Polymorphisms of the TGFBRAP1 gene in relation to blood pressure variability and plasma TGF-beta 1
CLINICAL AND EXPERIMENTAL HYPERTENSION
Authors: Guo, Daoxia; Shen, Chong; Chen, Yanchun; Yang, Song; Wang, Linhong; Jin, Yuelong; He, Lianping; Chen, Jinfeng; Zhao, Xianghai; Zhou, Wei; Zhao, Hailong; Yao, Yingshui
Abstract
TGF-beta receptor-associated protein 1 (TGFBRAP1), as a chaperone, binds Smad4 to participate in vascular development and remodeling which is closely related to the aetiology of essential hypertension (EH). Herein, the main aim of this study is to investigate the genetic susceptibility of TGFBRAP1 to hypertension. A case-control study comprising 2012 hypertension cases and 2210 controls was used to generate the hypothesis of the association of TGFBRAP1 gene with EH and another case-control study in a children population then proceeds to further replicate the association. Logistic regression model was used to adjust confounding factor for EH and general linear model (GLM) was applied to compare blood pressure levels and plasma TGF-beta 1 levels between genotypes in cases and controls. There was no statistical association with EH after the covariates were controlled for. However, quantitative trait analysis indicated that DBP had a linear decrease with the variations of rs2679860 (p = 0.005) after adjustment for confounding factor but the direction of this genetic effect was opposite of that in the children population. And normally distributed square root of TGF-beta 1 (pg/ml) had a linear increased with the variations of rs2679860 (p = 0.042) after adjusting covariates. Our finding supports the association of rs2679860 polymorphisms of TGFBRAP1 and DBP variation as well as plasma levels of TGF-beta 1 and that suggests the variation of rs2679860 might influence the direct modulatory effect of TGF-beta 1 on the blood pressure by regulating the plasma levels of TGF-beta 1.
Diagnostic Exome Sequencing Identifies a Novel Gene, EMILIN1, Associated with Autosomal-Dominant Hereditary Connective Tissue Disease
HUMAN MUTATION
Authors: Capuano, Alessandra; Bucciotti, Francesco; Farwell, Kelly D.; Davis, Brigette Tippin; Mroske, Cameron; Hulick, Peter J.; Weissman, Scott M.; Gao, Qingshen; Spessotto, Paola; Colombatti, Alfonso; Doliana, Roberto
Abstract
Heritable connective tissue diseases are a highly heterogeneous family of over 200 disorders that affect the extracellular matrix. While the genetic basis of several disorders is established, the etiology has not been discovered for a large portion of patients, likely due to rare yet undiscovered disease genes. By performing trio-exome sequencing of a 55-year-old male proband presenting with multiple symptoms indicative of a connective disorder, we identified a heterozygous missense alteration in exon 1 of the Elastin Microfibril Interfacer 1 (EMILIN1) gene, c.64G>A (p.A22T). The proband presented with ascending and descending aortic aneurysms, bilateral lower leg and foot sensorimotor peripheral neuropathy, arthropathy, and increased skin elasticity. Sanger sequencing confirmed that the EMILIN1 alteration, which maps around the signal peptide cleavage site, segregated with disease in the affected proband, mother, and son. The impaired secretion of EMILIN-1 in cells transfected with the mutant p.A22T coincided with abnormal protein accumulation within the endoplasmic reticulum. In skin biopsy of the proband, we detected less EMILIN-1 with disorganized and abnormal coarse fibrils, aggregated deposits underneath the epidermis basal lamina, and dermal cells apoptosis. These findings collectively suggest that EMILIN1 may represent a new disease gene associated with an autosomal-dominant connective tissue disorder.