Journal Article

Haplotypes of the <i>WNK1</i> gene associate with blood pressure variation in a severely hypertensive population from the British Genetics of Hypertension study

Stephen J. Newhouse, Chris Wallace, Richard Dobson, Charles Mein, Janine Pembroke, Martin Farrall, David Clayton, Morris Brown, Nilesh Samani, Anna Dominiczak, John M. Connell, John Webster, G. Mark Lathrop, Mark Caulfield and Patricia B. Munroe

in Human Molecular Genetics

Volume 14, issue 13, pages 1805-1814
Published in print July 2005 | ISSN: 0964-6906
Published online May 2005 | e-ISSN: 1460-2083 | DOI: http://dx.doi.org/10.1093/hmg/ddi187
Haplotypes of the WNK1 gene associate with blood pressure variation in a severely hypertensive population from the British Genetics of Hypertension study

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Mutations in the WNK1 gene cause Gordon's syndrome, a rare Mendelian form of hypertension. We assessed whether common WNK1 variants might also contribute to essential hypertension (EH), a multifactorial disorder affecting >25% of the adult population worldwide. A panel of 19 single nucleotide polymorphisms (SNPs) spanning the gene was selected from public databases and was genotyped in 100 white European families to determine the pattern of linkage disequilibrium, haplotype structure and tagging SNPs for the WNK1 locus. Eight tagging SNPs were identified with 90% power to predict common WNK1 haplotypes and SNPs. Family-based association tests were used to test for association with EH and severity of hypertension in 712 severely hypertensive families from the MRC British Genetics of Hypertension study resource. No association was found between WNK1 polymorphisms or haplotypes with hypertension; however, one SNP rs1468326, located 3 kb from the WNK1 promoter, was found to be nominally associated with severity of hypertension, with both systolic blood pressure (BP) (Z=+2.24, P=0.025) and diastolic BP (Z=+1.99, P=0.046). We also found nominal support for association of one common WNK1 haplotype with increased systolic BP (Z=+1.91, P=0.053). This is the first study to perform haplotype association analysis of the WNK1 gene with EH. This finding of association between a SNP near the promoter region and the severity of hypertension suggests that increased expression of WNK1 might contribute to BP variability and susceptibility to EH similar to the mechanism of hypertension observed in Gordon's syndrome.

Journal Article.  7308 words.  Illustrated.

Subjects: Genetics and Genomics

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