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April 29, 2016International Journal of Environmental Research and Public HealthOpen Access

Association of Polymorphisms in the Atrial Natriuretic Factor Gene with the Risk of Essential Hypertension: A Systematic Review and Meta-Analysis

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Key result

ANP T2238C and G1837A gene polymorphisms showed no significant association with essential hypertension risk (e.g., T2238C C vs. T: OR 1.1; 95% CI 0.94-1.2; p=0.38), though T1766C may be protective.

Why the study?

Are atrial natriuretic peptide (ANP) genetic polymorphisms associated with the risk of essential hypertension?

Population

10,730 individuals (5,520 cases of essential hypertension and 5,210 controls) from 25 case-control studies

Comparison

Presence of atrial natriuretic peptide genetic… vs Absence of these specific ANP genetic…

Design

Meta-analysis

Authors

JWJinyao WangJingdezhen Ceramic InstituteZWZhenkun WangHarbin Medical UniversityCYChuanhua YuUniversity of Hawaiʻi at Mānoa

Discussion

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Implication

No association for T2238C/G1837A does not support ANP genotyping in hypertension risk assessment; leaves T1766C protective effect open for validation.

Study Design

Type

Meta-Analysis (n=10,730)

Structured PICO

Are atrial natriuretic peptide (ANP) genetic polymorphisms associated with the risk of essential hypertension?

P
Population
10,730 participants (5,520 cases and 5,210 controls) from 25 case-control studies evaluating the association between ANP polymorphism and essential hypertension.
E
Exposure
Presence of atrial natriuretic peptide (ANP) genetic polymorphisms (T2238C, G1837A, T1766C)
C
Comparator
Absence of these specific ANP genetic polymorphisms (wild-type alleles)
O
Outcome
Risk of essential hypertension

Main Result

Odds Ratio: 1.1 (95% CI 0.94–1.2)

p-value: p=0.38

ANP T2238C and G1837A polymorphisms are not significantly associated with essential hypertension risk, whereas the T1766C polymorphism may offer a protective effect.

Limitations

  • Limited number of articles on the T1766C polymorphisms

Cite This Study

Wang et al. (2016) conducted a meta-analysis in essential hypertension (n=10,730). ANP genetic polymorphism (T2238C, G1837A, T1766C) vs. Reference alleles was evaluated on overall essential hypertension risk (T2238C C vs. T) (OR 1.1, 95% CI 0.94-1.2, p=0.38). ANP T2238C and G1837A gene polymorphisms showed no significant association with essential hypertension risk (e.g., T2238C C vs. T: OR 1.1; 95% CI 0.94-1.2; p=0.38), though T1766C may be protective.

synapsesocial.com/papers/6a9c3696c12994f0dcbb0ac7https://doi.org/10.3390/ijerph13050458

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Interaction of six candidate genes in essential hypertension2014 · 12 citations
  2. 2Polymorphisms within the atrial natriuretic peptide gene in essential hypertension1995 · 78 citations
  3. 3The Relationship between Natriuretic Peptide Precursor a Gene T2238C Polymorphism and Hypertension: A Meta-Analysis2011 · 13 citations
  4. 4Genetic analysis of the atrial natriuretic peptide gene in essential hypertension2000 · 57 citations
  5. 5Atrial natriuretic peptide gene variants and circulating levels: implications in cardiovascular diseases2014 · 31 citations