Association of common variants in NPPA and NPPB with circulating natriuretic peptides and blood pressure

C Newton-Cheh, MG Larson, RS Vasan, D Levy… - Nature …, 2009 - nature.com
C Newton-Cheh, MG Larson, RS Vasan, D Levy, KD Bloch, A Surti, C Guiducci, S Kathiresan…
Nature genetics, 2009nature.com
We examined the association of common variants at the NPPA-NPPB locus with circulating
concentrations of the natriuretic peptides, which have blood pressure–lowering properties.
We genotyped SNPs at the NPPA-NPPB locus in 14,743 individuals of European ancestry,
and identified associations of plasma atrial natriuretic peptide with rs5068 (P= 8× 10− 70),
rs198358 (P= 8× 10− 30) and rs632793 (P= 2× 10− 10), and of plasma B-type natriuretic
peptide with rs5068 (P= 3× 10− 12), rs198358 (P= 1× 10− 25) and rs632793 (P= 2× 10− 68) …
Abstract
We examined the association of common variants at the NPPA-NPPB locus with circulating concentrations of the natriuretic peptides, which have blood pressure–lowering properties. We genotyped SNPs at the NPPA-NPPB locus in 14,743 individuals of European ancestry, and identified associations of plasma atrial natriuretic peptide with rs5068 (P = 8 × 10−70), rs198358 (P = 8 × 10−30) and rs632793 (P = 2 × 10−10), and of plasma B-type natriuretic peptide with rs5068 (P = 3 × 10−12), rs198358 (P = 1 × 10−25) and rs632793 (P = 2 × 10−68). In 29,717 individuals, the alleles of rs5068 and rs198358 that showed association with increased circulating natriuretic peptide concentrations were also found to be associated with lower systolic (P = 2 × 10−6 and 6 × 10−5, respectively) and diastolic blood pressure (P = 1 × 10−6 and 5 × 10−5), as well as reduced odds of hypertension (OR = 0.85, 95% CI = 0.79–0.92, P = 4 × 10−5; OR = 0.90, 95% CI = 0.85–0.95, P = 2 × 10−4, respectively). Common genetic variants at the NPPA-NPPB locus found to be associated with circulating natriuretic peptide concentrations contribute to interindividual variation in blood pressure and hypertension.
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