Document Detail


Increased blood pressure and hyperdynamic cardiovascular responses in carriers of a common hyperfunctional variant of adenylyl cyclase 6.
MedLine Citation:
PMID:  20732959     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Adenylyl cyclase (ADCY) is a critical regulator of metabolic and cardiovascular function. We have identified a genetic variant (A674S) in ADCY isoform 6 (ADCY6). Subsequent studies demonstrated that the expression of this ADCY6 variant paralleled an increase in adenylyl cyclase-mediated functions. However, the impact of this hyperfunctional variant on cardiovascular function is unknown. Therefore, we evaluated the hemodynamic profile of carriers of ADCY6 A674S. The association of ADCY6 A674S with anthropometric and hemodynamic parameters was assessed in 364 healthy white subjects. The allele encoding this variant was present in 6.9% of the subjects, and those individuals had increased blood pressure. To determine the hemodynamic basis for increased blood pressure in carriers of ADCY6 A674S, we assessed forearm blood flow (FBF) and cardiac output at rest, during handgrip exercise (to test vasodilator responsiveness), and with lower body negative pressure [to test forearm vasoconstrictor and heart rate (HR) responsiveness] in a subsample of 21 subjects. At rest, cardiac output and blood pressure were higher in carriers of ADCY6 A674S. This was paralleled by an increase in plasma renin activity, but not in plasma norepinephrine. During handgrip exercise, FBF and vasodilator responses were greater in carriers of ADCY6 A674S. Responses to reactive hyperemia were not different between genotypes. With lower body negative pressure, the HR response to this orthostatic stress was markedly higher in carriers of ADCY6 A674S. These data indicate that the relatively common hyperfunctional ADCY6 A674S variant underlies a hyperdynamic cardiovascular response and increased blood pressure.
Authors:
Gary J Hodges; Robert Gros; Robert A Hegele; Stan Van Uum; J Kevin Shoemaker; Ross D Feldman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-08-23
Journal Detail:
Title:  The Journal of pharmacology and experimental therapeutics     Volume:  335     ISSN:  1521-0103     ISO Abbreviation:  J. Pharmacol. Exp. Ther.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-20     Completed Date:  2010-11-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376362     Medline TA:  J Pharmacol Exp Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  451-7     Citation Subset:  IM    
Affiliation:
Robarts Research Institute, P.O. Box 5015, 100 Perth Drive, London, ON, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adenylate Cyclase / genetics*
Adolescent
Adult
Anthropometry
Blood Pressure / genetics*
Cardiac Output / genetics
Cardiovascular Physiological Phenomena / genetics*
Exercise
Forearm / blood supply
Gene Frequency
Genetic Variation*
Genotype
Heart Rate / genetics
Humans
Lower Body Negative Pressure
Middle Aged
Regional Blood Flow / genetics
Vasoconstriction / genetics
Vasodilation / genetics
Young Adult
Grant Support
ID/Acronym/Agency:
//Canadian Institutes of Health Research
Chemical
Reg. No./Substance:
EC 4.6.1.1/Adenylate Cyclase; EC 4.6.1.1/adenylyl cyclase 6

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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