Published online before print February 7, 2005, doi: 10.1161/01.HYP.0000156497.39375.37
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(Hypertension. 2005;45:331.)
© 2005 American Heart Association, Inc.
Brief Reviews |
Adducin Polymorphism
Detection and Impact on Hypertension and Related Disorders
From the School of Nephrology (G.B.), Dialysis and Hypertension, University Vita Salute San Raffaele, Milan, Italy; Prassis Research Institute Sigma Tau (P.F.), Settimo Milanese, Milan, Italy; and Studiecoördinatircentrum (J.A.S.), Hypertensie en Cardiovasculaire Revalidatie Eenheid, Departement Moleculair en Cardiovasculair Onderzoek, Katholieke Universiteit Leuven, Belgium.
Correspondence to Giuseppe Bianchi, MD, Chair and School of Nephrology, University Vita Salute San Raffaele, Division of Nephrology, Dialysis and Hypertension, IRCCS San Raffaele Hospital, Via Olgettina, 60, 20132 Milan, Italy. E-mail bianchi.giuseppe{at}hsr.it
Adducin is a heterodymeric cytoskeleton protein, the 3 subunits of which are encoded by genes (ADD1, ADD2, ADD3) mapping to 3 different chromosomes. A long series of parallel studies in the Milan hypertensive rat strain model of hypertension and humans indicated that an altered adducin function may cause hypertension through an enhanced constitutive tubular sodium reabsorption. Six human linkage studies showed positive results when a DNA marker mapping to 30 kb from the ADD1 locus or single-nucleotide polymorphisms (SNPs) of 1 of the 3 adducin genes were considered either alone or in combination with each other or angiotensin-converting enzyme (ACE) D allele or salt intake. When DNA markers mapping at much larger distance from the ADD1 locus were used, negative results were found by 4 studies. Positive results were also obtained in 18 of 20 association studies that, in addition to blood pressure, investigated variables reflecting body sodium or the renin-angiotensin system. Mixed results regarded case-control studies or studies in predominantly normotensive populations that did not consider the above-mentioned variables. Four of 5 studies showed a selective beneficial effect of diuretics in carriers of the mutated ADD1. Twelve of 16 studies found that ADD1 polymorphism alone or in combination with that of ACE positively associates with stroke or coronary heart disease or renal or vascular dysfunctions. In conclusion, when context is taken into account, the impact of adducin in hypertension and its related disorders is clear.
Key Words: genetics • hypertension, essential • human • rats, spontaneously hypertensive • diuretics
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