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Epistatic effects of polymorphisms in genes from the renin-angiotensin, bradykinin, and fibrinolytic systems on plasma t-PA and PAI-1 levels
Journal article   Open access   Peer reviewed

Epistatic effects of polymorphisms in genes from the renin-angiotensin, bradykinin, and fibrinolytic systems on plasma t-PA and PAI-1 levels

Folkert W Asselbergs, Scott M Williams, Patricia R Hebert, Christopher S Coffey, Hans L Hillege, Gerjan Navis, Douglas E Vaughan, Wiek H van Gilst and Jason H Moore
Genomics (San Diego, Calif.), Vol.89(3), pp.362-369
2007
DOI: 10.1016/j.ygeno.2006.11.004
PMCID: PMC1808222
PMID: 17207964
url
https://doi.org/10.1016/j.ygeno.2006.11.004View
Published (Version of record) Open Access

Abstract

Tissue plasminogen activator (t-PA) and plasminogen activator inhibitor 1 (PAI-1) directly influence thrombus formation and degradation and thereby risk for arterial thrombosis. Activation of the renin-angiotensin system has been linked to the production of PAI-1 expression via the angiotensin II type 1 receptor (AT1R). In addition, bradykinin can induce the release of t-PA through a B2 receptor mechanism. In the present study, we aimed to investigate the epistatic effects of polymorphisms in genes from the renin-angiotensin, bradykinin, and fibrinolytic systems on plasma t-PA and PAI-1 levels in a large population-based sample ( n = 2527). We demonstrated a strong significant interaction within genetic variations of the bradykinin B2 gene ( P = 0.002) and between ACE and bradykinin B2 ( p = 0.003) polymorphisms on t-PA levels in females. In males, polymorphisms in the bradykinin B2 and AT1R gene showed the most strong effect on t-PA levels ( P = 0.006). In both females and males, the bradykinin B2 gene interacted with AT1R gene on plasma PAI-1 levels ( P = 0.026 and P = 0.039, respectively). In addition, the current study found a borderline significant interaction between PAI 4G5G and ACE I/D on plasma t-PA and PAI-1 levels. These results support the idea that the interplay between the renin-angiotensin, bradykinin, and fibrinolytic systems might play an important role in t-PA and PAI-1 biology.
Epidemiology Epistasis Fibrinolysis Gene-gene interaction Plasminogen Thrombosis

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