TY - JOUR
T1 - Genetic and environmental factors on the relation of lung function and arterial stiffness
AU - Tarnoki, David Laszlo
AU - Tarnoki, Adam Domonkos
AU - Lazar, Zsofia
AU - Medda, Emanuela
AU - Littvay, Levente
AU - Cotichini, Rodolfo
AU - Fagnani, Corrado
AU - Stazi, Maria Antonietta
AU - Nisticó, Lorenza
AU - Lucatelli, Pierleone
AU - Boatta, Emanuele
AU - Zini, Chiara
AU - Fanelli, Fabrizio
AU - Baracchini, Claudio
AU - Meneghetti, Giorgio
AU - Jermendy, Gyorgy
AU - Préda, István
AU - Kiss, Róbert Gábor
AU - Karlinger, Kinga
AU - Lannert, Agnes
AU - Schillaci, Giuseppe
AU - Molnar, Andrea Agnes
AU - Garami, Zsolt
AU - Berczi, Viktor
AU - Horvath, Ildiko
PY - 2013/6
Y1 - 2013/6
N2 - Background: An association between reduced lung function and increased cardiovascular risk has been reported, but the underlying mechanisms are unknown. The aim of this study was to assess the heritability of lung function and to estimate its genetic association with arterial stiffness. Methods: 150 monozygotic and 42 dizygotic healthy Hungarian and American Caucasian twin pairs (age 43 ± 17 years) underwent spirometry (forced vital capacity/FVC/, forced expiratory volume in 1 s/FEV1/; MIR Minispir, USA); and their brachial and central augmentation indices (AIx), and aortic pulse wave velocity (PWV) were measured by oscillometric Arteriograph (TensioMed Ltd, Budapest, Hungary). Phenotypic correlations and bivariate Cholesky decomposition models were applied. Results: Age-, sex-, country- and smoking-adjusted heritability of FEV1, percent predicted FEV1, FVC and percent predicted FVC were 73% (95% confidence interval /CI/: 45-85%), 28% (95% CI: 0-67%), 68% (95% CI: 20-81%) and 45% (95% CI: 0-66%), respectively. Measured and percent predicted FVC and FEV1 values showed no significant phenotypic correlations with AIx or aortic PWV, except for phenotypic twin correlations between measured FEV1, FVC with brachial or aortic augmentation indices which ranged between -0.12 and -0.17. No genetic covariance between lung function and arterial stiffness was found. Conclusions: Lung function is heritable and the measured FVC and FEV are phenotypically, but not genetically, associated with augmentation index, a measure of wave reflection. This relationship may in turn reveal further associations leading to a better mechanistic understanding of vascular changes in various airway diseases.
AB - Background: An association between reduced lung function and increased cardiovascular risk has been reported, but the underlying mechanisms are unknown. The aim of this study was to assess the heritability of lung function and to estimate its genetic association with arterial stiffness. Methods: 150 monozygotic and 42 dizygotic healthy Hungarian and American Caucasian twin pairs (age 43 ± 17 years) underwent spirometry (forced vital capacity/FVC/, forced expiratory volume in 1 s/FEV1/; MIR Minispir, USA); and their brachial and central augmentation indices (AIx), and aortic pulse wave velocity (PWV) were measured by oscillometric Arteriograph (TensioMed Ltd, Budapest, Hungary). Phenotypic correlations and bivariate Cholesky decomposition models were applied. Results: Age-, sex-, country- and smoking-adjusted heritability of FEV1, percent predicted FEV1, FVC and percent predicted FVC were 73% (95% confidence interval /CI/: 45-85%), 28% (95% CI: 0-67%), 68% (95% CI: 20-81%) and 45% (95% CI: 0-66%), respectively. Measured and percent predicted FVC and FEV1 values showed no significant phenotypic correlations with AIx or aortic PWV, except for phenotypic twin correlations between measured FEV1, FVC with brachial or aortic augmentation indices which ranged between -0.12 and -0.17. No genetic covariance between lung function and arterial stiffness was found. Conclusions: Lung function is heritable and the measured FVC and FEV are phenotypically, but not genetically, associated with augmentation index, a measure of wave reflection. This relationship may in turn reveal further associations leading to a better mechanistic understanding of vascular changes in various airway diseases.
KW - Augmentation index
KW - Forced vital capacity
KW - Genetics
KW - Pulmonary function test
KW - Pulse wave velocity
UR - http://www.scopus.com/inward/record.url?scp=84877576754&partnerID=8YFLogxK
U2 - 10.1016/j.rmed.2013.02.002
DO - 10.1016/j.rmed.2013.02.002
M3 - Article
C2 - 23481174
AN - SCOPUS:84877576754
SN - 0954-6111
VL - 107
SP - 927
EP - 935
JO - Respiratory Medicine
JF - Respiratory Medicine
IS - 6
ER -