Abstract
The natriuretic peptide (NP) system is a critical physiologic pathway in heart failure with wide individual variability in functioning. We investigated the genetic component by testing the association of single nucleotide polymorphisms (SNP) with RNA and protein expression. Samples of DNA, RNA, and tissue from human kidney (n = 103) underwent genotyping, RT-PCR, and protein quantitation (in lysates), for four candidate genes [NP receptor 1 (NPR1), NPR2, and NPR3 and membrane metalloendopeptidase]. The association of genetic variation with expression was tested using linear regression for individual SNPs, and a principal components (PC) method for overall gene variation. Eleven SNPs in NPR2 were significantly associated with protein expression (false discovery rate ≤0.05), but not RNA quantity. RNA and protein quantity correlated poorly with each other. The PC analysis showed only NPR2 as significant. Assessment of the clinical impact of NPR2 genetic variation is needed.
This is a preview of subscription content,
to check access.



Similar content being viewed by others
References
Roger, V. L., Go, A. S., Lloyd-Jones, D. M., Benjamin, E. J., Berry, J. D., Borden, W. B., Bravata, D. M., Dai, S., Ford, E. S., Fox, C. S., Fullerton, H. J., Gillespie, C., Hailpern, S. M., Heit, J. A., Howard, V. J., Kissela, B. M., Kittner, S. J., Lackland, D. T., Lichtman, J. H., Lisabeth, L. D., Makuc, D. M., Marcus, G. M., Marelli, A., Matchar, D. B., Moy, C. S., Mozaffarian, D., Mussolino, M. E., Nichol, G., Paynter, N. P., Soliman, E. Z., Sorlie, P. D., Sotoodehnia, N., Turan, T. N., Virani, S. S., Wong, N. D., Woo, D., & Turner, M. B. (2012). Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation, 125(1), e2–e220. doi:10.1161/CIR.0b013e31823ac046.
Maeda, K., Tsutamoto, T., Wada, A., Hisanaga, T., & Kinoshita, M. (1998). Plasma brain natriuretic peptide as a biochemical marker of high left ventricular end-diastolic pressure in patients with symptomatic left ventricular dysfunction. Am Heart J, 135(5 Pt 1), 825–832.
Ellmers, L. J., Scott, N. J., Piuhola, J., Maeda, N., Smithies, O., Frampton, C. M., Richards, A. M., & Cameron, V. A. (2007). Npr1-regulated gene pathways contributing to cardiac hypertrophy and fibrosis. J Mol Endocrinol, 38(1–2), 245–257. doi:10.1677/jme.1.02138.
Maisel, A. S., Krishnaswamy, P., Nowak, R. M., McCord, J., Hollander, J. E., Duc, P., Omland, T., Storrow, A. B., Abraham, W. T., Wu, A. H., Clopton, P., Steg, P. G., Westheim, A., Knudsen, C. W., Perez, A., Kazanegra, R., Herrmann, H. C., & McCullough, P. A. (2002). Rapid measurement of B-type natriuretic peptide in the emergency diagnosis of heart failure. N Engl J Med, 347(3), 161–167. doi:10.1056/NEJMoa020233.
Pascual-Figal, D. A., Domingo, M., Casas, T., Gich, I., Ordonez-Llanos, J., Martinez, P., Cinca, J., Valdes, M., Januzzi, J. L., & Bayes-Genis, A. (2008). Usefulness of clinical and NT-proBNP monitoring for prognostic guidance in destabilized heart failure outpatients. Eur Heart J, 29(8), 1011–1018. doi:10.1093/eurheartj/ehn023.
VMAC Investigators (Vasodilation in the Management of Acute CHF). (2002). Intravenous nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure: a randomized controlled trial. JAMA, 287(12), 1531–1540.
Colucci, W. S., Elkayam, U., Horton, D. P., Abraham, W. T., Bourge, R. C., Johnson, A. D., Wagoner, L. E., Givertz, M. M., Liang, C. S., Neibaur, M., Haught, W. H., & LeJemtel, T. H. (2000). Intravenous nesiritide, a natriuretic peptide, in the treatment of decompensated congestive heart failure. Nesiritide Study Group. N Engl J Med, 343(4), 246–253. doi:10.1056/nejm200007273430403.
Maisel, A. S., Clopton, P., Krishnaswamy, P., Nowak, R. M., McCord, J., Hollander, J. E., Duc, P., Omland, T., Storrow, A. B., Abraham, W. T., Wu, A. H., Steg, G., Westheim, A., Knudsen, C. W., Perez, A., Kazanegra, R., Bhalla, V., Herrmann, H. C., Aumont, M. C., & McCullough, P. A. (2004). Impact of age, race, and sex on the ability of B-type natriuretic peptide to aid in the emergency diagnosis of heart failure: results from the Breathing Not Properly (BNP) multinational study. Am Heart J, 147(6), 1078–1084. doi:10.1016/j.ahj.2004.01.013.
Costello-Boerrigter, L. C., Boerrigter, G., Ameenuddin, S., Mahoney, D. W., Slusser, J. P., Heublein, D. M., Redfield, M. M., Rodeheffer, R. J., Olson, T. M., & Burnett, J. C., Jr. (2011). The effect of the brain-type natriuretic peptide single-nucleotide polymorphism rs198389 on test characteristics of common assays. Mayo Clin Proc, 86(3), 210–218. doi:10.4065/mcp.2010.0708.
O'Connor, C. M., Starling, R. C., Hernandez, A. F., Armstrong, P. W., Dickstein, K., Hasselblad, V., Heizer, G. M., Komajda, M., Massie, B. M., McMurray, J. J., Nieminen, M. S., Reist, C. J., Rouleau, J. L., Swedberg, K., Adams, K. F., Jr., Anker, S. D., Atar, D., Battler, A., Botero, R., Bohidar, N. R., Butler, J., Clausell, N., Corbalan, R., Costanzo, M. R., Dahlstrom, U., Deckelbaum, L. I., Diaz, R., Dunlap, M. E., Ezekowitz, J. A., Feldman, D., Felker, G. M., Fonarow, G. C., Gennevois, D., Gottlieb, S. S., Hill, J. A., Hollander, J. E., Howlett, J. G., Hudson, M. P., Kociol, R. D., Krum, H., Laucevicius, A., Levy, W. C., Mendez, G. F., Metra, M., Mittal, S., Oh, B. H., Pereira, N. L., Ponikowski, P., Tang, W. H., Tanomsup, S., Teerlink, J. R., Triposkiadis, F., Troughton, R. W., Voors, A. A., Whellan, D. J., Zannad, F., & Califf, R. M. (2011). Effect of nesiritide in patients with acute decompensated heart failure. N Engl J Med, 365(1), 32–43. doi:10.1056/NEJMoa1100171.
Sackner-Bernstein, J. D., Kowalski, M., Fox, M., & Aaronson, K. (2005). Short-term risk of death after treatment with nesiritide for decompensated heart failure: a pooled analysis of randomized controlled trials. JAMA, 293(15), 1900–1905. doi:10.1001/jama.293.15.1900.
Sackner-Bernstein, J. D., Skopicki, H. A., & Aaronson, K. D. (2005). Risk of worsening renal function with nesiritide in patients with acutely decompensated heart failure. Circulation, 111(12), 1487–1491. doi:10.1161/01.cir.0000159340.93220.e4.
Luss, H., Mitrovic, V., Seferovic, P. M., Simeunovic, D., Ristic, A. D., Moiseyev, V. S., Forssmann, W. G., Hamdy, A. M., & Meyer, M. (2008). Renal effects of ularitide in patients with decompensated heart failure. Am Heart J, 155(6), 1012.e1011–1018. doi:10.1016/j.ahj.2008.02.011.
McKie, P. M., Sangaralingham, S. J., & Burnett, J. C., Jr. (2010). CD-NP: an innovative designer natriuretic peptide activator of particulate guanylyl cyclase receptors for cardiorenal disease. Curr Heart Fail Rep, 7(3), 93–99. doi:10.1007/s11897-010-0016-6.
Lanfear, D. E. (2010). Genetic variation in the natriuretic peptide system and heart failure. Heart Fail Rev, 15(3), 219–228. doi:10.1007/s10741-008-9113-y.
Wang, T. J., Larson, M. G., Levy, D., Benjamin, E. J., Corey, D., Leip, E. P., & Vasan, R. S. (2003). Heritability and genetic linkage of plasma natriuretic peptide levels. Circulation, 108(1), 13–16. doi:10.1161/01.cir.0000081657.83724.a7.
Newton-Cheh, C., Larson, M. G., Vasan, R. S., Levy, D., Bloch, K. D., Surti, A., Guiducci, C., Kathiresan, S., Benjamin, E. J., Struck, J., Morgenthaler, N. G., Bergmann, A., Blankenberg, S., Kee, F., Nilsson, P., Yin, X., Peltonen, L., Vartiainen, E., Salomaa, V., Hirschhorn, J. N., Melander, O., & Wang, T. J. (2009). Association of common variants in NPPA and NPPB with circulating natriuretic peptides and blood pressure. Nat Genet, 41(3), 348–353. doi:10.1038/ng.328.
Lanfear, D. E., Stolker, J. M., Marsh, S., Rich, M. W., & McLeod, H. L. (2007). Genetic variation in the B-type natiuretic peptide pathway affects BNP levels. Cardiovasc Drugs Ther, 21(1), 55–62. doi:10.1007/s10557-007-6007-5.
Lanfear, D. E., Stolker, J. M., Marsh, S., Rich, M. W., & McLeod, H. L. (2006). Natriuretic peptide receptor 3 genotype modulates the relationship between B-type natriuretic peptide and left ventricular end-diastolic pressure. Therapy, 3(6), 765–771. doi:10.2217/14750708.3.6.765.
Lanfear, D. E., Yang, J., Leszczynski, K., & Sabbah, H. N. (2011). Natriuretic peptide receptor 3 genotype is associated with altered pharmacokinetics during nesiritide infusion. J Card Fail, 17(8), S62.
Gauderman, W. J., Murcray, C., Gilliland, F., & Conti, D. V. (2007). Testing association between disease and multiple SNPs in a candidate gene. Genet Epidemiol, 31(5), 383–395. doi:10.1002/gepi.20219.
Price, A. L., Patterson, N. J., Plenge, R. M., Weinblatt, M. E., Shadick, N. A., & Reich, D. (2006). Principal components analysis corrects for stratification in genome-wide association studies. Nat Genet, 38(8), 904–909.
An, P., Mukherjee, O., Chanda, P., Yao, L., Engelman, C. D., Huang, C. H., Zheng, T., Kovac, I. P., Dube, M. P., Liang, X., Li, J., de Andrade, M., Culverhouse, R., Malzahn, D., Manning, A. K., Clarke, G. M., Jung, J., & Province, M. A. (2009). The challenge of detecting epistasis (G x G interactions): Genetic Analysis Workshop 16. Genet Epidemiol, 33(Suppl 1), S58–67. doi:10.1002/gepi.20474.
Oh, S., & Park, T. (2007). Association tests based on the principal-component analysis. BMC Proc, 1(Suppl 1), S130.
Benjamini, Y., Drai, D., Elmer, G., Kafkafi, N., & Golani, I. (2001). Controlling the false discovery rate in behavior genetics research. Behav Brain Res, 125(1–2), 279–284.
Vogel, C., & Marcotte, E. M. (2012). Insights into the regulation of protein abundance from proteomic and transcriptomic analyses. Nat Rev Genet, 13(4), 227–232. doi:10.1038/nrg3185.
Acknowledgements
We thank the Alvin J. Siteman Cancer Center at Washington University School of Medicine and Barnes-Jewish Hospital in St. Louis, MO, USA, for the use of the Tissue Procurement Core, which provided tissue, DNA, and RNA isolation services. The Siteman Cancer Center is supported in part by a NCI Cancer Center Support Grant #P30 CA91842. This work was supported by grants from the National Institutes of Health (Lanfear, HL085124 and HL103871).
Conflicts of interest
The authors declare that they have no competing interests.
Author information
Authors and Affiliations
Corresponding author
Additional information
Associate Editor Paul J. R. Barton oversaw the review of this article
Electronic supplementary material
Below is the link to the electronic supplementary material.
ESM 1
(DOCX 24 kb)
Rights and permissions
About this article
Cite this article
Lanfear, D.E., Sunkara, B., Li, J. et al. Association of Genetic Variation with Gene Expression and Protein Abundance within the Natriuretic Peptide Pathway. J. of Cardiovasc. Trans. Res. 6, 826–833 (2013). https://doi.org/10.1007/s12265-013-9491-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12265-013-9491-y