Plasmatic Biochemical Variables Associated with Polymorphisms in the Endothelin-1 and Endothelin-1 Receptor a Genes in Hypertensive Patients: Pilot Study

Abstract

Endothelin-1 (ET-1) is a potent vasoconstrictive peptide, and its activity is mediated by thetype A receptor (EDNRA). This action may play a significant role in the etiology of hypertension.There are different works that shows an association between certain polymorphisms of endothelinaxis and clinical phenotype of hypertension. We describe the genetic variability +138/ex1Short Research ArticleLassen et al.; BJMMR, 11(7): 1-8, 2016; Article no.BJMMR.205202insertion/deletion (I/D) adenosine (A) in the ET-1 gene and polymorphism thymidine/cytosine (T/C)His323His in the EDNRA gene associated at the clinical variability in hypertensive patients.Study Design: Observational, transversal and analytical study.Place and Duration of Study: Hypertension Service at the Internal Medicine Department ofCórdoba Hospital, and Biochemical and Molecular Biology Department in School of Medicine,National University of Cordoba, Argentine. Patients considered hypertensive between April 2009and April 2010.Methodology: Were assessed 136 patients serum lipid profiles, renal and hepatic functions andwere taken Thoracic X-rays, electrocardiograms, and echocardiographs. DNA extracted fromcirculating leukocyte were used to analyze the polymorphisms of genes by PCR-RFLP.Results: For the polymorphisms of Receptor A from Endothelin -1 studied the presence ofcytosine homozygous genotype was less frequent in males (P = .02). For both genders, the samegenotype was associated to low plasma alkaline phosphatase activity and cholesterol levels. Thepresence of thymidine nucleotide allele correlated with plasma alkaline phosphatase activity andcholesterol levels. The Thymidine allele correlated with the degree of cardiovascular compromise(r = 0.54, P= .002). For the genetic variant in the ET-1 gene, the homozygous adenine deletionwas associated to normal plasma levels of glutamate/pyruvate transaminase enzyme activity, uricacid concentration, cholesterol, and Low Density Lipoprotein in hypertensive subjects withoutclinical risk.Conclusion: We observed a gender-specific protective effect for EDNRA gene variations, thesubjects that carried the TT genotype presented more aggressive symptomatology. These resultsshow an association between plasmatic biochemical parameters, the clinical condition, andpolymorphisms in the endothelin axis genes.