Skip to main content
Log in

Associations of epithelial sodium channel genes with blood pressure: the GenSalt study

  • Original Article
  • Published:
Journal of Human Hypertension Submit manuscript

Abstract

In order to investigate the associations of SCNN1A, SCNN1G and SCNN1B genes with blood pressure (BP) in the Han Chinese population, we included 2880 participants did not use antihypertensive medication in the month prior to the baseline survey in the current analysis. Forty-four tag-single-nucleotide polymorphisms (SNPs) in epithelial sodium channel (ENaC) genes were selected and genotyped, and nine BP measurements were obtained during the 3-day examination. In the single-marker analyses, we identified significant associations of SCNN1A marker rs13306613 with diastolic BP (DBP) and SCNN1B marker rs12447134 with systolic BP (SBP) under codominant model after Bonferroni’s correction (P=2.82 × 10−5 and 4.63 × 10−4, respectively). In addition, five SNPs in SCNN1G and four SNPs in SCNN1B achieved nominal significance for SBP, DBP or mean arterial pressure (MAP) under the additive model. For example, the minor C allele of rs5735 in SCNN1G gene was associated with decreased SBP, DBP and MAP (P=0.016, 5.41 × 10−3 and 4.36 × 10−3, respectively). Gene-based results showed significant associations of SCNN1G and SCNN1B with BP levels. This study suggested that ENaC genes have important roles in BP regulation in the Han Chinese population. Future studies are warranted to replicate these findings, and functional studies are needed to identify true causal variants in ENaC genes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1

Similar content being viewed by others

References

  1. Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet 2005; 365: 217–223.

    Article  Google Scholar 

  2. Gu D, Kelly TN, Wu X, Chen J, Duan X, Huang JF et al. Blood pressure and risk of cardiovascular disease in Chinese men and women. Am J Hypertens 2008; 21: 265–272.

    Article  Google Scholar 

  3. Lawes CM, Vander Hoorn S, Rodgers A. Global burden of blood-pressure-related disease, 2001. Lancet 2008; 371: 1513–1518.

    Article  Google Scholar 

  4. Lifton RP, Gharavi AG, Geller DS. Molecular mechanisms of human hypertension. Cell 2001; 104: 545–556.

    Article  CAS  Google Scholar 

  5. Thomas CP, Itani OA. New insights into epithelial sodium channel function in the kidney: site of action, regulation by ubiquitin ligases, serum- and glucocorticoid-inducible kinase and proteolysis. Curr Opin Nephrol Hypertens 2004; 13: 541–548.

    Article  CAS  Google Scholar 

  6. Shehata MF. Regulation of the epithelial sodium channel [ENaC] in kidneys of salt-sensitive Dahl rats: insights on alternative splicing. Int Arch Med 2009; 2: 28.

    Article  Google Scholar 

  7. Bankir L, Bichet DG, Bouby N. Vasopressin V2 receptors, ENaC, and sodium reabsorption: a risk factor for hypertension? Am J Physiol Renal Physiol 2010; 299: F917–F928.

    Article  CAS  Google Scholar 

  8. Furuhashi M, Kitamura K, Adachi M, Miyoshi T, Wakida N, Ura N et al. Liddle's syndrome caused by a novel mutation in the proline-rich PY motif of the epithelial sodium channel beta-subunit. J Clin Endocrinol Metab 2005; 90: 340–344.

    Article  CAS  Google Scholar 

  9. Wang LP, Gao LG, Zhou XL, Wu HY, Zhang L, Wen D et al. Genetic diagnosis of Liddle's syndrome by mutation analysis of SCNN1B and SCNN1G in a Chinese family. Chin Med J (Engl) 2012; 125: 1401–1404.

    Google Scholar 

  10. Kakizoe Y, Kitamura K, Ko T, Wakida N, Maekawa A, Miyoshi T et al. Aberrant ENaC activation in Dahl salt-sensitive rats. J Hypertens 2009; 27: 1679–1689.

    Article  CAS  Google Scholar 

  11. Wong ZY, Stebbing M, Ellis JA, Lamantia A, Harrap SB. Genetic linkage of beta and gamma subunits of epithelial sodium channel to systolic blood pressure. Lancet 1999; 353: 1222–1225.

    Article  CAS  Google Scholar 

  12. Niu T, Xu X, Cordell HJ, Rogus J, Zhou Y, Fang Z et al. Linkage analysis of candidate genes and gene-gene interactions in chinese hypertensive sib pairs. Hypertension 1999; 33: 1332–1337.

    Article  CAS  Google Scholar 

  13. Munroe PB, Strautnieks SS, Farrall M, Daniel HI, Lawson M, DeFreitas P et al. Absence of linkage of the epithelial sodium channel to hypertension in black Caribbeans. Am J Hypertens 1998; 11: 942–945.

    Article  CAS  Google Scholar 

  14. Iwai N, Baba S, Mannami T, Katsuya T, Higaki J, Ogihara T et al. Association of sodium channel gamma-subunit promoter variant with blood pressure. Hypertension 2001; 38: 86–89.

    Article  CAS  Google Scholar 

  15. Wang XF, Lu XM, Lin RY, Wang SZ, Zhang LP, Qian J et al. Lack of association of functional variants in alpha-ENaC gene and essential hypertension in two ethnic groups in China. Kidney Blood Press Res 2008; 31: 268–273.

    Article  CAS  Google Scholar 

  16. GenSalt Collaborative Research Group. GenSalt: rationale, design, methods and baseline characteristics of study participants. J Hum Hypertens 2007; 21: 639–646.

    Article  Google Scholar 

  17. Perloff D, Grim C, Flack J, Frohlich ED, Hill M, McDonald M et al. Human blood pressure determination by sphygmomanometry. Circulation 1993; 88: 2460–2470.

    Article  CAS  Google Scholar 

  18. Barrett JC, Fry B, Maller J, Daly MJ. Haploview: analysis and visualization of LD and haplotype maps. Bioinformatics 2005; 21: 263–265.

    Article  CAS  Google Scholar 

  19. Purcell S, Neale B, Todd-Brown K, Thomas L, Ferreira MA, Bender D et al. PLINK: a tool set for whole-genome association and population-based linkage analyses. Am J Hum Genet 2007; 81: 559–575.

    Article  CAS  Google Scholar 

  20. Abecasis GR, Cherny SS, Cookson WO, Cardon LR. GRR: graphical representation of relationship errors. Bioinformatics 2001; 17: 742–743.

    Article  CAS  Google Scholar 

  21. Sheng X, Yang J. Truncated product methods for panel unit root tests. Oxf Bull Econ Stat 2013; 75: 624–636.

    Article  Google Scholar 

  22. Ma L, Clark AG, Keinan A. Gene-based testing of interactions in association studies of quantitative traits. PLoS Genet 2013; 9: e1003321.

    Article  CAS  Google Scholar 

  23. Jin HS, Hong KW, Lim JE, Hwang SY, Lee SH, Shin C et al. Genetic variations in the sodium balance-regulating genes ENaC, NEDD4L, NDFIP2 and USP2 influence blood pressure and hypertension. Kidney Blood Press Res 2010; 33: 15–23.

    Article  CAS  Google Scholar 

  24. Iwai N, Baba S, Mannami T, Ogihara T, Ogata J. Association of a sodium channel alpha subunit promoter variant with blood pressure. J Am Soc Nephrol 2002; 13: 80–85.

    CAS  PubMed  Google Scholar 

  25. Xu H, Li NF, Hong J, Zhang L, Zhou L, Li T et al. [Relationship between four single nucleotide polymorphisms of epithelial sodium channel alpha subunit gene and essential hypertension of Kazakhs in Xinjiang]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2009; 31: 740–745.

    CAS  PubMed  Google Scholar 

  26. Yang X, He J, Gu D, Hixson JE, Huang J, Rao DC et al. Associations of epithelial sodium channel genes with blood pressure changes and hypertension incidence: the GenSalt study. Am J Hypertens 2014.

  27. Persu A, Coscoy S, Houot AM, Corvol P, Barbry P, Jeunemaitre X. Polymorphisms of the gamma subunit of the epithelial Na+ channel in essential hypertension. J Hypertens 1999; 17: 639–645.

    Article  CAS  Google Scholar 

  28. Tobin MD, Tomaszewski M, Braund PS, Hajat C, Raleigh SM, Palmer TM et al. Common variants in genes underlying monogenic hypertension and hypotension and blood pressure in the general population. Hypertension 2008; 51: 1658–1664.

    Article  CAS  Google Scholar 

  29. Büsst CJ, Scurrah KJ, Ellis JA, Harrap SB. Selective genotyping reveals association between the epithelial sodium channel gamma-subunit and systolic blood pressure. Hypertension 2007; 50: 672–678.

    Article  Google Scholar 

  30. Melander O, Orho M, Fagerudd J, Bengtsson K, Groop PH, Mattiasson I et al. Mutations and variants of the epithelial sodium channel gene in Liddle's syndrome and primary hypertension. Hypertension 1998; 31: 1118–1124.

    Article  CAS  Google Scholar 

  31. Dong YB, Zhu HD, Baker EH, Sagnella GA, MacGregor GA, Carter ND et al. T594M and G442V polymorphisms of the sodium channel beta subunit and hypertension in a black population. J Hum Hypertens 2001; 15: 425–430.

    Article  CAS  Google Scholar 

  32. Matsubara M, Metoki H, Suzuki M, Fujiwara T, Kikuya M, Michimata M et al. Genotypes of the betaENaC gene have little influence on blood pressure level in the Japanese population. Am J Hypertens 2002; 15: 189–192.

    Article  CAS  Google Scholar 

  33. Persu A, Barbry P, Bassilana F, Houot AM, Mengual R, Lazdunski M et al. Genetic analysis of the beta subunit of the epithelial Na+ channel in essential hypertension. Hypertension 1998; 32: 129–137.

    Article  CAS  Google Scholar 

  34. Chang H, Fujita T. Lack of mutations in epithelial sodium channel beta-subunit gene in human subjects with hypertension. J Hypertens 1996; 14: 1417–1419.

    Article  CAS  Google Scholar 

  35. Montasser ME, Gu D, Chen J, Shimmin LC, Gu C, Kelly TN et al. Interactions of genetic variants with physical activity are associated with blood pressure in Chinese: the GenSalt study. Am J Hypertens 2011; 24: 1035–1040.

    Article  Google Scholar 

  36. Nishida N, Koike A, Tajima A, Ogasawara Y, Ishibashi Y, Uehara Y et al. Evaluating the performance of Affymetrix SNP Array 6.0 platform with 400 Japanese individuals. BMC Genomics 2008; 9: 431.

    Article  Google Scholar 

Download references

Acknowledgements

The Genetic Epidemiology Network of Salt Sensitivity (GenSalt) is supported by research grants (U01HL072507, R01HL087263 and R01HL090682) from the National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA and the High-Tech Research and Development Program of China (863 Plan) (2012AA02A516).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D Gu.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Additional information

Supplementary Information accompanies this paper on the Journal of Human Hypertension website

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Liu, F., Yang, X., Mo, X. et al. Associations of epithelial sodium channel genes with blood pressure: the GenSalt study. J Hum Hypertens 29, 224–228 (2015). https://doi.org/10.1038/jhh.2014.78

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/jhh.2014.78

  • Springer Nature Limited

This article is cited by

Navigation