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Experimental Physiology 90.3 pp 273-276
DOI: 10.1113/expphysiol.2004.029322
© The Physiological Society 2005
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Cardiovascular Genomics

Genetic analysis of complex cardiovascular traits in the spontaneously hypertensive rat

Michal Pravenec12 and Vladimír Kren12

1 Institute of Physiology, Czech Academy of Sciences and Center for Applied Genomics, Prague, Czech Republic2 Institute of Biology and Medical Genetics, First Faculty of Medicine, Charles University, Prague, Czech Republic


    Abstract
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 Abstract
 Introduction
 References
 
Identification of the genetic determinants of common diseases is a major challenge for current biomedical research. Combining linkage analyses of essentially monogenic cis-regulated expression phenotypes with oligogenic intermediate physiological phenotypes represents a promising approach for identification of quantitative trait loci at the molecular level. In the present review, a genetic analysis of cardiovascular phenotypes studied at several levels of complexity in rat recombinant inbred strains is described.

(Received 12 January 2005; accepted after revision 17 February 2005; first published online 22 February 2005)
Corresponding author M. Pravenec: Institute of Physiology, Czech Academy of Sciences, Videnska 1083, 14220 Prague 4, Czech Republic. Email: pravenec{at}biomed.cas.cz


    Introduction
 Top
 Abstract
 Introduction
 References
 
Identification of genetic determinants that predispose to common diseases such as cardiovascular diseases would aid understanding of the pathophysiological processes underlying the development and progression of these pathological conditions and subsequently would lead to more effective methods of prevention and treatment. Despite recent advances in molecular and statistical genetics and the availability of complete genome sequences of humans and animal models, however, the progress towards identification of the molecular basis of multifactorially determined diseases is rather slow.

Animal models of multifactorially determined cardiovascular diseases

Comparative genomics is an essential tool for genetic dissection of multifactorial diseases and much of our present knowledge concerning the genes that regulate clinically important pathophysiological traits has been derived from rodents (Glazier et al. 2002a). For instance, the spontaneously hypertensive rat (SHR) develops spontaneous hypertension and, under the appropriate environmental conditions, also insulin resistance and dyslipidaemia and could therefore be considered a model of human metabolic syndrome (Okamoto & Aoki, 1963; Reaven, 1988; Aitman et al. 1997; Pravenec et al. 2004). The SHR has been studied for over 30 years and is a very useful animal model for the testing of antihypertensive drugs. At present, almost 200 quantitative trait loci (QTLs) associated with blood pressure have been reported in the SHR and other rat models (Rat Genome Database at http://www.rgd.mcw.edu/). However, identification of these putative QTLs at the molecular level is a difficult task. The problem lies in the complexity of phenotypes with which ‘candidate’ genes are associated. It is therefore hoped that complex phenotypes might be subdivided into intermediate phenotypes that are less complex, with oligogenic determination and therefore exhibiting higher heritability. The intermediate phenotypes with a simple genetic determination are gene expression profiles that are regulated in cis by the genes themselves (Brem et al. 2002; Cheung et al. 2003; Schadt et al. 2003; Yvert et al. 2003; Morley et al. 2004). Additional levels of complexity represent physiological phenotypes at the cellular, tissue and organ levels. Systemic phenotypes such as blood pressure or plasma lipids then exhibit the highest level of complexity. Linkage analyses can be performed at each level of complexity and cumulative data from these linkages may provide sufficient information about the specific roles of given gene variants in determination of complex traits. This approach requires a model system that allows cumulativeness of linkage data obtained at several levels of complexity. Recombinant inbred (RI) strains represent such a system for genetic analysis of complex traits (Williams et al. 2001).

Recombinant inbred (RI) strains for the analysis of genes and functional networks predisposing to cardiovascular disease

Recombinant inbred strains combine the advantages of inbreeding and gene segregation. An important feature of RI strains is that, because they are inbred and genetically defined populations, repeated assays can be made so that the phenotypes of each strain can be systematically characterized with a rigor that is often not feasible in conventional segregating populations. Moreover, the acquired data are cumulative across assays, studies and research groups. So, large datasets can be analysed and trait relationships discovered that might not have been suspected otherwise. This cumulativeness is an enormous advantage and an essential feature for the analysis of complex pathophysiological traits. For genetic and correlation analyses of spontaneous hypertension and metabolic defects in the SHR, the BXH/HXB sets of RI strains were developed by reciprocal crossings of the SHR and the Brown Norway (BN-Lx) strains (Pravenec et al. 1989). At present, 21 HXB and 10 BXH RI strains are available. The present map of RI strains contains more than 1000 gene markers (Pravenec et al. 1996; Jirout et al. 2003; Hübner et al. 2005) and over 80 phenotypes were determined in the RI strains (WebQTL at http://www.genenetwork.org/). Genetic analysis of the RI strains revealed QTLs for blood pressure regulation on chromosomes 1, 2, 4, 19 and 20, QTLs for heart weight on chromosomes 12, 17 and 20, QTLs for renal weight on chromosomes 1, 3 and 17, a QTL for compensatory renal growth on chromosome 4, QTLs for dyslipidaemia on chromosomes 4, 7, 10 and 19, QTLs for insulin resistance on chromosomes 3, 4, 7 and 19, a QTL for haematocrit on chromosome 4, and QTLs for response to stress on chromosomes 10 and 12 (reviewed by Pravenec et al. 2004).

Recent advances in simultaneous analysis of the expression of thousands of genes using the Affymetrix microarrays platform might aid the use of expression phenotypes as useful intermediates between genes and complex physiological phenotypes. Recently, the BXH/HXB panel of RI strains was used to map the major genetic determinants of gene expression in SHR for 15 923 genes in two of the key tissues in the pathophysiology of the metabolic syndrome. After assessment of genome-wide significance and accounting for multiple testing using false discovery rate (FDR), well in excess of 1000 expression QTLs (eQTLs) were found in kidney and fat, of which several hundred were common to both tissues. These eQTLs represent a large source of attractive candidate genes for the scores of physiological QTLs (pQTLs) that have been mapped in SHR (Hübner et al. 2005). A similar ‘genetical genomics’ approach (Jansen & Nap, 2001) was used by Chesler et al. (2005) to uncover genes that modulate nervous system function and by Bystrykh et al. (2005) to analyse regulatory pathways that affect haematopoietic stem cell function using mouse BXD RI strains.

On the one hand, the limitations of RI strains for the mapping of QTLs associated with complex traits are widely recognized, especially in regard to progenitor strains and to small numbers of RI strains in individual sets (Darvasi, 1998). On the other hand, RI strains can be used to map QTLs with relatively large effects and for the mapping of less complex, essentially monogenic cis-acting eQTLs (Chesler et al. 2005; Hübner et al. 2005). In addition, the unique genetic constitution of RI strains can be used in a powerful way for network (correlation) analyses, because the primary goal in such studies is to measure the tendency of different traits to co-segregate rather than to map genes. Thus, because of their unique patterns of genetic randomization, RI strains provide remarkable statistical power for the measurement of the tendencies of traits to co-segregate (Nadeau et al. 2003). Because of these advantages of RI strains the Complex Trait Consortium recently proposed to derive a ‘collaborative cross’, a large set of mouse RI strains as a community resource for the genetic analysis of complex traits (Churchill et al. 2004).

Proof of the principle: identification of Cd36 as an insulin-resistance gene causing defective fatty acid and glucose metabolism in hypertensive rats

Linkage analysis of the BXH/HXB RI strains revealed significant QTLs near the centromeric end of rat chromosome 4 that were associated with in vitro phenotypes of insulin resistance and dyslipidaemia, specifically with insulin-stimulated glucose uptake and isoproterenol-induced lipolysis in isolated adipocytes (Aitman et al. 1997). Additional suggestive QTLs associated with serum HDL2 (high density lipoproteins) phospholipids (Bottger et al. 1996) and blood pressure (Pravenec et al. 1995) were mapped to the same chromosome region. In the follow-up studies, a combination of cDNA microarrays and congenic mapping was used to identify a defective SHR gene, Cd36 (also known as Fat because it encodes fatty acid translocase), at the peak of these QTL linkages (Aitman et al. 1999; Pravenec et al. 1999). Sequence analysis revealed that the SHR Cd36 cDNA contains multiple variants, caused by unequal genomic recombination of a duplicated ancestral gene (Glazier et al. 2002b). The SHR defect in Cd36 has been conclusively shown to result in pathophysiological phenotypes in complementation studies (Pravenec et al. 2001). Additional linkage studies, using integrated transcriptional profiling with Affymetrix microarrays and linkage analysis in RI strains, revealed a strong cis-acting ‘Cd36 eQTL’ (where eQTL is expression quantitative trait locus) (P < 10–6) in both fat and kidney (Hübner et al. 2005; Fig. 1).



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Figure 1.  Analysis of complex traits in RI strains
Left panel depicts a subdivision of a polygenic trait into less complex oligogenic intermediate physiological phenotypes and ultimately into essentially monogenic cis-regulated expression phenotypes. Right panel shows genetic dissection of cardiovascular risk factor clustering associated with markers at the centromeric end of chromosome 4 in the BXH/HXB RI strains. Assessment of genome-wide significance and accounting for multiple testing using false discovery rate (FDR) was performed only for the Cd36 expression phenotype (Hübner et al. 2005); other P values are uncorrected. The Cd36 protein functions as an immunogenic domain of the Rt8 alloantigen (Mlejnek et al. 2003); the Il6 marker is closely linked to the Cd36 gene.

 
The above data illustrate the architecture of a QTL and also demonstrate the relationship between statistical power to detect QTLs and the complexity of associated phenotypes: the statistical significance of the cis-acting eQTL associated with Cd36 expression (P < 10–6; corrected for genome-wide analysis and for multiple testing at almost 16 000 expression phenotypes) was higher compared to more complex tissue metabolic phenotypes measured in isolated adipocytes, which was higher compared to complex systemic metabolic and haemodynamic phenotypes associated with the mutant Cd36 causative gene (Fig. 1). The cis-acting eQTL is a Mendelian trait; metabolic QTLs in isolated adipocytes are oligogenic traits, while systemic metabolic and haemodynamic phenotypes are typical polygenic traits showing only suggestive linkages to the causative Cd36 gene. The correlation analysis shown in Table 1 demonstrates the relationship between traits in the ‘Cd36 metabolic pathway’. As can be seen, expression of the Cd36 gene strongly correlates with insulin-stimulated glucose uptake and with isoproterenol-induced lipolysis in isolated adipocytes, while correlation with HDL2 phospholipids and a negative correlation with blood pressure are less significant.


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Table 1.  Correlations between traits of the ‘Cd36 metabolic pathway’
 
Conclusion

In conclusion, a combination of linkage analyses of essentially monogenic cis-acting expression phenotypes and oligogenic intermediate physiological phenotypes represents a promising approach to identify QTLs underlying complex physiological traits at the molecular level.


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    Acknowledgements
 
This work has been supported by grants 301/03/0751 and 301/04/0390 from the Grant Agency of the Czech Republic, by grants 1P05ME791 and 1M6837805002 from the Ministry of Education of the Czech Republic and by research project AV0Z 50110509 to the Institute of Physiology; M. Pravenec is an International Research Scholar of the Howard Hughes Medical Institute.




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