Background The ECE1 gene polymorphisms have been studied as a candidate gene in essential hypertension, but no consensus has been reached. To systematically explore their possible association, a case?control study was conducted. Methods This study included 398 hypertensive subjects and 596 healthy volunteers as control subjects in the Northern Han Chinese. A total of 10 tag SNPs of ECE1 gene were genotyped successfully by TaqMan assay. Results A total of 10 SNPs (rs212544, rs2076280, rs115071, rs2076283, rs9426748, rs11590928, rs212515, rs2236847, rs2282715, and rs2774028) were identified as the tag SNPs for ECE1 gene. Although no positive connection has been found in general population, several SNPs have been found to be related to EH risk in gender‐stratified subgroup analysis. In males, rs115071 T allele influenced EH risk in a protective manner, with dominant model (TT+TC vs. CC: p?=?.032, OR?=?0.655, 95% CI?=?0.445–0.965), additive model (TT vs. TC vs. CC: p?=?.019, OR?=?0.616, 95% CI?=?0.411–0.924), as well as allele comparison (T vs. C: p?=?.045, OR?=?0.702, 95% CI?=?0.496–0.992). While, in females, rs212544 AA genotype would increase the onset risk of EH (recessive model: AA vs. GA+GG, p?=?.024, OR?=?1.847, 95% CI?=?1.086–3.142). In the three haplotype blocks identified, rs2076283‐rs2236847 C‐T haplotype was associated with a decreased risk of EH (OR?=?0.558, p?=?.046). Conclusion The current case?control study suggested that several SNPs and related haplotypes on ECE1 gene might be associated with the susceptibility of EH in certain gender subgroups in the Northern Han Chinese population.
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