for association with BP salt-sensitivity using traditional burden tests. Single-marker analyses were employed to test associations of low-frequency and common variants. RESULTS: Aggregate rare variant analysis revealed an association of the RAAS pathway with BP salt-sensitivity. Carriers of rare RAAS variants had a 1.55-fold [95% confidence interval (CI): 1.15, 2.10] higher odds of salt-sensitivity compared to noncarriers (P = 0.004), a finding which was significant after Bonferroni correction. A nominal association of the APLN gene with salt-sensitivity was also identified, with rare APLN variants conferring a 2.22-fold (95% CI: 1.05, 6.58) higher odds of salt-sensitivity (P = 0.03). Single-marker analyses did not identify variant-BP salt-sensitivity associations after Bonferroni adjustment. A nominal association of a low-frequency, missense RENBP variant was identified. Each minor allele of rs78377269 conferred a 2.21-fold (95% CI: 1.10, 4.42) increased odds of salt-sensitivity (P = 0.03). CONCLUSIONS: This study presents of the first evidence of a contribution of rare RAAS variants to BP salt-sensitivity. Clinical Trial RegistryTrial Number: NCT00721721.
  • |*Polymorphism, Single Nucleotide [MESH]
  • |Adult [MESH]
  • |Apelin [MESH]
  • |Blood Pressure/*genetics [MESH]
  • |Carbohydrate Epimerases/genetics [MESH]
  • |Carrier Proteins/genetics [MESH]
  • |Chi-Square Distribution [MESH]
  • |China/epidemiology [MESH]
  • |Diet, Sodium-Restricted [MESH]
  • |Female [MESH]
  • |Gene Frequency [MESH]
  • |Genetic Predisposition to Disease [MESH]
  • |Humans [MESH]
  • |Hypertension/diagnosis/epidemiology/*genetics/physiopathology [MESH]
  • |Intercellular Signaling Peptides and Proteins/genetics [MESH]
  • |Linear Models [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Multivariate Analysis [MESH]
  • |Odds Ratio [MESH]
  • |Phenotype [MESH]
  • |Renin-Angiotensin System/*genetics [MESH]
  • |Risk Assessment [MESH]
  • |Risk Factors [MESH]
  • |Sodium Chloride, Dietary/administration & dosage/*adverse effects [MESH]


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