Source:http://linkedlifedata.com/resource/pubmed/id/17608790
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
Pt 6
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pubmed:dateCreated |
2007-10-4
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pubmed:abstractText |
Research suggests pulse pressure (PP) is a predictor of cardiovascular disease, and genes likely influence PP levels. Additionally, gender may be an effect modifier between PP and cardiovascular disease. This study addresses whether two renin-angiotensin-aldosterone system (RAAS) variants are associated with PP in a sex-specific manner (genotype-by-sex interaction). Subjects comprised 35,048 GenHAT study participants over 55 years old, approximately half were women and half non-Hispanic white. Blood pressure measurements were obtained 6 months after randomization to one of four antihypertensive medications. The polymorphisms considered were AGT-6 and ACE-I/D. We employed linear regression to assess the interaction. AGT-6 showed a significant (p < 0.001) genotype-by-sex interaction. Men with the 'G/G' genotype had a higher PP (0.6 mm HG) than men carrying an 'A' allele, while 'G/G' women had a lower PP (0.7 mm Hg) than women carrying an 'A' allele. Three of the four treatment groups (chlorthalidone, amlodipine and lisinopril) suggested a consistent interaction in sub-group analyses (only amlodipine was statistically significant, p < 0.001), whereas doxazosin did not. The interaction was evident among non-Hispanic participants but not among Hispanic participants. For ACE-I/D no evidence for a genotype-by-sex interaction was detected. This finding of genotype-by-sex interaction on PP helps our understanding of the complexity of genetic effects on blood pressure.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0003-4800
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
71
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
735-45
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pubmed:meshHeading |
pubmed-meshheading:17608790-Aged,
pubmed-meshheading:17608790-Angiotensinogen,
pubmed-meshheading:17608790-Antihypertensive Agents,
pubmed-meshheading:17608790-Blood Pressure,
pubmed-meshheading:17608790-Double-Blind Method,
pubmed-meshheading:17608790-Female,
pubmed-meshheading:17608790-Genotype,
pubmed-meshheading:17608790-Humans,
pubmed-meshheading:17608790-Hypertension,
pubmed-meshheading:17608790-Male,
pubmed-meshheading:17608790-Middle Aged,
pubmed-meshheading:17608790-Peptidyl-Dipeptidase A,
pubmed-meshheading:17608790-Polymorphism, Genetic,
pubmed-meshheading:17608790-Polymorphism, Single Nucleotide,
pubmed-meshheading:17608790-Renin-Angiotensin System,
pubmed-meshheading:17608790-Sequence Deletion,
pubmed-meshheading:17608790-Sex Characteristics
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pubmed:year |
2007
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pubmed:articleTitle |
Sex-specific effects of AGT-6 and ACE I/D on pulse pressure after 6 months on antihypertensive treatment: the GenHAT study.
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pubmed:affiliation |
University of Minnesota, Department of Laboratory Medicine and Pathology, Minneapolis, Minnesota, USA.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Randomized Controlled Trial,
Multicenter Study,
Research Support, N.I.H., Extramural
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