The interleukin-6-174 G/C promoter polymorphism and arterial stiffness; the Rotterdam Study.
Arterial stiffness normally increases with age and has been established as a precursor of cardiovascular disease. Interleukin-6 is a pleiotropic inflammatory cytokine with an important role in the inflammatory cascade, such as up-regulation of C-reactive protein (CRP). The interleukin-6-174-G/C promoter polymorphism appears to influence levels of inflammatory markers, which have been shown to be associated with arterial stiffness. We studied the association of this polymorphism with levels of interleukin-6 and CRP and with arterial stiffness. The study (n=3849) was embedded in the Rotterdam Study, a prospective, population-based study. Analyses on the association between the -174-G/C polymorphism and pulse wave velocity, distensibility coefficient, and pulse pressure were performed using analyses of variance. Analyses on the levels of inflammatory markers and arterial stiffness were performed using linear regression analyses. Analyses were adjusted for age, sex, mean arterial pressure, heart rate, known cardiovascular risk factors, and atherosclerosis. We found pulse wave velocity to be 0.35 m/s higher for CC-homozygotes vs. wildtype GG-homozygotes (p = 0.018) with evidence for an allele-dose effect (p trend = 0.013), and a similar pattern for pulse pressure (p trend = 0.041). No apparent consistent association with the distensibility coefficient was found. CRP levels were associated with pulse wave velocity (p = 0.007). In conclusion, the interleukin-6-174 G/C polymorphism is associated with increased arterial stiffness and pulse pressure.
Sie
Mark P S
MP
Department of Epidemiology and Biostatistics, Erasmus Medical Center, Rotterdam, The Netherlands.
Mattace-Raso
Francesco U S
FU
Uitterlinden
André G
AG
Arp
Pascal P
PP
Hofman
Albert
A
Pols
Huibert A P
HA
Hoeks
Arnold P G
AP
Reneman
Robert S
RS
Asmar
Roland
R
van Duijn
Cornelia M
CM
Witteman
Jacqueline C M
JC
D000368:Aged; D001158:Arteries / Q000503:physiopathology*; D001794:Blood Pressure; D002097:C-Reactive Protein / Q000032:analysis; D002318:Cardiovascular Diseases / Q000235:genetics* / Q000276:immunology / Q000503:physiopathology; D004548:Elasticity; D005260:Female; D006720:Homozygote; D006801:Humans; D015850:Interleukin-6 / Q000097:blood / Q000235:genetics*; D008297:Male; D009426:Netherlands; D010641:Phenotype; D011110:Polymorphism, Genetic; D011159:Population Surveillance; D011401:Promoter Regions, Genetic; D011446:Prospective Studies
C508600:IL6 protein, human; D015850:Interleukin-6; D002097:C-Reactive Protein