Association between angiotensin II Type 2 receptor gene A/C3123 polymorphism and high-density lipoprotein cholesterol with hypertension in asymptomatic women

Med Princ Pract. 2013;22(1):65-9. doi: 10.1159/000339892. Epub 2012 Aug 3.

Abstract

Objective: The present study investigated the association between the angiotensin II type 2 receptor (AT2R) gene adenine/cytosine (A/C)-3123 polymorphism and cardiometabolic variables in subjects with and without hypertension.

Methods: Cardiometabolic variables, in addition to genotyping by an allele-specific DNA assay, were measured in 161 asymptomatic community-dwelling Japanese women (age range 30-83 years). They were divided into hypertensive (n = 82, age 50-81 years) and nonhypertensive (n = 79, age 30-83 years) subjects.

Results: The A-allele carriers (n = 53) showed significantly lower high-density lipoprotein cholesterol (HDL-C) levels than the non-A-allele carriers (n = 26) among nonhypertensive subjects (1.45 ± 0.38 vs. 1.66 ± 0.33 mmol/l, p = 0.02). Even when multiple-adjusted analyses were performed, the HDL-C levels continued to differ significantly and independently of other variables, including the body mass index and insulin resistance index, between A-allele and non-A-allele carriers. However, this association was not observed among hypertensive subjects.

Conclusion: The present study demonstrated that A-allele carriers had significantly lower HDL-C levels than did non-A-allele carries among nonhypertensive women, while this association was not observed among hypertensive women. This indicates that the A/C3124 polymorphism may be a marker associated with HDL metabolism by hypertension. This was a small study, so further research is warranted to confirm the observed association.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers
  • Blood Glucose
  • Blood Pressure
  • Cholesterol, HDL / blood*
  • Female
  • Humans
  • Hypertension / blood*
  • Insulin / blood
  • Japan
  • Lipids / blood
  • Middle Aged
  • Polymorphism, Single Nucleotide
  • Receptor, Angiotensin, Type 2 / blood*
  • Receptor, Angiotensin, Type 2 / genetics*

Substances

  • Biomarkers
  • Blood Glucose
  • Cholesterol, HDL
  • Insulin
  • Lipids
  • Receptor, Angiotensin, Type 2