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Hypertension. 1996;27:1210-1215

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(Hypertension. 1996;27:1210-1215.)
© 1996 American Heart Association, Inc.


Articles

Association of Hypertension with ß2- and {alpha}2c10-Adrenergic Receptor Genotype

Laura P. Svetkey; Phillip Z. Timmons; Osemwegie Emovon; Norman B. Anderson; Lisa Preis; Yuan-Tsong Chen

From the Departments of Medicine (L.P.S., P.Z.T.) and Pediatrics (L.P., Y.-T.C.), Duke University Medical Center, Durham, NC, and National Institutes of Health, Bethesda, Md (N.B.A.).

Abstract The adrenergic receptors have been implicated in the pathogenesis of essential hypertension. We hypothesized that hypertension is associated with variants at the ß2-adrenergic receptor locus and at one of the {alpha}2-adrenergic receptor loci. In unrelated individuals, we measured untreated blood pressure and characterized each subject as hypertensive or normotensive. We then used genomic DNA to identify ß2- and {alpha}2c10-adrenergic receptor restriction fragment length polymorphisms. In 175 subjects (49% with hypertension, 55% black), both hypertension and race were associated with genotype at the ß2 locus ({chi}2 for hypertension=11, P=.004; {chi}2 for race=8.8, P=.012). The association with hypertension persisted in each race group separately (blacks only: {chi}2=9.6, P=.008; whites only: {chi}2=14.2, P=.001). This association persisted in a logistic model that controlled for race (P=.01). Genotype was also significantly associated with baseline systolic, diastolic, and mean arterial blood pressures (P=.05, .01, and .02, respectively). These data suggest that the ß2-adrenergic receptor gene is a candidate gene for hypertension in blacks and whites. We also genotyped subjects at the {alpha}2-adrenergic receptor coded on chromosome 10. There was no association between hypertension and genotype at the {alpha}2c10 locus in the total group or in blacks, but there was significant association in whites ({chi}2=6.7, P=.03). These data suggest that the ß2- and {alpha}2c10-adrenergic receptor genes may contribute, in a race-specific manner, to the inheritance of essential hypertension. Linkage studies in related individuals are needed to confirm these findings.


Key Words: receptors, adrenergic • hypertension, essential • genetics • race




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