Tuesday 24 November 2015

Genes and Hypertension

High blood pressure or hypertension is a chronic disease that is potentially fatal if left intreated. Using BP Monitor or Sphygmomanometers can help check and measure the blood pressure which is essential in diagnosing and treating high blood pressure.

A probe on the link between skeletal malformation syndrome and hypertension, or high blood pressure, in some individuals was conducted by the scientists of the Experimental and Clinical Research Center (ECRC) back in the mid-1990s. Involving members of six families exhibiting these traits, the study aimed to pinpoint the offeding gene behind the mutation and disease. 20 years later, the researchers finally achieved their goal.

A skeletal condition characterised by unusually short fingers and toes, brachydactyly type E afflicts individuals with this gene, but that is not their only problem. They are also stricken by serious hypertension, which when left untreated, causes their premature deaths by the age of 50.

"In 1994, when we began the study of this disease and examined the largest of the affected families in Turkey for the first time, modern DNA sequencing method did not exist yet," Dr Sylvia Bahring, senior author of the research group said. Although the exact gene responsible for these conditions remained elusive for the better part of the two decades, the Max Delbruck Centre for Molecular Medicine and the Charite Medical Faculty of Berlin recently encountered a breakthrough, managing to identify the cause of this rare syndrome.

Realising that the patients always displayed both the conditions, scientists tracked the origin of the physical malformation and matched it with additional observations conducted on six unrelated families. The team, led by Professor FriedrichC. Luft, found different point mutations in the gene encoding phosphodiesterase-3A (PDE3A), which was then identified as the origin of the abnormality.

The gene turned out to be the first Mendelian (salt-resistant) hypertension form ever discovered, based more on problems of resistance in blood vessels (as it used to be the general consensus among researchers) rather than on issues related to salt absorption - when too much salt in the diet has a detrimental effect on kidneys, thus driving blood pressure up.


Up to 95% of people with high blood pressure usually suffer from essential or primary type hypertension, which is when no specific cause for it can be found, pointing to more general origins, such as being overweight, smoking, high intake of salt, high alcohol consumption or even race, gender, age or hereditary factors, as seen here. Therefore it is not surprise that it is a widespread disease, affecting a large number of people worldwide.