Naturally occurring human genetic variation in the 3'-untranslated region of the secretory protein chromogranin A is associated with autonomic blood pressure regulation and hypertension in a sex-dependent fashion. Academic Article uri icon

Overview

MeSH

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Catecholamines
  • Female
  • Genotype
  • Humans
  • Male
  • Middle Aged
  • Phenotype
  • Pilot Projects
  • Polymorphism, Single Nucleotide
  • Risk Factors
  • Sex Factors
  • Twins
  • Young Adult

MeSH Major

  • Autonomic Nervous System
  • Blood Pressure
  • Chromogranin A
  • Genetic Variation
  • Hypertension

abstract

  • We aimed to determine whether the common variation at the chromogranin A (CHGA) locus increases susceptibility to hypertension. CHGA regulates catecholamine storage and release. Previously we systematically identified genetic variants across CHGA. We carried out dense genotyping across the CHGA locus in >1,000 individuals with the most extreme blood pressures (BPs) in the population, as well as twin pairs with autonomic phenotypes. We also characterized the function of a trait-associated 3'-untranslated region (3'-UTR) variant with transfected CHGA 3'-UTR/luciferase reporter plasmids. CHGA was overexpressed in patients with hypertension, especially hypertensive men, and CHGA predicted catecholamines. In individuals with extreme BPs, CHGA genetic variants predicted BP, especially in men, with a peak association occurring in the 3'-UTR at C+87T, accounting for up to approximately 12/ approximately 9 mm Hg. The C+87T genotype predicted CHGA secretion in vivo, with the +87T allele (associated with lower BP) also diminishing plasma CHGA by approximately 10%. The C+87T 3'-UTR variant also predicted the BP response to environmental (cold) stress; the same allele (+87T) that diminished basal BP in the population also decreased the systolic BP response to stress by approximately 12 mm Hg, and the response was smaller in women (by approximately 6 mm Hg). In a chromaffin cell-transfected CHGA 3'-UTR/luciferase reporter plasmid, the +87T allele associated with lower BP also decreased reporter expression by approximately 30%. In cultured chromaffin cells, reducing endogenous CHGA expression by small interfering ribonucleic acid caused approximately two-thirds depletion of catecholamine storage vesicles. Common variant C+87T in the CHGA 3'-UTR is a functional polymorphism causally associated with hypertension especially in men of the population, and we propose steps ("intermediate phenotypes") whereby in a sex-dependent fashion this genetic variant influences the ultimate disease trait. These observations suggest new molecular strategies to probe the pathophysiology, risk, and rational treatment of hypertension.

publication date

  • October 28, 2008

has subject area

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Autonomic Nervous System
  • Blood Pressure
  • Catecholamines
  • Chromogranin A
  • Female
  • Genetic Variation
  • Genotype
  • Humans
  • Hypertension
  • Male
  • Middle Aged
  • Phenotype
  • Pilot Projects
  • Polymorphism, Single Nucleotide
  • Risk Factors
  • Sex Factors
  • Twins
  • Young Adult

Research

keywords

  • Journal Article

Identity

Language

  • eng

PubMed Central ID

  • PMC2659417

Digital Object Identifier (DOI)

  • 10.1016/j.jacc.2008.07.047

PubMed ID

  • 19017515

Additional Document Info

start page

  • 1468

end page

  • 1481

volume

  • 52

number

  • 18