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Erschienen in: Herz 8/2018

18.09.2017 | Review articles

Quantitative evaluation of PPAR-γ2 Pro12Ala polymorphism with hypertension

verfasst von: W. Yang, J. Wang, W. Ye, Dr. X. Li

Erschienen in: Herz | Ausgabe 8/2018

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Abstract

Background

The peroxisome proliferator-activated receptor γ2 (PPARγ2)Pro12Ala polymorphism has been reported to be associated with hypertension. However, relevant studies have shown inconsistent results.

Methods

To quantitatively evaluate the relationship between the PPARγ2Pro12Ala polymorphism and hypertension risk, we conducted a meta-analysis based on all available studies selected from Scopus, Web of Science, PubMed, Chinese National Knowledge Infrastructure, and Wanfang databases.

Results

In all, 13 studies were finally included in this meta-analysis. In the allelic model (Ala vs. Pro), the Ala allele of PPARγ2 Pro12Ala polymorphism was associated with hypertension (Odds Ratio [OR] = 0.723, 95% confidence interval [CI] = 0.607–0.861). Sensitivity analysis and exclusion of studies with poor quality scores or controls complicated by other diseases confirmed the validity of this association. Moreover, the PPARγ2Pro12Ala polymorphism was associated with hypertension in the codominant (OR = 0.710, 95% CI = 0.626–0.806), recessive (OR = 0.561, 95% CI = 0.418–0.754), and dominant (OR = 0.693, 95% CI = 0.577–0.833) models.

Conclusion

The Ala allele appears to have a protective effect against hypertension and a dominant function.
Literatur
2.
Zurück zum Zitat Brody AM, Kumar VA, Levy PD (2017) Hot topic: global burden of treating hypertension-what is the role of the emergency department? Curr Hypertens Rep 19(1):8CrossRefPubMed Brody AM, Kumar VA, Levy PD (2017) Hot topic: global burden of treating hypertension-what is the role of the emergency department? Curr Hypertens Rep 19(1):8CrossRefPubMed
3.
Zurück zum Zitat Yang L, Tian RG, Chang PY, Yan MR et al (2015) Association of SNPs in the PPARgamma gene and hypertension in a Mongolian population. Genet Mol Res 14(4):19295–19308CrossRefPubMed Yang L, Tian RG, Chang PY, Yan MR et al (2015) Association of SNPs in the PPARgamma gene and hypertension in a Mongolian population. Genet Mol Res 14(4):19295–19308CrossRefPubMed
4.
Zurück zum Zitat Luft FC (2017) What have we learned from the genetics of hypertension? Med Clin North Am 101(1):195–206CrossRefPubMed Luft FC (2017) What have we learned from the genetics of hypertension? Med Clin North Am 101(1):195–206CrossRefPubMed
6.
Zurück zum Zitat Gao L, Wang L, Yun H, Su L et al (2010) Association of the PPARgamma2 gene Pro12Ala variant with primary hypertension and metabolic lipid disorders in Han Chinese of Inner Mongolia. Genet Mol Res 9(3):1312–1320CrossRefPubMed Gao L, Wang L, Yun H, Su L et al (2010) Association of the PPARgamma2 gene Pro12Ala variant with primary hypertension and metabolic lipid disorders in Han Chinese of Inner Mongolia. Genet Mol Res 9(3):1312–1320CrossRefPubMed
7.
Zurück zum Zitat Iglarz M, Touyz RM, Amiri F, Lavoie MF et al (2003) Effect of peroxisome proliferator-activated receptor-alpha and -gamma activators on vascular remodeling in endothelin-dependent hypertension. Arterioscler Thromb Vasc Biol 23(1):45–51CrossRefPubMed Iglarz M, Touyz RM, Amiri F, Lavoie MF et al (2003) Effect of peroxisome proliferator-activated receptor-alpha and -gamma activators on vascular remodeling in endothelin-dependent hypertension. Arterioscler Thromb Vasc Biol 23(1):45–51CrossRefPubMed
8.
Zurück zum Zitat Diep QN, Amiri F, Benkirane K, Paradis P et al (2004) Long-term effects of the PPAR gamma activator pioglitazone on cardiac inflammation in stroke-prone spontaneously hypertensive rats. Can J Physiol Pharmacol 82(11):976–985CrossRefPubMed Diep QN, Amiri F, Benkirane K, Paradis P et al (2004) Long-term effects of the PPAR gamma activator pioglitazone on cardiac inflammation in stroke-prone spontaneously hypertensive rats. Can J Physiol Pharmacol 82(11):976–985CrossRefPubMed
9.
Zurück zum Zitat Benkirane K, Viel EC, Amiri F, Schiffrin EL (2006) Peroxisome proliferator-activated receptor gamma regulates angiotensin II-stimulated phosphatidylinositol 3‑kinase and mitogen-activated protein kinase in blood vessels in vivo. Hypertension 47(1):102–108CrossRefPubMed Benkirane K, Viel EC, Amiri F, Schiffrin EL (2006) Peroxisome proliferator-activated receptor gamma regulates angiotensin II-stimulated phosphatidylinositol 3‑kinase and mitogen-activated protein kinase in blood vessels in vivo. Hypertension 47(1):102–108CrossRefPubMed
10.
Zurück zum Zitat Tamori Y, Masugi J, Nishino N, Kasuga M (2002) Role of peroxisome proliferator-activated receptor-gamma in maintenance of the characteristics of mature 3T3-L1 adipocytes. Diabetes 51(7):2045–2055CrossRefPubMed Tamori Y, Masugi J, Nishino N, Kasuga M (2002) Role of peroxisome proliferator-activated receptor-gamma in maintenance of the characteristics of mature 3T3-L1 adipocytes. Diabetes 51(7):2045–2055CrossRefPubMed
11.
Zurück zum Zitat Bener A, Darwish S, Al-Hamaq AO, Mohammad RM et al (2013) Association of PPARgamma2 gene variant Pro12Ala polymorphism with hypertension and obesity in the aboriginal Qatari population known for being consanguineous. Appl Clin Genet 6:103–111CrossRefPubMedPubMedCentral Bener A, Darwish S, Al-Hamaq AO, Mohammad RM et al (2013) Association of PPARgamma2 gene variant Pro12Ala polymorphism with hypertension and obesity in the aboriginal Qatari population known for being consanguineous. Appl Clin Genet 6:103–111CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Gouni-Berthold I, Giannakidou E, Muller-Wieland D, Faust M et al (2005) Peroxisome proliferator-activated receptor-gamma2 Pro12Ala and endothelial nitric oxide synthase-4a/b gene polymorphisms are not associated with hypertension in diabetes mellitus type 2. J Hypertens 23(2):301–308CrossRefPubMed Gouni-Berthold I, Giannakidou E, Muller-Wieland D, Faust M et al (2005) Peroxisome proliferator-activated receptor-gamma2 Pro12Ala and endothelial nitric oxide synthase-4a/b gene polymorphisms are not associated with hypertension in diabetes mellitus type 2. J Hypertens 23(2):301–308CrossRefPubMed
13.
Zurück zum Zitat Gu SJ, Guo ZR, Wu M, Ding Y et al (2013) Association of peroxisome proliferator-activated receptor gamma polymorphisms and haplotypes with essential hypertension. Genet Test Mol Biomarkers 17(5):418–423CrossRefPubMed Gu SJ, Guo ZR, Wu M, Ding Y et al (2013) Association of peroxisome proliferator-activated receptor gamma polymorphisms and haplotypes with essential hypertension. Genet Test Mol Biomarkers 17(5):418–423CrossRefPubMed
14.
Zurück zum Zitat Horiki M, Ikegami H, Fujisawa T, Kawabata Y et al (2004) Association of Pro12Ala polymorphism of PPARgamma gene with insulin resistance and related diseases. Diabetes Res Clin Pract 66(Suppl 1):S63–S67CrossRefPubMed Horiki M, Ikegami H, Fujisawa T, Kawabata Y et al (2004) Association of Pro12Ala polymorphism of PPARgamma gene with insulin resistance and related diseases. Diabetes Res Clin Pract 66(Suppl 1):S63–S67CrossRefPubMed
15.
Zurück zum Zitat Hui P, Nakayama T, Morita A, Sato N et al (2007) Common single nucleotide polymorphisms in Japanese patients with essential hypertension: aldehyde dehydrogenase 2 gene as a risk factor independent of alcohol consumption. Hypertension 30(7):585–592 Hui P, Nakayama T, Morita A, Sato N et al (2007) Common single nucleotide polymorphisms in Japanese patients with essential hypertension: aldehyde dehydrogenase 2 gene as a risk factor independent of alcohol consumption. Hypertension 30(7):585–592
16.
Zurück zum Zitat Kim K, Lee S, Valentine RJ (2007) Association of pro12Ala polymorphism in the peroxisome proliferative-activated receptor gamma2 gene with obesity and hypertension in Korean women. J Nutr Sci Vitaminol 53(3):239–246CrossRefPubMed Kim K, Lee S, Valentine RJ (2007) Association of pro12Ala polymorphism in the peroxisome proliferative-activated receptor gamma2 gene with obesity and hypertension in Korean women. J Nutr Sci Vitaminol 53(3):239–246CrossRefPubMed
17.
Zurück zum Zitat Lu Z, Dong B, Mo X, Chen T et al (2008) Pro12Ala polymorphism in PPAR gamma 2 associated with essential hypertension in Chinese nonagenarians/centenarians. Exp Gerontol 43(12):1108–1113CrossRefPubMed Lu Z, Dong B, Mo X, Chen T et al (2008) Pro12Ala polymorphism in PPAR gamma 2 associated with essential hypertension in Chinese nonagenarians/centenarians. Exp Gerontol 43(12):1108–1113CrossRefPubMed
18.
Zurück zum Zitat Ostgren CJ, Lindblad U, Melander O, Melander A et al (2003) Peroxisome proliferator-activated receptor-gammaPro12Ala polymorphism and the association with blood pressure in type 2 diabetes: skaraborg hypertension and diabetes project. J Hypertens 21(9):1657–1662CrossRefPubMed Ostgren CJ, Lindblad U, Melander O, Melander A et al (2003) Peroxisome proliferator-activated receptor-gammaPro12Ala polymorphism and the association with blood pressure in type 2 diabetes: skaraborg hypertension and diabetes project. J Hypertens 21(9):1657–1662CrossRefPubMed
19.
Zurück zum Zitat Rodriguez-Esparragon FJ, Rodriguez-Perez JC, Macias-Reyes A, Alamo-Santana F (2003) Peroxisome proliferator-activated receptor-gamma2-Pro12Ala and endothelial nitric oxide synthase-4a/bgene polymorphisms are associated with essential hypertension. J Hypertens 21(9):1649–1655CrossRef Rodriguez-Esparragon FJ, Rodriguez-Perez JC, Macias-Reyes A, Alamo-Santana F (2003) Peroxisome proliferator-activated receptor-gamma2-Pro12Ala and endothelial nitric oxide synthase-4a/bgene polymorphisms are associated with essential hypertension. J Hypertens 21(9):1649–1655CrossRef
20.
Zurück zum Zitat Sookoian S, Garcia SI, Porto PI, Dieuzeide G et al (2005) Peroxisome proliferator-activated receptor gamma and its coactivator-1 alpha may be associated with features of the metabolic syndrome in adolescents. J Mol Endocrinol 35(2):373–380CrossRefPubMed Sookoian S, Garcia SI, Porto PI, Dieuzeide G et al (2005) Peroxisome proliferator-activated receptor gamma and its coactivator-1 alpha may be associated with features of the metabolic syndrome in adolescents. J Mol Endocrinol 35(2):373–380CrossRefPubMed
21.
Zurück zum Zitat Wang G, Xu P, Feng W, Jiang X et al (2015) Case-control study on peroxisome proliferator-activated receptor gamma polymorphism and interaction with HDL on essential hypertension in Chinese Han. Iran J Basic Med Sci 18(12):1228–1232PubMedPubMedCentral Wang G, Xu P, Feng W, Jiang X et al (2015) Case-control study on peroxisome proliferator-activated receptor gamma polymorphism and interaction with HDL on essential hypertension in Chinese Han. Iran J Basic Med Sci 18(12):1228–1232PubMedPubMedCentral
22.
Zurück zum Zitat Zhang A, Zhang M, Zhang J, Yu Y et al (2005) The influence of the Pro12Ala mutation of PPARgamma2 receptor gene on beta-cells restoration and insulin resistance in type 2 diabetes with hypertension. J Huazhong Univ Sci Technol Med Sci 25(6):648–650CrossRefPubMed Zhang A, Zhang M, Zhang J, Yu Y et al (2005) The influence of the Pro12Ala mutation of PPARgamma2 receptor gene on beta-cells restoration and insulin resistance in type 2 diabetes with hypertension. J Huazhong Univ Sci Technol Med Sci 25(6):648–650CrossRefPubMed
23.
Zurück zum Zitat Shen D, Ha DW (2004) Relationship between PPAR γ2 gene pro12Ala polymorphism hypertension and blood lipids. Chin J Hypertens 12(4):319–322 Shen D, Ha DW (2004) Relationship between PPAR γ2 gene pro12Ala polymorphism hypertension and blood lipids. Chin J Hypertens 12(4):319–322
24.
Zurück zum Zitat Dong HR, Han FQ, Su XL (2012) The relationship between peroxis ome proliferator-activated receptor γ and its coactivated 1α and mongolian hypertension. Int J Lab Med 33(22):2698–2700 Dong HR, Han FQ, Su XL (2012) The relationship between peroxis ome proliferator-activated receptor γ and its coactivated 1α and mongolian hypertension. Int J Lab Med 33(22):2698–2700
25.
Zurück zum Zitat Chen J, Zhang M, Liu JM, Ma RL et al (2014) Association of PPARγ gene polymorphism with hypertension in Xinjiang Uygur. J Pract Med 30(18):2922–2925 Chen J, Zhang M, Liu JM, Ma RL et al (2014) Association of PPARγ gene polymorphism with hypertension in Xinjiang Uygur. J Pract Med 30(18):2922–2925
26.
Zurück zum Zitat Pan HJ, Guo YY, Wang G, Zhao L et al (2007) Additive effects of the variants in the β3-AR and PPAR-γ2 genes on essential hypertension in Xinjiang kazakh population. Chin J Birth Health Hered 15(3):19–21 Pan HJ, Guo YY, Wang G, Zhao L et al (2007) Additive effects of the variants in the β3-AR and PPAR-γ2 genes on essential hypertension in Xinjiang kazakh population. Chin J Birth Health Hered 15(3):19–21
27.
Zurück zum Zitat Wang Y, Liu C (2012) Quantitative evaluation of common polymorphism (rs1801282) in the PPARgamma2 gene and hypertension susceptibility. Gene 502(2):159–162CrossRefPubMed Wang Y, Liu C (2012) Quantitative evaluation of common polymorphism (rs1801282) in the PPARgamma2 gene and hypertension susceptibility. Gene 502(2):159–162CrossRefPubMed
28.
Zurück zum Zitat Hou X, Chen X, Shi J (2015) Genetic polymorphism of MTHFR C677T and premature coronary artery disease susceptibility: a meta-analysis. Gene 565(1):39–44CrossRefPubMed Hou X, Chen X, Shi J (2015) Genetic polymorphism of MTHFR C677T and premature coronary artery disease susceptibility: a meta-analysis. Gene 565(1):39–44CrossRefPubMed
29.
Zurück zum Zitat Yang W, Zhu Z, Wang J, Ye W et al (2015) Evaluation of the relationship between T663A polymorphism in the alpha-epithelial sodium channel gene and essential hypertension. Saudi Med J 36(9):1039–1045CrossRefPubMedPubMedCentral Yang W, Zhu Z, Wang J, Ye W et al (2015) Evaluation of the relationship between T663A polymorphism in the alpha-epithelial sodium channel gene and essential hypertension. Saudi Med J 36(9):1039–1045CrossRefPubMedPubMedCentral
30.
Zurück zum Zitat Yliharsila H, Eriksson JG, Forsen T, Laakso M et al (2004) Interactions between peroxisome proliferator-activated receptor-gamma 2 gene polymorphisms and size at birth on blood pressure and the use of antihypertensive medication. J Hypertens 22(7):1283–1287CrossRefPubMed Yliharsila H, Eriksson JG, Forsen T, Laakso M et al (2004) Interactions between peroxisome proliferator-activated receptor-gamma 2 gene polymorphisms and size at birth on blood pressure and the use of antihypertensive medication. J Hypertens 22(7):1283–1287CrossRefPubMed
31.
Zurück zum Zitat Takeda K, Ichiki T, Tokunou T, Funakoshi Y et al (2000) Peroxisome proliferator-activated receptor gamma activators downregulate angiotensin II type 1 receptor in vascular smooth muscle cells. Circulation 102(15):1834–1839CrossRefPubMed Takeda K, Ichiki T, Tokunou T, Funakoshi Y et al (2000) Peroxisome proliferator-activated receptor gamma activators downregulate angiotensin II type 1 receptor in vascular smooth muscle cells. Circulation 102(15):1834–1839CrossRefPubMed
32.
Zurück zum Zitat Ji Y, Liu J, Wang Z, Liu N et al (2009) PPARgamma agonist, rosiglitazone, regulates angiotensin II-induced vascular inflammation through the TLR4-dependent signaling pathway. Lab Invest 89(8):887–902CrossRefPubMed Ji Y, Liu J, Wang Z, Liu N et al (2009) PPARgamma agonist, rosiglitazone, regulates angiotensin II-induced vascular inflammation through the TLR4-dependent signaling pathway. Lab Invest 89(8):887–902CrossRefPubMed
33.
Zurück zum Zitat Sugawara A, Takeuchi K, Uruno A, Ikeda Y et al (2001) Transcriptional suppression of type 1 angiotensin II receptor gene expression by peroxisome proliferator-activated receptor-gamma in vascular smooth muscle cells. Endocrinology 142(7):3125–3134CrossRefPubMed Sugawara A, Takeuchi K, Uruno A, Ikeda Y et al (2001) Transcriptional suppression of type 1 angiotensin II receptor gene expression by peroxisome proliferator-activated receptor-gamma in vascular smooth muscle cells. Endocrinology 142(7):3125–3134CrossRefPubMed
Metadaten
Titel
Quantitative evaluation of PPAR-γ2 Pro12Ala polymorphism with hypertension
verfasst von
W. Yang
J. Wang
W. Ye
Dr. X. Li
Publikationsdatum
18.09.2017
Verlag
Springer Medizin
Erschienen in
Herz / Ausgabe 8/2018
Print ISSN: 0340-9937
Elektronische ISSN: 1615-6692
DOI
https://doi.org/10.1007/s00059-017-4618-6

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