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February 1, 2002Journal of Internal Medicine87 citations

Endothelial nitric oxide synthase gene Glu298Asp polymorphism and blood pressure, left ventricular mass and carotid artery atherosclerosis in a population‐based cohort

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JKJarkko KarvonenHKHeikki KaumaKKKari Kervinen

Key Result

The Glu298Asp polymorphism of the eNOS gene was not associated with hypertension, left ventricular mass, or carotid atherosclerosis, with similar Asp allele frequencies in cases and controls (0.299 vs 0.288).

Study Design

Type

Case-Control (n=1,024)

Multicenter

No

Structured PICO

Does the Glu298Asp polymorphism of the eNOS gene associate with hypertension, increased left ventricular mass, or carotid artery atherosclerosis in a population-based cohort?

P
Population
1,024 middle-aged subjects, including hypertensive patients and age- and sex-matched controls, evaluated for the eNOS Glu298Asp polymorphism.
E
Exposure
Presence of the Glu298Asp polymorphism of the endothelial nitric oxide synthase (eNOS) gene
C
Comparator
Absence of the Glu298Asp polymorphism (wild-type)
O
Outcome
Genotype distributions and allele frequencies between hypertensive and control subjects, and the relationship between the Glu298Asp variant and blood pressure, left ventricular mass, and carotid artery intima-media thicknesssurrogate

The Glu298Asp variant of the eNOS gene does not appear to be a significant risk factor for hypertension, increased left ventricular mass, or carotid atherosclerosis in the general population.

Main Result

Absolute Event Rate: 0.299% vs 0.288%

Abstract

OBJECTIVE: Decreased production of endothelial nitric oxide (NO) is associated with different cardiovascular pathology. We studied the association between the Glu298Asp polymorphism of the NO producing gene, endothelial nitric oxide synthase (eNOS), and hypertension, left ventricular mass (LVM) and carotid artery intima-media thickness (IMT) in a population-based cohort of hypertensive and control subjects. DESIGN: Cross-sectional case-control study. SETTING: District around Oulu University Hospital, Northern Finland. SUBJECTS AND METHODS: The study population consisted of 600 middle-aged hypertensive subjects (300 men and 300 women) and 600 controls (300 men and 300 women) living in the City of Oulu. The hypertensive subjects were randomly selected by age stratification from the Social Insurance Institute register for reimbursement of antihypertensive medication. For each hypertensive subject, an age- and sex-matched control was randomly selected from the national health register. The overall participation rate was 87.8%. In the present study a total of 1024 subjects were screened. Echocardiographic examinations were performed by a trained cardiologist and carotid ultrasonographic examinations by a trained radiologist. RESULTS: The genotype distributions and allele frequencies between the hypertensive and control subjects and the relationship between the Glu298Asp variant and blood pressure, LVM and carotid artery IMT were determined. No differences in genotype distribution or allele frequencies were found between the hypertensive and control groups (the frequency of the Asp allele 0.299 vs. 0.288, respectively). Also, we could not find any association between the eNOS genotype and the measured cardiovascular complications. CONCLUSIONS: The Glu298Asp variant of the eNOS gene does not seem to be a major risk factor for cardiovascular alterations in the general population.

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Cite This Study

Karvonen et al. (2002) conducted a case-control in Hypertension (n=1,024). Glu298Asp polymorphism of the eNOS gene vs. Controls without hypertension was evaluated on Genotype distribution and allele frequencies. The Glu298Asp polymorphism of the eNOS gene was not associated with hypertension, left ventricular mass, or carotid atherosclerosis, with similar Asp allele frequencies in cases and controls (0.299 vs 0.288).

synapsesocial.com/papers/6a89a4b0991508d05dc992aehttps://doi.org/10.1046/j.1365-2796.2002.00933.x
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