(Hypertension. 1997;30:236-239.)
© 1997 American Heart Association, Inc.
Articles |
From the Department of Geriatric Medicine, Osaka University Medical School; and the Second Department of Internal Medicine, Sapporo Medical University School of Medicine (H.M., K.S.), Japan.
Correspondence to Toshio Ogihara, MD, Department of Geriatric Medicine, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 565, Japan.
Abstract A possible pathogenic polymorphism in the gene
for the G subunit of the glycogen-associated regulatory form of protein
phosphatase 1 (PP1 G subunit), causing an Asp-to-Tyr substitution at
codon 905 (Asp905Tyr), has been reported to be associated with insulin
resistance and hypersecretion of insulin in the white population. Since
marked heterogeneity has been reported in the
association of mutations of candidate genes with essential hypertension
between Japanese and other ethnic groups, we investigated the
association of Asp905Tyr with essential hypertension in Japanese
subjects. The frequency of the Tyr allele in Japanese control
subjects (0.70) was much higher than that in the Danish population
(0.10, P<1x10-8), indicating that
the Tyr allele, previously reported as a rare variant in white
subjects, is a common allele in our population. The
genotype distribution in Japanese hypertensive patients (n=109;
Asp/Asp=0.09, Asp/Tyr=0.39, Tyr/Tyr=0.52) was not significantly
different (
2=0.7, df=2,
P>.6) from that in normotensive control subjects (n=148;
Asp/Asp=0.12, Asp/Tyr=0.36, Tyr/Tyr=0.52). Among subjects with
different PP1 G subunit genotypes, there was no difference in
blood pressure, serum cholesterol, plasma glucose and
insulin levels, and glucose disposal rate estimated by the
euglycemic hyperinsulinemic clamp test.
These data indicate that the Asp905Tyr polymorphism of the PP1 G
subunit is not associated with essential hypertension, nor with
insulin resistance and/or hyperinsulinemia in
Japanese patients with essential hypertension, suggesting that the
polymorphism plays little if any role in susceptibility to insulin
resistance or hypertension.
Key Words: genes glycogen synthase hypertension, essential insulin resistance genetic predisposition phosphoprotein phosphatase
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