A rare variant of the leptin gene has large effects on blood pressure and carotid intima-medial thickness: a study of 1428 individuals in 248 families.

BACKGROUND: Rare mutations in the leptin (LEP) gene cause severe obesity. Common polymorphisms of LEP have been associated with obesity, but their association with cardiovascular disease has been little studied. We have examined the impact of both common and rare polymorphisms of the LEP gene on blo...

पूर्ण विवरण

ग्रंथसूची विवरण
मुख्य लेखकों: Gaukrodger, N, Mayosi, B, Imrie, H, Avery, P, Baker, M, Connell, J, Watkins, H, Farrall, M, Keavney, B
स्वरूप: Journal article
भाषा:English
प्रकाशित: 2005
_version_ 1826301612207898624
author Gaukrodger, N
Mayosi, B
Imrie, H
Avery, P
Baker, M
Connell, J
Watkins, H
Farrall, M
Keavney, B
author_facet Gaukrodger, N
Mayosi, B
Imrie, H
Avery, P
Baker, M
Connell, J
Watkins, H
Farrall, M
Keavney, B
author_sort Gaukrodger, N
collection OXFORD
description BACKGROUND: Rare mutations in the leptin (LEP) gene cause severe obesity. Common polymorphisms of LEP have been associated with obesity, but their association with cardiovascular disease has been little studied. We have examined the impact of both common and rare polymorphisms of the LEP gene on blood pressure (BP), subclinical atherosclerosis as measured by carotid intima-medial thickness (CIMT), and body mass index (BMI) in a large family study. METHODS: Five polymorphisms spanning LEP were typed in 1428 individuals from 248 nuclear families. BP, CIMT, BMI, and plasma leptin were measured. RESULTS: The polymorphisms typed captured all common haplotypes present at LEP. There was strong association between a rare polymorphism in the 3' untranslated region of LEP (C538T) and both pulse pressure (p = 0.0001) and CIMT (p = 0.008). C/T heterozygotes had a 22% lower pulse pressure and a 17% lower CIMT than C/C homozygotes. The polymorphism accounted for 3-5% of the population variation in pulse pressure and CIMT. There was no association between any LEP polymorphism and either BMI or plasma leptin level. CONCLUSIONS: This large family study shows that the rare T allele at the C538T polymorphism of LEP substantially influences pulse pressure and CIMT, but does not appear to exert this effect through actions on plasma leptin level or BMI. This suggests that autocrine or paracrine effects in vascular tissue may be important physiological functions of leptin. This study also provides evidence that rare polymorphisms of particular genes may have substantial effects within the normal range of certain quantitative traits.
first_indexed 2024-03-07T05:35:01Z
format Journal article
id oxford-uuid:e399f569-eebe-4eb3-8bab-19da2a8ab4a9
institution University of Oxford
language English
last_indexed 2024-03-07T05:35:01Z
publishDate 2005
record_format dspace
spelling oxford-uuid:e399f569-eebe-4eb3-8bab-19da2a8ab4a92022-03-27T10:10:09ZA rare variant of the leptin gene has large effects on blood pressure and carotid intima-medial thickness: a study of 1428 individuals in 248 families.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:e399f569-eebe-4eb3-8bab-19da2a8ab4a9EnglishSymplectic Elements at Oxford2005Gaukrodger, NMayosi, BImrie, HAvery, PBaker, MConnell, JWatkins, HFarrall, MKeavney, BBACKGROUND: Rare mutations in the leptin (LEP) gene cause severe obesity. Common polymorphisms of LEP have been associated with obesity, but their association with cardiovascular disease has been little studied. We have examined the impact of both common and rare polymorphisms of the LEP gene on blood pressure (BP), subclinical atherosclerosis as measured by carotid intima-medial thickness (CIMT), and body mass index (BMI) in a large family study. METHODS: Five polymorphisms spanning LEP were typed in 1428 individuals from 248 nuclear families. BP, CIMT, BMI, and plasma leptin were measured. RESULTS: The polymorphisms typed captured all common haplotypes present at LEP. There was strong association between a rare polymorphism in the 3' untranslated region of LEP (C538T) and both pulse pressure (p = 0.0001) and CIMT (p = 0.008). C/T heterozygotes had a 22% lower pulse pressure and a 17% lower CIMT than C/C homozygotes. The polymorphism accounted for 3-5% of the population variation in pulse pressure and CIMT. There was no association between any LEP polymorphism and either BMI or plasma leptin level. CONCLUSIONS: This large family study shows that the rare T allele at the C538T polymorphism of LEP substantially influences pulse pressure and CIMT, but does not appear to exert this effect through actions on plasma leptin level or BMI. This suggests that autocrine or paracrine effects in vascular tissue may be important physiological functions of leptin. This study also provides evidence that rare polymorphisms of particular genes may have substantial effects within the normal range of certain quantitative traits.
spellingShingle Gaukrodger, N
Mayosi, B
Imrie, H
Avery, P
Baker, M
Connell, J
Watkins, H
Farrall, M
Keavney, B
A rare variant of the leptin gene has large effects on blood pressure and carotid intima-medial thickness: a study of 1428 individuals in 248 families.
title A rare variant of the leptin gene has large effects on blood pressure and carotid intima-medial thickness: a study of 1428 individuals in 248 families.
title_full A rare variant of the leptin gene has large effects on blood pressure and carotid intima-medial thickness: a study of 1428 individuals in 248 families.
title_fullStr A rare variant of the leptin gene has large effects on blood pressure and carotid intima-medial thickness: a study of 1428 individuals in 248 families.
title_full_unstemmed A rare variant of the leptin gene has large effects on blood pressure and carotid intima-medial thickness: a study of 1428 individuals in 248 families.
title_short A rare variant of the leptin gene has large effects on blood pressure and carotid intima-medial thickness: a study of 1428 individuals in 248 families.
title_sort rare variant of the leptin gene has large effects on blood pressure and carotid intima medial thickness a study of 1428 individuals in 248 families
work_keys_str_mv AT gaukrodgern ararevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT mayosib ararevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT imrieh ararevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT averyp ararevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT bakerm ararevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT connellj ararevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT watkinsh ararevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT farrallm ararevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT keavneyb ararevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT gaukrodgern rarevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT mayosib rarevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT imrieh rarevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT averyp rarevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT bakerm rarevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT connellj rarevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT watkinsh rarevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT farrallm rarevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families
AT keavneyb rarevariantoftheleptingenehaslargeeffectsonbloodpressureandcarotidintimamedialthicknessastudyof1428individualsin248families