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on October 20, 2005

Stroke. 2005
Published online before print October 20, 2005, doi: 10.1161/01.STR.0000185719.66735.dd
A more recent version of this article appeared on November 1, 2005
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Submitted on April 20, 2005
Revised on July 26, 2005
Accepted on August 1, 2005

Heritability of the Function and Structure of the Arterial Wall. Findings of the Erasmus Rucphen Family (ERF) Study

F. A. Sayed-Tabatabaei MD, PhD; M. J.E. van Rijn MSc; A. F.C. Schut MD, PhD; Y. S. Aulchenko PhD; E. A. Croes MD, PhD; M. C. Zillikens MD; H. A.P. Pols MD, PhD; J. C.M. Witteman PhD; B. A. Oostra PhD; and C. M. van Duijn PhD*

From the Departments of Epidemiology & Biostatistics (F.A.S.-T., M.J.E.v.R., Y.S.A., E.A.C., M.C.Z., J.C.M.W., C.M.v.D.), Internal Medicine (A.F.C.S., M.C.Z., H.A.P.P.), and Clinical Genetics (B.A.O.), Erasmus Medical Centre, Rotterdam, The Netherlands.

* To whom correspondence should be addressed. E-mail: c.vanduijn{at}erasmusmc.nl.

Background and Purpose--Using 930 individuals connected in a single pedigree from an isolated population, participants of the Erasmus Rucphen Family (ERF) study, we investigated the heritability of carotid-femoral pulse wave velocity (PWV), carotid intima media thickness (IMT), and carotid plaque score.

Methods--PWV was measured between the carotid and femoral arteries as an indicator of aortic stiffness. Common carotid IMT and plaque score, quantifying alterations in arterial wall structure, were measured by ultrasonography.

Results--All 3 traits were significantly associated with classic cardiovascular risk factors. Age- and gender-adjusted heritability estimates were 0.36 for PWV, 0.41 for carotid IMT, and 0.28 for plaque score. After adjustment for appropriate risk factors, the heritabilities were 0.26, 0.35, and 0.21 for PWV, IMT, and plaque score, respectively. All heritability estimates were statistically significant (P<0.001). Taking into account different proportions of variance associated with covariates for each trait, genetic factors explained {approx}12% of the total variability for each of the phenotypes.

Conclusions--To our knowledge, this is the first report on the heritability of PWV. The heritability estimates of IMT and plaque score were similar to those in previous reports. We conclude that genetic factors significantly contribute to arterial structure and function in this isolated population, presenting the opportunity to locate susceptibility genes related to cardiovascular disorders.


Key words: atherosclerosis • blood flow velocity • carotid arteries • genetics




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