Hypertension and the roles of the 9p21.3 risk locus: Classic findings and new association data

Bibliographic Details
Title: Hypertension and the roles of the 9p21.3 risk locus: Classic findings and new association data
Authors: Juan E. Gallo, Juan E. Ochoa, Helen R. Warren, Elizabeth Misas, Monica M. Correa, Jaime A. Gallo-Villegas, Gabriel Bedoya, Dagnóvar Aristizábal, Juan G. McEwen, Mark J. Caulfield, Gianfranco Parati, Oliver K. Clay
Source: International Journal of Cardiology. Hypertension, Vol 7, Iss , Pp 100050- (2020)
Publisher Information: Elsevier, 2020.
Publication Year: 2020
Collection: LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: Genotype-phenotype associations, Blood pressure levels, Haplotypes, Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details: Background: The band 9p21.3 contains an established genomic risk zone for cardiovascular disease (CVD). Since the initial 2007 Wellcome Trust Case Control Consortium study (WTCCC), the increased CVD risk associated with 9p21.3 has been confirmed by multiple studies in different continents. However, many years later there was still no confirmed report of a corresponding association of 9p21.3 with hypertension, a major CV risk factor, nor with blood pressure (BP). Theory: In this contribution, we review the bipartite haplotype structure of the 9p21.3 risk locus: one block is devoid of protein-coding genes but contains the lead CVD risk SNPs, while the other block contains the first exon and regulatory DNA of the gene for the cell cycle inhibitor p15. We consider how findings from molecular biology offer possibilities of an involvement of p15 in hypertension etiology, with expression of the p15 gene modulated by genetic variation from within the 9p21.3 risk locus. Results: We present original results from a Colombian study revealing moderate but persistent association signals for BP and hypertension within the classic 9p21.3 CVD risk locus. These SNPs are mostly confined to a ‘hypertension island’ that spans less than 60 kb and coincides with the p15 haplotype block. We find confirmation in data originating from much larger, recent European BP studies, albeit with opposite effect directions. Conclusion: Although more work will be needed to elucidate possible mechanisms, previous findings and new data prompt reconsidering the question of how variation in 9p21.3 might influence hypertension components of cardiovascular risk.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2590-0862
Relation: http://www.sciencedirect.com/science/article/pii/S2590086220300276; https://doaj.org/toc/2590-0862
DOI: 10.1016/j.ijchy.2020.100050
Access URL: https://doaj.org/article/d9a4aa8c1829439e9debc375e4b4bd72
Accession Number: edsdoj.9a4aa8c1829439e9debc375e4b4bd72
Database: Directory of Open Access Journals
More Details
ISSN:25900862
DOI:10.1016/j.ijchy.2020.100050
Published in:International Journal of Cardiology. Hypertension
Language:English