Cytochrome P450 2J2*7 Single-nucleotide Polymorphism and Nocturnal Hypertension in an Elderly Turkish Population

Objective: Blood pressure shows a physiological diurnal rhythm. Altered blood pressure circadian rhythm is more common in the elderly. Nocturnal hypertension (NH) and/or impaired nocturnal dipping profile are associated with increased mortality risk. The CYP2J2*7 polymorphism is associated with decr...

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Main Authors: Elif Hilal Vural, Arzu Güneş Granberg, Atiye Çengel, Marja-Liisa Dahl, Hakan Zengil
Format: Article
Language:English
Published: Galenos Publishing House 2024-07-01
Series:Gazi Medical Journal
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Online Access:https://gazimedj.com/articles/cytochrome-p450-lessemgreater2j27-lessemgreatersingle-nucleotide-polymorphism-and-nocturnal-hypertension-in-an-elderly-turkish-population/doi/gmj.2024.4075
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author Elif Hilal Vural
Arzu Güneş Granberg
Atiye Çengel
Marja-Liisa Dahl
Hakan Zengil
author_facet Elif Hilal Vural
Arzu Güneş Granberg
Atiye Çengel
Marja-Liisa Dahl
Hakan Zengil
author_sort Elif Hilal Vural
collection DOAJ
description Objective: Blood pressure shows a physiological diurnal rhythm. Altered blood pressure circadian rhythm is more common in the elderly. Nocturnal hypertension (NH) and/or impaired nocturnal dipping profile are associated with increased mortality risk. The CYP2J2*7 polymorphism is associated with decreased arachidonic acid metabolite levels and increased cardiovascular mortality risk in different populations. The aim of this study was to investigate whether NH was associated with the CYP2J2*7 polymorphism in an elderly Turkish population. Methods: Ambulatory blood pressure data were obtained from 120 elderly (78 women and 42 men, aged 60-105 years) volunteers during 24 h. The CYP2J2*7 (G/T) polymorphism was evaluated using a Taqman® Drug Metabolism Genotyping Assay kit and a TAQMAN ABI7900 device. Results: The CYP2J2*7 T-allele frequency was 6.7% in our study population. The 24 h, day, and night systolic blood pressures were found to be 2-5 mmHg higher in CYP2J2*7T-carriers (n=15) than in individuals with the GG genotype (n=105), however, the differences between the genotype groups were not statistically significant. The systolic blood pressure morning increase slope values of the CYP2J2*7 carriers and GG genotype group were 8.6±2.0 (mean ± standard error of mean) and 5.7±0.5, respectively, i.e., 50.7% higher in T-carriers (p=0.039). There was no statistically significant difference in the frequency of NH with the CYP2J2*7 polymorphism. Conclusion: Considering the existing literature with our findings, the CYP2J2*7 carrier status may indicate an increased risk of cardiovascular events. However, further studies are required to verify the significance of this finding.
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institution Kabale University
issn 2147-2092
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spelling doaj-art-5ca5ca51d2754c2abb7eaeb55428be092025-01-17T06:38:15ZengGalenos Publishing HouseGazi Medical Journal2147-20922024-07-0135332533110.12996/gmj.2024.4075Cytochrome P450 2J2*7 Single-nucleotide Polymorphism and Nocturnal Hypertension in an Elderly Turkish PopulationElif Hilal Vural0https://orcid.org/0000-0003-1309-6606Arzu Güneş Granberg1Atiye Çengel2https://orcid.org/0000-0002-2952-4401Marja-Liisa Dahl3https://orcid.org/0000-0002-4837-6299Hakan Zengil4https://orcid.org/0000-0003-2164-4895Department of Medical Pharmacology Lokman Hekim University Faculty of Medicine, Ankara, TürkiyeNovartis Institute of Biomedical Research Basel, SwitzerlandDepartment of Cardiology (Retired) Gazi University Faculty of Medicine, Ankara, TürkiyeDepartment of Laboratory Medicine Division of Clinical Pharmacology, Karolinska University Hospital, Karolinska Institutet, Stockholm, SwedenDepartment of Medical Pharmacology (Retired) Gazi University Faculty of Medicine, Ankara, TürkiyeObjective: Blood pressure shows a physiological diurnal rhythm. Altered blood pressure circadian rhythm is more common in the elderly. Nocturnal hypertension (NH) and/or impaired nocturnal dipping profile are associated with increased mortality risk. The CYP2J2*7 polymorphism is associated with decreased arachidonic acid metabolite levels and increased cardiovascular mortality risk in different populations. The aim of this study was to investigate whether NH was associated with the CYP2J2*7 polymorphism in an elderly Turkish population. Methods: Ambulatory blood pressure data were obtained from 120 elderly (78 women and 42 men, aged 60-105 years) volunteers during 24 h. The CYP2J2*7 (G/T) polymorphism was evaluated using a Taqman® Drug Metabolism Genotyping Assay kit and a TAQMAN ABI7900 device. Results: The CYP2J2*7 T-allele frequency was 6.7% in our study population. The 24 h, day, and night systolic blood pressures were found to be 2-5 mmHg higher in CYP2J2*7T-carriers (n=15) than in individuals with the GG genotype (n=105), however, the differences between the genotype groups were not statistically significant. The systolic blood pressure morning increase slope values of the CYP2J2*7 carriers and GG genotype group were 8.6±2.0 (mean ± standard error of mean) and 5.7±0.5, respectively, i.e., 50.7% higher in T-carriers (p=0.039). There was no statistically significant difference in the frequency of NH with the CYP2J2*7 polymorphism. Conclusion: Considering the existing literature with our findings, the CYP2J2*7 carrier status may indicate an increased risk of cardiovascular events. However, further studies are required to verify the significance of this finding.https://gazimedj.com/articles/cytochrome-p450-lessemgreater2j27-lessemgreatersingle-nucleotide-polymorphism-and-nocturnal-hypertension-in-an-elderly-turkish-population/doi/gmj.2024.4075nocturnal hypertensioncyp2j2*7cytochrome
spellingShingle Elif Hilal Vural
Arzu Güneş Granberg
Atiye Çengel
Marja-Liisa Dahl
Hakan Zengil
Cytochrome P450 2J2*7 Single-nucleotide Polymorphism and Nocturnal Hypertension in an Elderly Turkish Population
Gazi Medical Journal
nocturnal hypertension
cyp2j2*7
cytochrome
title Cytochrome P450 2J2*7 Single-nucleotide Polymorphism and Nocturnal Hypertension in an Elderly Turkish Population
title_full Cytochrome P450 2J2*7 Single-nucleotide Polymorphism and Nocturnal Hypertension in an Elderly Turkish Population
title_fullStr Cytochrome P450 2J2*7 Single-nucleotide Polymorphism and Nocturnal Hypertension in an Elderly Turkish Population
title_full_unstemmed Cytochrome P450 2J2*7 Single-nucleotide Polymorphism and Nocturnal Hypertension in an Elderly Turkish Population
title_short Cytochrome P450 2J2*7 Single-nucleotide Polymorphism and Nocturnal Hypertension in an Elderly Turkish Population
title_sort cytochrome p450 2j2 7 single nucleotide polymorphism and nocturnal hypertension in an elderly turkish population
topic nocturnal hypertension
cyp2j2*7
cytochrome
url https://gazimedj.com/articles/cytochrome-p450-lessemgreater2j27-lessemgreatersingle-nucleotide-polymorphism-and-nocturnal-hypertension-in-an-elderly-turkish-population/doi/gmj.2024.4075
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AT marjaliisadahl cytochromep4502j27singlenucleotidepolymorphismandnocturnalhypertensioninanelderlyturkishpopulation
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