Abstract
Angiotensinogen and its cleaved forms angiotensin I and angiotensin II are important regulators of blood pressure. The gene for angiotensinogen (AGT) carries two common polymorphisms, T207M and M268T (previously described as T174M and M235T). To investigate the role of haplotypes formed by these polymorphisms for angiotensinogen levels we examined blood pressure, coronary artery disease (CAD), myocardial infarction (MI), and AGT genotypes and haplotypes in 2,575 patients with angiographically documented CAD and 731 individuals in whom CAD had been ruled out by angiography. Three haplotypes, designated as Hap1 (T207, M268), Hap2 (T207, T268) and Hap3 (M207, T268), accounted for more than 99% of alleles. The AGT Hap2 haplotype was significantly associated with angiotensinogen levels; one additional Hap2 allele accounted for an approx. 8% increase in angiotensinogen. This association was stronger than that of either single polymorphism. AGT genotypes or haplotypes were not related to hypertension, CAD or MI. We conclude that a common haplotype of the angiotensinogen gene is linked to angiotensinogen levels but has no major impact on blood pressure, hypertension, or cardiovascular risk.
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Abbreviations
- ACE :
-
Angiotensin-converting enzyme
- CAD :
-
Coronary artery disease
- LURIC :
-
Ludwigshafen Risk and Cardiovascular Health
- MI :
-
Myocardial infarction
- SNP :
-
Single-nucleotide polymorphism
References
Antonarakis SE (1998) Recommendations for a nomenclature system for human gene mutations. Nomenclature Working Group. Hum Mutat 11:1–3
Jeunemaitre X, Soubrier F, Kotelevtsev Y, Lifton R, Williams CS, Charru A, Hunt SC, Hopkins PN, Williams RR, Lalouel JM, Corvol P (1992) Molecular basis of human hypertension: role of angiotensinogen. Cell 71:169–180
Hegele RA, Brunt JH, Connelly PW (1994) A polymorphism of the angiotensinogen gene associated with variation in blood pressure in a genetic isolate. Circulation 90:2207–2212
Kunz R, Kreutz R, Beige J, Distler A, Sharma AM (1997) Association between the angiotensinogen 235-T variant and essential hypertension in whites: a systematic review and methodological appraisal. Hypertension 30:1331–1337
Jeunemaitre X, Gimenez-Roqueplo AP, Celerier J, Corvol P (1999) Angiotensinogen variants and human hypertension. Curr Hypertens Rep 1:31–41
Wang JG, Staessen JA (2000) Genetic polymorphisms in the renin-angiotensin system: relevance for susceptibility to cardiovascular disease. Eur J Pharmacol 410:289–302
Danser AH, Schunkert H (2000) Renin-angiotensin system gene polymorphisms: potential mechanisms for their association with cardiovascular diseases. Eur J Pharmacol 410:303–316
Sethi AA, Nordestgaard BG, Tybjarg-Hansen A (2003) Angiotensinogen gene polymorphism, plasma angiotensinogen, and risk of hypertension and ischemic heart disease. A meta-analysis. Arterioscler Thromb Vasc Biol 23:1269–1275
Miller JA, Scholey JW (2004) The impact of renin-angiotensin system polymorphisms on physiological and pathophysiological processes in humans. Curr Opin Nephrol Hypertens 13:101–106
Zhao H, Pfeiffer R, Gail MH (2003) Haplotype analysis in population genetics and association studies. Pharmacogenomics 4:171–178
Winkelmann BR, Marz W, Boehm BO, Zotz R, Hager J, Hellstern P, Senges J (2001) Rationale and design of the LURIC study-a resource for functional genomics, pharmacogenomics and long-term prognosis of cardiovascular disease. Pharmacogenomics 2:S1–S73
Expert Committee on the Diagnosis and Classification of Diabetes Mellitus (1997) Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 20:1183–1197
Austen WG, Edwards JE, Frye RL, Gensini GG, Gott VL, Griffith LS, McGoon DC, Murphy ML, Roe BB (1975) A reporting system on patients evaluated for coronary artery disease. Report of the Ad Hoc Committee for Grading of Coronary Artery Disease, Council on Cardiovascular Surgery, American Heart Association. Circulation 51:5–40
Russ AP, März W, Ruzicka V, Stein U, Gross W (1993) Rapid detection of the hypertension-associated Met235Thr allele of the human angiotensinogen gene. Hum Mol Genet 2:609–610
Hegele RA, Brunt JH, Connelly PW (1994) A polymorphism of the angiotensinogen gene associated with variation in blood pressure in a genetic isolate. Circulation 90:2207–2212
Winkelmann BR, Nauck M, Klein B, Russ AP, Bohm BO, Siekmeier R, Ihnken K, Verho M, Gross W, Marz W (1996) Deletion polymorphism of the angiotensin I-converting enzyme gene is associated with increased plasma angiotensin-converting enzyme activity but not with increased risk for myocardial infarction and coronary artery disease. Ann Intern Med 125:19–25
Stephens M, Smith NJ, Donnelly P (2001) A new statistical method for haplotype reconstruction from population data. Am J Hum Genet 68:978–989
Sethi AA, Nordestgaard BG, Gronholdt ML, Steffensen R, Jensen G, Tybjaerg-Hansen A (2003) Angiotensinogen single nucleotide polymorphisms, elevated blood pressure, and risk of cardiovascular disease. Hypertension 41:1202–1211
Tsai CT, Fallin D, Chiang FT, Hwang JJ, Lai LP, Hsu KL, Tseng CD, Liau CS, Tseng YZ (2003) Angiotensinogen gene haplotype and hypertension: interaction with ACE gene I allele. Hypertension 41:9–15
Agerholm-Larsen B, Nordestgaard BG, Tybjaerg-Hansen A (2000) ACE gene polymorphism in cardiovascular disease: meta-analyses of small and large studies in whites. Arterioscler Thromb Vasc Biol 20:484–492
Keavney B, McKenzie C, Parish S, Palmer A, Clark S, Youngman L, Delepine M, Lathrop M, Peto R, Collins R (2000) Large-scale test of hypothesised associations between the angiotensin-converting-enzyme insertion/deletion polymorphism and myocardial infarction in about 5000 cases and 6000 controls. International Studies of Infarct Survival (ISIS) Collaborators. Lancet 355:434–442
Schieffer B, Drexler H (2000) ACE gene polymorphism and coronary artery disease: A question of persuasion or statistical confusion? Arterioscler Thromb Vasc Biol 20:281–282
Acknowledgements
We thank Ms. Manuela Gutjahr and Ms. Renate Jahrbacher for their excellent technical assistance. We thank Dr. S. Mathews, Hoffmann LaRoche, Basle, Switzerland, for the recombinant human renin preparation and S. Schilling, Department of Internal Medicine I, University Clinic, Ulm, Germany, for measuring angiotensinogen. We also thank the many members of the LURIC Study team either temporarily or permanently involved in patient recruitment and in sample and data handling and all members of the laboratory teams at Ludwigshafen and Freiburg, Germany.
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W. Renner, M. Nauck, and B.R. Winkelmann contributed equally to this manuscript
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Renner, W., Nauck, M., Winkelmann, B.R. et al. Association of angiotensinogen haplotypes with angiotensinogen levels but not with blood pressure or coronary artery disease: the Ludwigshafen Risk and Cardiovascular Health Study. J Mol Med 83, 235–239 (2005). https://doi.org/10.1007/s00109-004-0618-0
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DOI: https://doi.org/10.1007/s00109-004-0618-0