Cardiovascular risk in relation to α-adducin Gly460Trp polymorphism and systolic pressure: A prospective population study

Yan Li, Lutgarde Thijs, Tatiana Kuznetsova, Laura Zagato, Harry Struijker-Boudier, Giuseppe Bianchi, Jan A. Staessen

Research output: Contribution to journalArticle

Abstract

Preliminary evidence from 1 case-control study suggested that in hypertensive patients, the α-adducin 460Trp allele might be associated with a 2-fold higher risk of coronary heart disease. In a prospective population study, we investigated whether the α-adducin Gly460Trp polymorphism predicted mortality and morbidity. From August 1985 until July 2003, we randomly recruited 2235 Belgian residents. We obtained information on vital status (until July 1, 2004) and the incidence of events via registries and repeat examinations (median 3). In Cox regression, before and after adjustment for other risk factors, we found strong interaction between systolic blood pressure at baseline, analyzed as a continuous variable, and the α-adducin polymorphism in relation to total (P=0.01) and cardiovascular mortality (P=0.007) and all cardiovascular (P=0.003), cardiac (P=0.001), and coronary events (P=0.03). The hazard ratio for total mortality associated with the Trp allele relative to GlyGly homozygosity was 2.30 (95% confidence interval, 1.12 to 4.72; P=0.02) in patients with stage-2 systolic hypertension (≥160 mm Hg) and 0.88 (0.61 to 1.26; P=0.48) in the other participants. For all cardiovascular complications, these estimates were 2.94 (1.28 to 6.74; P=0.01) and 0.83 (0.58 to 1.20; P=0.32), respectively. For all cardiovascular events, the positive predictive value and the attributable risk associated with the Trp allele in patients with stage-2 systolic hypertension were 76.9% and 44.3%, respectively. In conclusion, the α-adducin Gly460Trp polymorphism, in combination with systolic blood pressure, is a strong predictor of cardiovascular mortality and morbidity.

Original languageEnglish
Pages (from-to)527-532
Number of pages6
JournalHypertension
Volume46
Issue number3
DOIs
Publication statusPublished - Sep 2005

Keywords

  • Epidemiology
  • Genes
  • Morbidity

ASJC Scopus subject areas

  • Internal Medicine

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