Cardiovascular Research Advance Access [Accepted Manuscript] published online on December 20, 2008
Cardiovascular Research, doi:10.1093/cvr/cvn353
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GENETICS AND PATHOPHYSIOLOGY OF ARTERIAL STIFFNESS
1 INSERM, U961, Vandoeuvre les Nancy, France
2 Nancy Université, Nancy, France
3 UPMC Université Paris 06, Paris, France
4 INSERM, U698, Paris, France
5 Paris Diderot Université, Paris, France
Corresponding author and reprint requests: Dr Patrick Lacolley, Inserm U961, Faculté de Médecine, 9 avenue de la forêt de Haye, 54500 Vandoeuvre-les-Nancy, France. Tel 33 3 8368 3623, Fax 33 3 8368 3639; e-mail: patrick.lacolley{at}nancy.inserm.fr
Arterial stiffness is a cardiovascular risk factor that is independent of arterial pressure. Clinically, carotid-femoral pulse wave velocity (PWV) is the gold-standard parameter of arterial stiffness. Recent genetic studies have revealed specific genes that contribute to arterial stiffening. Here we review the recent findings on genome-wide linkage analyses and candidate gene polymorphism association studies. We also focus on the latest advances in the identification of gene variants affecting PWV using high density array SNP technology in a recent genome-wide association (GWA) study. Linkage and polymorphism studies revealed a first group of genes affecting the renin-angiotensin-aldosterone system, elastic fibre structural components, metalloproteinases and the NO pathway. A second group of genes, identified by polymorphism association studies and possibly involved in the pathophysiology of arterial stiffness, includes β-adrenergic receptors, endothelin receptors and inflammatory molecules. The last group of genes, identified by GWA studies and unrelated to currently suspected mechanisms of arterial stiffness, may target transcriptional pathways controlling gene expression, differentiation of vascular smooth muscle cells, apoptosis of endothelial cells or the immune response within the vascular wall.
KEYWORDS genetics; pulse wave velocity; arteries; elasticity
Time for primary review: 17 Days