Abstract
BackgroundGenome-wide association studies have identified many genetic loci associated with blood pressure (BP). Genetic effects on BP can be altered by environmental exposures via multiple biological pathways. Especially, obesity is one of important environmental risk factors that can have considerable effect on BP and it may interact with genetic factors. Given that, we aimed to test whether genetic factors and obesity may jointly influence BP.MethodsWe performed meta-analyses of genome-wide association data for systolic blood pressure (SBP) and diastolic blood pressure (DBP) that included analyses of interaction between single nucleotide polymorphisms (SNPs) and the obesity-related anthropometric measures, body mass index (BMI), height, weight, and waist/hip ratio (WHR) in East-Asians (n = 12,030).ResultsWe identified that rs13390641 on 2q12.1 demonstrated significant association with SBP when the interaction between SNPs and BMI was considered (P < 5 × 10 -8). The gene located nearest to rs13390641, TMEM182, encodes transmembrane protein 182. In stratified analyses, the effect of rs13390641 on BP was much stronger in obese individuals (BMI ≥ 30) than non-obese individuals and the effect of BMI on BP was strongest in individuals with the homozygous A allele of rs13390641.ConclusionsOur analyses that included interactions between SNPs and environmental factors identified a genetic variant associated with BP that was overlooked in standard analyses in which only genetic factors were included. This result also revealed a potential mechanism that integrates genetic factors and obesity related traits in the development of high BP.
Highlights
Genome-wide association studies have identified many genetic loci associated with blood pressure (BP)
The Health Examinee (HEXA) group had a higher proportion of women (56.6%) than the Korea Association REsource (KARE) group (50.0%), and the average systolic blood pressure (SBP) was higher in the HEXA subjects (121.7 ± 14.4) than in the KARE subjects (119.6 ± 17.4)
The average diastolic blood pressure (DBP) was higher in the KARE subjects (79.3 ± 11.1) than in the HEXA subjects (77.1 ± 9.89)
Summary
Genome-wide association studies have identified many genetic loci associated with blood pressure (BP). Obesity is one of important environmental risk factors that can have considerable effect on BP and it may interact with genetic factors. To better understand the interactions between genes and environmental risk factors for BP, some candidate gene searches and few GWASs have included geneenvironment interaction terms [16,17,18]. By using this method in GWAS, incorporation of genetic variations and environmental risk factors may yield additional novel loci that would not appear from analyses based on genetic effect only
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