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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Monogenic hypertension genes

Monogenic hypertension genes
Gene(s) Chromosome position Disease name and MIM identifier Key features of clinical syndrome (other than hypertension) Mode of inheritance and genetic mechanism
CACNA1H
(calcium voltage-gated channel subunit alpha1 H gene)
16p

Familial hyperaldosteronism type IV

MIM 607904
Hypokalemia AD; GOF
CLCN2
(chloride voltage-gated channel 2 gene)
3q

Familial hyperaldosteronism type II

MIM 605635
Hypokalemia AD; GOF
CUL3
(cullin 3 gene)
2q

Pseudohypoaldosteronism type 2 (PHA2; Gordon syndrome)

PHA2E MIM 614496
Hyperkalemia, response to thiazides AD; LOF
CYP11B1
(cytochrome P450 family 11 subfamily B member 1 gene)
8q

CAH due to 11-beta-hydroxylase deficiency (CAH type IV)

MIM 202010
Hypokalemia, virilization (variable); two-thirds of patients have severe "classic form" with hypertension in first years of life AR; LOF
CYP11B2
(cytochrome P450 family 11 subfamily B member 2 gene)
8p

Familial hyperaldosteronism type I (glucocorticoid-remediable aldosteronism)

MIM 103900
Low plasma renin, increased aldosterone, response to dexamethasone; high genetic heterogeneity and potassium level often normal; high prevalence of intracranial aneurysms AD; GOF; gene expressed under ACTH control (fusion of the promoter region of the gene for CYP11B1 and the coding sequences of CYP11B2)
CYP17A1
(cytochrome P450 family 17 subfamily A member 1 gene)
10q

CAH due to 17-alpha-hydroxylase deficiency (CAH type V)

MIM 202110
Hypokalemia, hypogonadism/androgen deficiency AR; LOF
HSD11B2
(hydroxysteroid 11-beta dehydrogenase 2 gene)
16q

Cortisol 11-beta-ketoreductase deficiency (syndrome of apparent mineralocorticoid excess)

MIM 218030
Hypokalemia, low plasma renin, response to spironolactone AR; LOF
KCNJ5
(potassium inwardly rectifying channel subfamily J member 5 gene)
11q

Familial hyperaldosteronism type III

MIM 613677
Hypokalemia, high aldosterone, high 18-oxocortisol and 18-hydroxycortisol AD; LOF
KLHL3
(kelch like family member 3 gene)
5q

Pseudohypoaldosteronism type 2 (PHA2; Gordon syndrome)

PHA2D MIM 614495
Hyperkalemia, response to thiazides AD or AR; LOF (inhibition of KLHL3 increases the activity of SLC12A3)
NR3C2
(nuclear receptor subfamily 3 group C member 2 gene)
4q

Early-onset AD hypertension with exacerbation in pregnancy (Geller syndrome)

MIM 605115
Severe hypertension in pregnancy AD; GOF
PDE3A
(phosphodiesterase 3A gene)
12p

AD hypertension with brachydactyly

MIM 123805
Brachydactyly AD; GOF
SCNN1B, SCNN1G
(sodium channel epithelial 1 subunit beta and gamma genes)
16p

Liddle's syndrome (pseudoaldosteronism)

MIM 177200
Hypokalemia, metabolic alkalosis, low plasma renin, low aldosterone, response to amiloride AD; GOF
WNK1
(WNK lysine deficient protein kinase 1 gene)
12p

Pseudohypoaldosteronism type 2 (PHA2; Gordon syndrome)

PHA2C MIM 614492
Hyperkalemia, response to thiazides AR; GOF
WNK4
(WNK lysine deficient protein kinase 4 gene)
12p

Pseudohypoaldosteronism type 2 (PHA2; Gordon syndrome)

PHA2B MIM 614491
Hyperkalemia, response to thiazides AR; LOF; ± expression of the thiazide-sensitive Na-Cl co-transporter SLC12A3 (NCCT)
For each gene in which variants can induce monogenic hypertension syndromes, the gene name (abbreviation and full name), the physical position, the disease name, and key clinical and genetic features are shown.
MIM: Mendelian inheritance in man; AD: autosomal dominant; GOF: gain of function; ACTH: adrenocorticotropic hormone; CAH: congenital adrenal hyperplasia; AR: autosomal recessive; LOF: loss of function.
Adapted from: Ehret GB, Caulfield MJ. Genes for blood pressure: An opportunity to understand hypertension. Eur Heart J 2013; 34:951.
Graphic 105744 Version 3.0

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