Is the association between ACE genes and blood pressure mediated by postnatal growth during the first 3 years?

Abstract:

:Unlike the defined role of angiotensin-converting enzyme (ACE) gene in adult hypertension, ACE gene did not show direct influence on childhood blood pressure (BP), rather, seemed to be related to childhood growth with age-dependent characteristics. Thus, we examined intermediate effects of postnatal growth between the ACE polymorphisms and BP. We analyzed data from 257 children born in 2001-04 at Ewha Womans University Hospital in Seoul, Korea, and followed them up until 3 years of age. Children with excessive adiposity had higher BP, as rapid growers did to no-change and decelerated growers. The ACE II genotype was associated with greater growth acceleration than the DD genotype (II: 46.8% vs. DD: 23.9%), and with a higher BP. The interactions between ACE genotype and adiposity at age 3 were significant on the BP levels. The highest BP increase with the same degree of adiposity was observed in those with the II genotype [β (SE) for BMI: 1.9 (0.9), p=0.04]; particularly, only rapid grown II carriers demonstrated statistical significance on this linear association. These results suggested that ACE polymorphisms and BP association are mediated by postnatal growth. Further studies are required to determine the age-specific ACE genetic effects and its undefined biological mechanism.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Min J,Kim YJ,Lee H,Park EA,Cho SJ,Hong YM,Oh SY,Ha E,Kang D,Park H

doi

10.1016/j.earlhumdev.2011.10.008

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

425-9

issue

6

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(11)00334-3

journal_volume

88

pub_type

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