Abstract-Angiotensin-converting enzyme (ACE) activity is highly heritable and has been associated with cardiovascular disease. We are studying the effects of genes and environmental factors on hypertension and related phenotypes, such as ACE activity, in Mexican-American families. In the current study, we performed multipoint linkage analysis to search for quantitative trait loci (QTLs) that affect ACE activities on data from 793 individuals from 29 pedigrees from the San Antonio Family Heart Study. As expected, we obtained strong evidence (maximum log of the odds [LOD]ϭ4.57, genomic Pϭ0.003) that a QTL for ACE activity is located on chromosome 17 near the ACE structural locus. We subsequently performed linkage analyses conditional on the effect of this QTL and obtained strong evidence (LODϭ3.34) for a second QTL on chromosome 4 near D4S1548. We next incorporated the ACEIns/Del genotypes in our analyses and removed the evidence for the chromosome 17 QTL (maximum LODϭ0.60); however, we retained our evidence for the QTL on chromosome 4q. We conclude that the QTL on chromosome 17 is tightly linked to ACE and is in strong disequilibrium with the insertion/deletion polymorphism, which is consistent with other reports. We also have evidence that an additional QTL affects ACE activity. Identification of this additional QTL might lead to alternate means of prophylaxis. Key Words: ethnic groups Ⅲ blood pressure Ⅲ genetics Ⅲ hypertension, genetic S erum angiotensin-converting enzyme (ACE) activities are highly heritable, and polymorphisms in the ACE structural locus has been reported to account for 19% to 50% of the variation in serum ACE activity. 1 A common Alu repeat insertion/deletion (I/D) in ACE has been associated with increased blood pressure or risk of cardiovascular disease (CVD) in some, but not all, studies. 2 Because the I/D polymorphism resides in an intron, these inconsistent associations might imply that the functional polymorphism is located elsewhere within the ACE locus or even in a nearby gene. Alternatively, these observations might be indicative of the presence of additional genes or genotypeϫenvironment interactions.We are studying genes, environmental factors, and their interactions that influence blood pressure regulation as part of the San Antonio Family Heart Study (SAFHS). In this study, we report the results of our multipoint linkage analyses to detect quantitative trait loci (QTLs) that affect ACE activities and the relation between the I/D polymorphism and the QTLs in a group of large Mexican-American families.
Methods
SubjectsWe collected systolic and diastolic blood pressure and ACE activity data on 935 Mexican-Americans who had participated in the SAFHS, a population-based, prospective family study of atherosclerosis and its risk factors. 3 Probands (aged 40 to 60 years) for each family were identified from a low-income neighborhood by a house-to-house recruitment procedure. All first-, second-, and thirddegree relatives of each proband and the proband's spouse were invited to participate...