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

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,...

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Main 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
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:International Journal of Cardiology. Hypertension
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590086220300276
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author 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
author_facet 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
author_sort Juan E. Gallo
collection DOAJ
description 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.
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spelling doaj.art-d9a4aa8c1829439e9debc375e4b4bd722022-12-21T21:26:15ZengElsevierInternational Journal of Cardiology. Hypertension2590-08622020-12-017100050Hypertension and the roles of the 9p21.3 risk locus: Classic findings and new association dataJuan E. Gallo0Juan E. Ochoa1Helen R. Warren2Elizabeth Misas3Monica M. Correa4Jaime A. Gallo-Villegas5Gabriel Bedoya6Dagnóvar Aristizábal7Juan G. McEwen8Mark J. Caulfield9Gianfranco Parati10Oliver K. Clay11Cellular & Molecular Biology Unit, Corporación para Investigaciones Biológicas, Medellín, Colombia; Doctoral Program in Biomedical Sciences, Universidad del Rosario, Bogotá, ColombiaCellular & Molecular Biology Unit, Corporación para Investigaciones Biológicas, Medellín, Colombia; Istituto Auxologico Italiano, IRCCS, Department of Cardiovascular Neural and Metabolic Sciences, San Luca Hospital, Milan, Italy; Department of Medicine and Surgery, University of Milano-Bicocca, Milan, ItalyClinical Pharmacology Department, William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK; National Institute for Health Research, Barts Cardiovascular Biomedical Research Center, Queen Mary University of London, London, UKCellular & Molecular Biology Unit, Corporación para Investigaciones Biológicas, Medellín, Colombia; Institute of Biology, Universidad de Antioquia, Medellín, ColombiaSICOR, Medellín, ColombiaSICOR, Medellín, Colombia; School of Medicine, Universidad de Antioquia, Medellín, ColombiaInstitute of Biology, Universidad de Antioquia, Medellín, ColombiaCellular & Molecular Biology Unit, Corporación para Investigaciones Biológicas, Medellín, Colombia; SICOR, Medellín, ColombiaCellular & Molecular Biology Unit, Corporación para Investigaciones Biológicas, Medellín, Colombia; School of Medicine, Universidad de Antioquia, Medellín, ColombiaClinical Pharmacology Department, William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK; National Institute for Health Research, Barts Cardiovascular Biomedical Research Center, Queen Mary University of London, London, UKIstituto Auxologico Italiano, IRCCS, Department of Cardiovascular Neural and Metabolic Sciences, San Luca Hospital, Milan, Italy; Department of Medicine and Surgery, University of Milano-Bicocca, Milan, ItalyCellular & Molecular Biology Unit, Corporación para Investigaciones Biológicas, Medellín, Colombia; Translational Microbiology and Emerging Diseases (MICROS), School of Medicine and Health Sciences, Universidad del Rosario, Bogotá, Colombia; Corresponding author. Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Sede Quinta de Mutis, Carrera 24 # 63C-74, Bogotá, 111221, Colombia.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.http://www.sciencedirect.com/science/article/pii/S2590086220300276Genotype-phenotype associationsBlood pressure levelsHaplotypes
spellingShingle 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
Hypertension and the roles of the 9p21.3 risk locus: Classic findings and new association data
International Journal of Cardiology. Hypertension
Genotype-phenotype associations
Blood pressure levels
Haplotypes
title Hypertension and the roles of the 9p21.3 risk locus: Classic findings and new association data
title_full Hypertension and the roles of the 9p21.3 risk locus: Classic findings and new association data
title_fullStr Hypertension and the roles of the 9p21.3 risk locus: Classic findings and new association data
title_full_unstemmed Hypertension and the roles of the 9p21.3 risk locus: Classic findings and new association data
title_short Hypertension and the roles of the 9p21.3 risk locus: Classic findings and new association data
title_sort hypertension and the roles of the 9p21 3 risk locus classic findings and new association data
topic Genotype-phenotype associations
Blood pressure levels
Haplotypes
url http://www.sciencedirect.com/science/article/pii/S2590086220300276
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