Journal Article

Common genetic variants and haplotypes in renal CLCNKA gene are associated to salt-sensitive hypertension

Cristina Barlassina, Chiara Dal Fiume, Chiara Lanzani, Paolo Manunta, Guia Guffanti, Antonella Ruello, Giuseppe Bianchi, Lucia Del Vecchio, Fabio Macciardi and Daniele Cusi

in Human Molecular Genetics

Volume 16, issue 13, pages 1630-1638
Published in print July 2007 | ISSN: 0964-6906
Published online May 2007 | e-ISSN: 1460-2083 | DOI: http://dx.doi.org/10.1093/hmg/ddm112
Common genetic variants and haplotypes in renal CLCNKA gene are associated to salt-sensitive hypertension

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Abnormal renal reabsorption of sodium (Na+) is likely to play a role in the pathogenesis of salt-sensitivity. In the kidney, chloride channels CLC-Ka (gene CLCNKA) and CLC-Kb (gene CLCNKB) and their subunit Barttin (gene BSND) have important effects on the control of Na+ and water homeostasis. We investigated if single nucleotide polymorphisms (SNPs) or haplotypes within CLCNKA, CLCNKB and BSND loci affect salt-sensitivity in hypertensive subjects. Associations between blood pressure (BP) change after Na+-load and 15 SNPs spanning the length of CLCNKA and CLCNKB and six SNPs spanning the length of BSND were studied in 314 never treated essential hypertensives who underwent an i.v. infusion of saline (300 mm NaCl in 2 l H2O in 120 min). Four SNPs were significantly associated with BP change after Na-load. Rs848307 (P = 0.0026) and rs1739843 (P = 0.0023) map upstream the 5′ of CLCNKA. Non-coding Rs1010069 (P = 0.0006) and non-synonymous rs1805152 (Thr447Ala; P = 0.0078) map within CLCNKA. Moreover, basal plasma renin activity and heart rate (measured before Na-load) were significantly lower in patients carrying the alleles associated with the larger mean BP increase after Na-load, indicating that such alleles are associated with chronic volume expansion. This study supports the candidacy of CLCNKA as a new susceptibility gene for salt-sensitivity.

Journal Article.  5895 words.  Illustrated.

Subjects: Genetics and Genomics

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