Abstract-A polymorphism at position 825 (C3 T) of the cDNA that encodes the 3 subunit (GNB3) of the pertussis toxin-sensitive G protein was recently shown to be associated with human hypertension. To verify this finding and to investigate whether this polymorphism could also be associated with coronary heart disease, we analyzed the GNB3 variant in subjects from 2 previously described studies: Projet d'Etude des Gènes de l'hypertension Artérielle Sévère à modérée Essentielle (PEGASE), a case-control study of moderate to severe hypertension (681 cases and 308 controls), and Etude Cas-Témoins de l'Infarctus du Myocarde (ECTIM), a case-control study of myocardial infarction (MI) (564 cases and 633 controls). Genotyping was performed with allele-specific oligonucleotides. Genotype and allele frequencies were in Hardy-Weinberg equilibrium in all groups. Allele and genotype frequencies did not differ significantly between case patients with essential hypertension or MI and control subjects. In the ECTIM study, the 825T allele frequencies in cases and controls from Belfast, Northern Ireland, were 0.31 and 0.30 (Pϭ0.79), respectively; the corresponding frequencies in cases and controls from France were 0.33 and 0.31 (Pϭ0.30), respectively. In the PEGASE study, the 825T allele frequency was 0.35 in female and male cases and 0.31 in male normotensive controls (Pϭ0.12). The odds ratios for hypertension (PEGASE) and MI (ECTIM) associated with T-allele carrying were 1.23 (95% confidence interval, 0.94 to 1.62; Pϭ0.13) and 1.11 (95% confidence interval, 0.88 to 1.39; Pϭ0.37), respectively. There was no association of the GNB3 polymorphism with early onset of hypertension, familial history of hypertension, or blood pressure level. We conclude that the 825C/T polymorphism of the GNB3 gene did not contribute in any important way to the risk of essential hypertension or MI in these studies. 4 have demonstrated that immortalized B lymphoblasts of patients with essential hypertension, which display enhanced NHE-1 activity, also showed increased activity of pertussis toxin-sensitive G proteins. Variations in NHE-1 transcripts could not be detected, 5 and polymorphisms in genes that encode the subunits of trimeric G proteins, such as G␣ i2 , G␣ i3 , G 1 , and G 2 , 6 have been ruled out. Subsequently, Siffert et al 7 were able to localize a polymorphism at position 825 (C3 T) of the cDNA that encodes the 3 subunit (GNB3) of the pertussis toxin-sensitive G protein and demonstrated that the 825T allele was significantly associated with hypertension. However, given the expected small effect of susceptibility genes involved in human essential hypertension, a large number of patients must be studied before it can be definitively established that a genotype-phenotype association exists. Therefore, we investigated the 825C/T polymorphism of GNB3 in relation to hypertension and extended our study to patients with coronary heart disease (CHD).
Methods PopulationsThe ECTIM Study
The PEGASE StudyHypertensive subjects (nϭ681) were recruit...