PMID- 23382403 OWN - NLM STAT- MEDLINE DCOM- 20130830 LR - 20221207 IS - 1941-7225 (Electronic) IS - 0895-7061 (Print) IS - 0895-7061 (Linking) VI - 26 IP - 2 DP - 2013 Feb TI - Analysis of sex hormone genes reveals gender differences in the genetic etiology of blood pressure salt sensitivity: the GenSalt study. PG - 191-200 LID - 10.1093/ajh/hps018 [doi] AB - BACKGROUND: We examined the association between 799 single-nucleotide polymorphisms in 39 sex hormone genes and blood pressure (BP) responses to a dietary-sodium intervention. METHODS: A 7-day low-sodium feeding study (51.3 mmol sodium/day) followed by a 7-day high-sodium feeding study (307.8 mmol sodium/day) was conducted among 1,906 Han Chinese participants. Nine BP measurements were obtained at baseline and the end of each intervention period using a random-zero sphygmomanometer. RESULTS: Among men, absolute BP responses to sodium interventions decreased with the number of minor alleles of estrogen receptor 1 (ESR1) markers rs9340844, rs9397453, rs9371562, rs9397459, and rs9383951. For example, mean diastolic blood pressure (DBP) responses to low-sodium intervention (95% confidence interval) were -2.67 (-3.13, -2.22) mm Hg among those with the rs9397453 C/C genotype, -1.23 (-1.98, -0.48) mm Hg among those with the C/T genotype, and 0.08 (-2.31, 2.47) mm Hg among those with the T/T genotype (P = 1x10(-4); false discovery rate (FDR)-q = 0.04). Mean DBP responses to high sodium according to the rs9397453 genotypes were 1.46 (1.03, 1.89) mm Hg among those with C/C, 0.19 (-0.54, 0.91) mm Hg among those with C/T, and -1.10 (-2.82, 0.61) mm Hg among those with T/T (P = 2x10(-4); FDR-q = 0.04). Similar trends were noted for the association between these ESR1 variants and SBP responses to the dietary intervention. There were no significant associations between sex hormone gene variants and salt sensitivity in women, with genotype-gender interactions noted for the ESR1 markers that achieved significance in men. CONCLUSIONS: We identified strong, consistent associations between ESR1 gene variants and salt sensitivity in men. Our results support a gender-specific role for ESR1 in the etiology of this complex trait. FAU - Kelly, Tanika N AU - Kelly TN AD - Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA. tkelly@tulane.edu FAU - Rebholz, Casey M AU - Rebholz CM FAU - Gu, Dongfeng AU - Gu D FAU - Hixson, James E AU - Hixson JE FAU - Rice, Treva K AU - Rice TK FAU - Cao, Jie AU - Cao J FAU - Chen, Jichun AU - Chen J FAU - Li, Jianxin AU - Li J FAU - Lu, Fanghong AU - Lu F FAU - Ma, Jixiang AU - Ma J FAU - Mu, Jianjun AU - Mu J FAU - Whelton, Paul K AU - Whelton PK FAU - He, Jiang AU - He J LA - eng SI - ClinicalTrials.gov/NCT00721721 GR - R01HL087263/HL/NHLBI NIH HHS/United States GR - R01HL090682/HL/NHLBI NIH HHS/United States GR - K12 HD043451/HD/NICHD NIH HHS/United States GR - K12HD043451/HD/NICHD NIH HHS/United States GR - U01HL072507/HL/NHLBI NIH HHS/United States GR - R01 HL090682/HL/NHLBI NIH HHS/United States GR - R01 HL087263/HL/NHLBI NIH HHS/United States GR - U01 HL072507/HL/NHLBI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20121228 PL - United States TA - Am J Hypertens JT - American journal of hypertension JID - 8803676 RN - 0 (ESR1 protein, human) RN - 0 (Estrogen Receptor alpha) RN - 0 (Gonadal Steroid Hormones) RN - 0 (Sodium Chloride, Dietary) SB - IM MH - Adult MH - Alleles MH - Asian People/ethnology/*genetics MH - Blood Pressure/*genetics MH - China MH - Estrogen Receptor alpha/genetics MH - Female MH - *Genes MH - Genetic Predisposition to Disease/ethnology/genetics MH - Genotype MH - Gonadal Steroid Hormones/*genetics MH - Humans MH - Hypertension/ethnology/*genetics MH - Male MH - Middle Aged MH - Polymorphism, Single Nucleotide/genetics MH - Sex Characteristics MH - Sex Factors MH - Sodium Chloride, Dietary/*adverse effects PMC - PMC3626038 EDAT- 2013/02/06 06:00 MHDA- 2013/08/31 06:00 PMCR- 2014/02/01 CRDT- 2013/02/06 06:00 PHST- 2013/02/06 06:00 [entrez] PHST- 2013/02/06 06:00 [pubmed] PHST- 2013/08/31 06:00 [medline] PHST- 2014/02/01 00:00 [pmc-release] AID - hps018 [pii] AID - 10.1093/ajh/hps018 [doi] PST - ppublish SO - Am J Hypertens. 2013 Feb;26(2):191-200. doi: 10.1093/ajh/hps018. Epub 2012 Dec 28.