(Circulation. 2001;104:1255.)
© 2001 American Heart Association, Inc.
Clinical Investigation and Reports |
From the Division of Medical Genetics (L.S.-C.C., L.J.R., S.P., J.I.R.), Steven Spielberg Pediatric Research Center, Cedars-Sinai Medical Center; the Departments of Pediatrics (L.S.-C.C., L.J.R., S.P., J.I.R.), Medicine (R.C.D., N.W., M.Q., P.-Z.W., W.A.H., J.I.R.), and Human Genetics (J.I.R.), UCLA School of Medicine; and the Departments of Medicine (A.H.X., E.T., J.D., P.C.H., T.A.B.) and Preventive Medicine (A.H.X., S.P.A.), University of Southern California Keck School of Medicine, Los Angeles, Calif.
Correspondence to Li Shu-Chuan Cheng, Department of Biostatistics, City of Hope National Medical Center, 1500 E Duarte Rd, Duarte, CA 91010 (E-mail lcheng{at}coh.org). Reprint requests to Jerome I. Rotter, Division of Medical Genetics, SSB 378, Cedars-Sinai Medical Center, 8723 Alden Drive, Los Angeles, CA 90048 (E-mail jrotter@xchg.peds.csmc.edu).
Background Insulin resistance (IR) and hyperinsulinemia are phenotypically associated with hypertension. We have previously provided evidence that blood pressure (BP) and IR cosegregate in Hispanic families, suggesting that this association has a genetic component. In the present study, we provide further support for the hypothesis of a genetic basis for the BP-IR relationship from a genetic linkage study.
Methods and Results A 10-cM genome scan was conducted in 390 Hispanic family members of 77 hypertensive probands. Detailed measurements of BP, glucose, insulin levels, and insulin sensitivity (euglycemic clamp) were performed in adult offspring of probands. Multipoint variance component linkage analysis was used. A region on chromosome 7q seemed to influence both IR and BP. The greatest evidence for linkage was found for fasting insulin (lod score=3.36 at 128 cM), followed by systolic BP (lod score=2.06 at 120 cM). Fine mapping with greater marker density in this region increased the maximum lod score for fasting insulin to 3.94 at 125 cM (P=0.00002); lod score for systolic BP was 2.51 at 112 cM. Coincident mapping at this locus also included insulin sensitivity measured by the homeostasis assessment model (HOMA) and serum leptin concentrations. Insulin sensitivity by euglycemic clamp did not map to the same locus.
Conclusions Our results demonstrate that a major gene determining fasting insulin is located on chromosome 7q. Linkage of BP, HOMA, and leptin levels to the same region suggests this locus may broadly influence traits associated with IR and supports a genetic basis for phenotypic associations in IR syndrome.
Key Words: hypertension insulin genetics
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