Skip to main content
Top
Published in: BMC Medical Genetics 1/2013

Open Access 01-12-2013 | Research article

The association between the angiotensin-converting enzyme-2 gene and blood pressure in a cohort study of adolescents

Authors: Lucile Malard, Lisa Kakinami, Jennifer O’Loughlin, Marie-Hélène Roy-Gagnon, Aurélie Labbe, Louise Pilote, Pavel Hamet, Johanne Tremblay, Gilles Paradis

Published in: BMC Medical Genetics | Issue 1/2013

Login to get access

Abstract

Background

The Angiotensin-Converting Enzyme-2 (ACE2) gene, located on chromosome X, is believed to be implicated in blood pressure regulation. However the few studies that have examined this association have yielded mixed results. The objective of this study was to assess the association between tag single nucleotide polymorphisms (SNPs) in the angiotensin-converting enzyme-2 gene with blood pressure and blood pressure change in adolescents.

Methods

Participants in the Nicotine Dependence in Teens (NDIT) cohort study with blood or saliva samples and at least 3 blood pressure measurements over 5 years were included in the analytic sample (n = 555). Linear growth curve models stratified on sex and ethnicity were used to assess the association between four tag SNPs in the ACE2 gene and systolic (SBP) and diastolic blood pressure (DBP), and blood pressure change.

Results

In males of European descent, rs2074192 and rs233575 were significantly associated with SBP and DBP, and rs2158083 was associated with SBP. In French Canadian males, rs233575 and rs2158083 were significantly associated with DBP. Among females of European descent, rs2074192, rs233575, and rs2158083 were significantly associated with change in SBP over 5 years.

Conclusions

This is the first study to assess the association between the ACE2 gene with blood pressure and blood pressure change in a cohort of adolescents. Results indicate that several ACE2 gene SNPs are associated with blood pressure or blood pressure change in persons of European descent. However the therapeutic potential of these SNPs should be explored.
Appendix
Available only for authorised users
Literature
1.
go back to reference Lawes CMM, Hoorn SV, Rodgers A: Global burden of blood-pressure-related disease, 2001. Lancet. 2008, 371 (9623): 1513-1518. 10.1016/S0140-6736(08)60655-8.CrossRefPubMed Lawes CMM, Hoorn SV, Rodgers A: Global burden of blood-pressure-related disease, 2001. Lancet. 2008, 371 (9623): 1513-1518. 10.1016/S0140-6736(08)60655-8.CrossRefPubMed
2.
go back to reference Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J: Global burden of hypertension: analysis of worldwide data. Lancet. 2005, 365 (9455): 217-223.CrossRefPubMed Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J: Global burden of hypertension: analysis of worldwide data. Lancet. 2005, 365 (9455): 217-223.CrossRefPubMed
3.
go back to reference Van Rijn MJE, Schut AF, Aulchenko Y, Deinum J, Sayed-Tabatabaei FA, Yazdanpanah M, Isaacs A, Axenovich TI, Zorkoltseva IV, Zillikens MC, et al: Heritability of blood pressure traits and the genetic contribution to blood pressure variance explained by four blood-pressure-related genes. J Hypertens. 2007, 25 (3): 565-570. 10.1097/HJH.0b013e32801449fb.CrossRefPubMed Van Rijn MJE, Schut AF, Aulchenko Y, Deinum J, Sayed-Tabatabaei FA, Yazdanpanah M, Isaacs A, Axenovich TI, Zorkoltseva IV, Zillikens MC, et al: Heritability of blood pressure traits and the genetic contribution to blood pressure variance explained by four blood-pressure-related genes. J Hypertens. 2007, 25 (3): 565-570. 10.1097/HJH.0b013e32801449fb.CrossRefPubMed
4.
go back to reference Pilia G, Chen W-M, Scuteri A, Orrú M, Albai G, Dei M, Lai S, Usala G, Lai M, Loi P, et al: Heritability of cardiovascular and personality traits in 6,148 Sardinians. PLoS Genet. 2006, 2 (8): e132-10.1371/journal.pgen.0020132.CrossRefPubMedPubMedCentral Pilia G, Chen W-M, Scuteri A, Orrú M, Albai G, Dei M, Lai S, Usala G, Lai M, Loi P, et al: Heritability of cardiovascular and personality traits in 6,148 Sardinians. PLoS Genet. 2006, 2 (8): e132-10.1371/journal.pgen.0020132.CrossRefPubMedPubMedCentral
5.
go back to reference Snieder H, Harshfield GA, Treiber FA: Heritability of blood pressure and hemodynamics in African- and European-American youth. Hypertension. 2003, 41 (6): 1196-1201. 10.1161/01.HYP.0000072269.19820.0D.CrossRefPubMed Snieder H, Harshfield GA, Treiber FA: Heritability of blood pressure and hemodynamics in African- and European-American youth. Hypertension. 2003, 41 (6): 1196-1201. 10.1161/01.HYP.0000072269.19820.0D.CrossRefPubMed
6.
go back to reference Levy D, Larson M, Benjamin E, Newton-Cheh C, Wang T, Hwang S-J, Vasan R, Mitchell G: Framingham heart study 100K project: genome-wide associations for blood pressure and arterial stiffness. BMC Med Genet. 2007, 8 (Suppl 1): S3-10.1186/1471-2350-8-S1-S3.CrossRefPubMedPubMedCentral Levy D, Larson M, Benjamin E, Newton-Cheh C, Wang T, Hwang S-J, Vasan R, Mitchell G: Framingham heart study 100K project: genome-wide associations for blood pressure and arterial stiffness. BMC Med Genet. 2007, 8 (Suppl 1): S3-10.1186/1471-2350-8-S1-S3.CrossRefPubMedPubMedCentral
7.
go back to reference Tipnis SR, Hooper NM, Hyde R, Karran E, Christie G, Turner AJ: A human homolog of angiotensin-converting enzyme. J Biol Chem. 2000, 275 (43): 33238-33243. 10.1074/jbc.M002615200.CrossRefPubMed Tipnis SR, Hooper NM, Hyde R, Karran E, Christie G, Turner AJ: A human homolog of angiotensin-converting enzyme. J Biol Chem. 2000, 275 (43): 33238-33243. 10.1074/jbc.M002615200.CrossRefPubMed
8.
go back to reference Donoghue M, Hsieh F, Baronas E, Godbout K, Gosselin M, Stagliano N, Donovan M, Woolf B, Robison K, Jeyaseelan R, et al: A novel angiotensin-converting enzyme related carboxypeptidase (ACE2) converts angiotensin I to angiotensin 1–9. Circ Res. 2000, 87 (5): e1-e9. 10.1161/01.RES.87.5.e1.CrossRefPubMed Donoghue M, Hsieh F, Baronas E, Godbout K, Gosselin M, Stagliano N, Donovan M, Woolf B, Robison K, Jeyaseelan R, et al: A novel angiotensin-converting enzyme related carboxypeptidase (ACE2) converts angiotensin I to angiotensin 1–9. Circ Res. 2000, 87 (5): e1-e9. 10.1161/01.RES.87.5.e1.CrossRefPubMed
9.
go back to reference Crackower MA, Sarao R, Oudit GY, Yagil C, Kozieradzki I, Scanga SE, Oliveira-dos-Santos AJ, da Costa J, Zhang L, Pei Y, et al: Angiotensin-converting enzyme 2 is an essential regulator of heart function. Nature. 2002, 417 (6891): 822-828. 10.1038/nature00786.CrossRefPubMed Crackower MA, Sarao R, Oudit GY, Yagil C, Kozieradzki I, Scanga SE, Oliveira-dos-Santos AJ, da Costa J, Zhang L, Pei Y, et al: Angiotensin-converting enzyme 2 is an essential regulator of heart function. Nature. 2002, 417 (6891): 822-828. 10.1038/nature00786.CrossRefPubMed
10.
go back to reference Danilczyk U, Penninger JM: Angiotensin-converting enzyme II in the heart and the kidney. Circ Res. 2006, 98 (4): 463-471. 10.1161/01.RES.0000205761.22353.5f.CrossRefPubMed Danilczyk U, Penninger JM: Angiotensin-converting enzyme II in the heart and the kidney. Circ Res. 2006, 98 (4): 463-471. 10.1161/01.RES.0000205761.22353.5f.CrossRefPubMed
11.
go back to reference Huang W, Yang W, Wang Y, Zhao Q, Gu D, Chen R: Association study of angiotensin-converting enzyme 2 gene (ACE2) polymorphisms and essential hypertension in northern Han Chinese. J Hum Hypertens. 2006, 20 (12): 968-971. 10.1038/sj.jhh.1002090.CrossRefPubMed Huang W, Yang W, Wang Y, Zhao Q, Gu D, Chen R: Association study of angiotensin-converting enzyme 2 gene (ACE2) polymorphisms and essential hypertension in northern Han Chinese. J Hum Hypertens. 2006, 20 (12): 968-971. 10.1038/sj.jhh.1002090.CrossRefPubMed
12.
go back to reference Gurley SB, Allred A, Le TH, Griffiths R, Mao L, Philip N, Haystead TA, Donoghue M, Breitbart RE, Acton SL, et al: Altered blood pressure responses and normal cardiac phenotype in ACE2-null mice. J Clin Invest. 2006, 116 (8): 2218-2225. 10.1172/JCI16980.CrossRefPubMedPubMedCentral Gurley SB, Allred A, Le TH, Griffiths R, Mao L, Philip N, Haystead TA, Donoghue M, Breitbart RE, Acton SL, et al: Altered blood pressure responses and normal cardiac phenotype in ACE2-null mice. J Clin Invest. 2006, 116 (8): 2218-2225. 10.1172/JCI16980.CrossRefPubMedPubMedCentral
13.
go back to reference Benjafield AV, Wang WYS, Morris BJ: No association of angiotensin-converting enzyme 2 gene (ACE2) polymorphisms with essential hypertension. Am J Hypertens. 2004, 17 (7): 624-628. 10.1016/j.amjhyper.2004.02.022.CrossRefPubMed Benjafield AV, Wang WYS, Morris BJ: No association of angiotensin-converting enzyme 2 gene (ACE2) polymorphisms with essential hypertension. Am J Hypertens. 2004, 17 (7): 624-628. 10.1016/j.amjhyper.2004.02.022.CrossRefPubMed
14.
go back to reference Lieb W, Graf J, Götz A, König I, Mayer B, Fischer M, Stritzke J, Hengstenberg C, Holmer S, Döring A, et al: Association of angiotensin-converting enzyme 2 (ACE2) gene polymorphisms with parameters of left ventricular hypertrophy in men. Results of the MONICA Augsburg echocardiographic substudy. J Mol Med (Berl). 2006, 84 (1): 88-96. 10.1007/s00109-005-0718-5.CrossRef Lieb W, Graf J, Götz A, König I, Mayer B, Fischer M, Stritzke J, Hengstenberg C, Holmer S, Döring A, et al: Association of angiotensin-converting enzyme 2 (ACE2) gene polymorphisms with parameters of left ventricular hypertrophy in men. Results of the MONICA Augsburg echocardiographic substudy. J Mol Med (Berl). 2006, 84 (1): 88-96. 10.1007/s00109-005-0718-5.CrossRef
15.
go back to reference Fan X, Wang Y, Sun K, Zhang W, Yang X, Wang S, Zhen Y, Wang J, Li W, Han Y, et al: Polymorphisms of ACE2 gene are associated with essential hypertension and antihypertensive effects of Captopril in women. Clin Pharmacol Ther. 2007, 82 (2): 187-196. 10.1038/sj.clpt.6100214.CrossRefPubMed Fan X, Wang Y, Sun K, Zhang W, Yang X, Wang S, Zhen Y, Wang J, Li W, Han Y, et al: Polymorphisms of ACE2 gene are associated with essential hypertension and antihypertensive effects of Captopril in women. Clin Pharmacol Ther. 2007, 82 (2): 187-196. 10.1038/sj.clpt.6100214.CrossRefPubMed
16.
go back to reference Yi L, Gu YH, Wang XL, An LZ, Xie XD, Shao W, Ma LY, Fang JR, An YD, Wang F, et al: Association of ACE, ACE2 and UTS2 polymorphisms with essential hypertension in Han and Dongxiang populations from North-western China. J Int Med Res. 2006, 34 (3): 272-283. 10.1177/147323000603400306.CrossRefPubMed Yi L, Gu YH, Wang XL, An LZ, Xie XD, Shao W, Ma LY, Fang JR, An YD, Wang F, et al: Association of ACE, ACE2 and UTS2 polymorphisms with essential hypertension in Han and Dongxiang populations from North-western China. J Int Med Res. 2006, 34 (3): 272-283. 10.1177/147323000603400306.CrossRefPubMed
17.
go back to reference O’Loughlin J, Karp I, Koulis T, Paradis G, Difranza J: Determinants of first puff and daily cigarette smoking in adolescents. Am J Epidemiol. 2009, 170 (5): 585-597. 10.1093/aje/kwp179.CrossRefPubMed O’Loughlin J, Karp I, Koulis T, Paradis G, Difranza J: Determinants of first puff and daily cigarette smoking in adolescents. Am J Epidemiol. 2009, 170 (5): 585-597. 10.1093/aje/kwp179.CrossRefPubMed
18.
go back to reference O’Loughlin J, Karp I, Henderson M, Gray-Donald K: Does cigarette use influence adiposity or height in adolescence?. Ann Epidemiol. 2008, 18 (5): 395-402. 10.1016/j.annepidem.2007.12.010.CrossRefPubMed O’Loughlin J, Karp I, Henderson M, Gray-Donald K: Does cigarette use influence adiposity or height in adolescence?. Ann Epidemiol. 2008, 18 (5): 395-402. 10.1016/j.annepidem.2007.12.010.CrossRefPubMed
19.
go back to reference Maximova K, O’Loughlin J, Paradis G, Hanley JA, Lynch J: Declines in physical activity and higher systolic blood pressure in adolescence. Am J Epidemiol. 2009, 170 (9): 1084-1094. 10.1093/aje/kwp255.CrossRefPubMed Maximova K, O’Loughlin J, Paradis G, Hanley JA, Lynch J: Declines in physical activity and higher systolic blood pressure in adolescence. Am J Epidemiol. 2009, 170 (9): 1084-1094. 10.1093/aje/kwp255.CrossRefPubMed
21.
go back to reference de Bakker PIW, Yelensky R, Pe’er I, Gabriel SB, Daly MJ, Altshuler D: Efficiency and power in genetic association studies. Nat Genet. 2005, 37 (11): 1217-1223. 10.1038/ng1669.CrossRefPubMed de Bakker PIW, Yelensky R, Pe’er I, Gabriel SB, Daly MJ, Altshuler D: Efficiency and power in genetic association studies. Nat Genet. 2005, 37 (11): 1217-1223. 10.1038/ng1669.CrossRefPubMed
22.
go back to reference Barrett JC, Fry B, Maller J, Daly MJ: Haploview: analysis and visualization of LD and haplotype maps. Bioinformatics. 2005, 21 (2): 263-265. 10.1093/bioinformatics/bth457.CrossRefPubMed Barrett JC, Fry B, Maller J, Daly MJ: Haploview: analysis and visualization of LD and haplotype maps. Bioinformatics. 2005, 21 (2): 263-265. 10.1093/bioinformatics/bth457.CrossRefPubMed
23.
go back to reference Shankar RR, Eckert GJ, Saha C, Tu W, Pratt JH: The change in blood pressure during pubertal growth. J Clin Endocrinol Metab. 2005, 90 (1): 163-167.CrossRefPubMed Shankar RR, Eckert GJ, Saha C, Tu W, Pratt JH: The change in blood pressure during pubertal growth. J Clin Endocrinol Metab. 2005, 90 (1): 163-167.CrossRefPubMed
24.
go back to reference Maximova K, O’Loughlin J, Paradis G, Hanley JA, Lynch J: Changes in anthropometric characteristics and blood pressure during adolescence. Epidemiology. 2010, 21 (3): 324-331. 10.1097/EDE.0b013e3181d61d10.CrossRefPubMed Maximova K, O’Loughlin J, Paradis G, Hanley JA, Lynch J: Changes in anthropometric characteristics and blood pressure during adolescence. Epidemiology. 2010, 21 (3): 324-331. 10.1097/EDE.0b013e3181d61d10.CrossRefPubMed
25.
go back to reference Fossella J, Sommer T, Fan J, Wu Y, Swanson JM, Pfaff DW, Posner MI: Assessing the molecular genetics of attention networks. BMC Neurosci. 2002, 3: 14-10.1186/1471-2202-3-14.CrossRefPubMedPubMedCentral Fossella J, Sommer T, Fan J, Wu Y, Swanson JM, Pfaff DW, Posner MI: Assessing the molecular genetics of attention networks. BMC Neurosci. 2002, 3: 14-10.1186/1471-2202-3-14.CrossRefPubMedPubMedCentral
26.
go back to reference Sherry ST, Ward MH, Kholodov M, Baker J, Phan L, Smigielski EM, Sirotkin K: dbSNP: the NCBI database of genetic variation. Nucleic Acids Res. 2001, 29 (1): 308-311. 10.1093/nar/29.1.308.CrossRefPubMedPubMedCentral Sherry ST, Ward MH, Kholodov M, Baker J, Phan L, Smigielski EM, Sirotkin K: dbSNP: the NCBI database of genetic variation. Nucleic Acids Res. 2001, 29 (1): 308-311. 10.1093/nar/29.1.308.CrossRefPubMedPubMedCentral
27.
go back to reference Cook NR, Ware JH: Design and analysis methods for longitudinal research. Annu Rev Public Health. 1983, 4: 1-23. 10.1146/annurev.pu.04.050183.000245.CrossRefPubMed Cook NR, Ware JH: Design and analysis methods for longitudinal research. Annu Rev Public Health. 1983, 4: 1-23. 10.1146/annurev.pu.04.050183.000245.CrossRefPubMed
28.
go back to reference Zhao Q, Hixson JE, Rao DC, Gu D, Jaquish CE, Rice T, Shimmin LC, Chen J, Cao J, Kelly TN, et al: Genetic variants in the apelin system and blood pressure responses to dietary sodium interventions: a family-based association study. J Hypertens. 2010, 28 (4): 756-763. 10.1097/HJH.0b013e3283370d32.CrossRefPubMedPubMedCentral Zhao Q, Hixson JE, Rao DC, Gu D, Jaquish CE, Rice T, Shimmin LC, Chen J, Cao J, Kelly TN, et al: Genetic variants in the apelin system and blood pressure responses to dietary sodium interventions: a family-based association study. J Hypertens. 2010, 28 (4): 756-763. 10.1097/HJH.0b013e3283370d32.CrossRefPubMedPubMedCentral
30.
go back to reference Jorgensen TJ, Ruczinski I, Kessing B, Smith MW, Shugart YY, Alberg AJ: Hypothesis-driven candidate gene association studies: practical design and analytical considerations. Am J Epidemiol. 2009, 170 (8): 986-993. 10.1093/aje/kwp242.CrossRefPubMedPubMedCentral Jorgensen TJ, Ruczinski I, Kessing B, Smith MW, Shugart YY, Alberg AJ: Hypothesis-driven candidate gene association studies: practical design and analytical considerations. Am J Epidemiol. 2009, 170 (8): 986-993. 10.1093/aje/kwp242.CrossRefPubMedPubMedCentral
31.
go back to reference Clayton D: Testing for association on the X chromosome. Biostatistics (Oxford, England). 2008, 9 (4): 593-600. 10.1093/biostatistics/kxn007.CrossRef Clayton D: Testing for association on the X chromosome. Biostatistics (Oxford, England). 2008, 9 (4): 593-600. 10.1093/biostatistics/kxn007.CrossRef
32.
go back to reference Clayton DG: Sex chromosomes and genetic association studies. Gen Med. 2009, 1 (11): 110- Clayton DG: Sex chromosomes and genetic association studies. Gen Med. 2009, 1 (11): 110-
33.
go back to reference Hickey PF, Bahlo M: X chromosome association testing in genome wide association studies. Gen Epidemiol. 2011, 35 (7): 664-670. 10.1002/gepi.20616.CrossRef Hickey PF, Bahlo M: X chromosome association testing in genome wide association studies. Gen Epidemiol. 2011, 35 (7): 664-670. 10.1002/gepi.20616.CrossRef
Metadata
Title
The association between the angiotensin-converting enzyme-2 gene and blood pressure in a cohort study of adolescents
Authors
Lucile Malard
Lisa Kakinami
Jennifer O’Loughlin
Marie-Hélène Roy-Gagnon
Aurélie Labbe
Louise Pilote
Pavel Hamet
Johanne Tremblay
Gilles Paradis
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Medical Genetics / Issue 1/2013
Electronic ISSN: 1471-2350
DOI
https://doi.org/10.1186/1471-2350-14-117

Other articles of this Issue 1/2013

BMC Medical Genetics 1/2013 Go to the issue