Background:
Globally, high blood pressure (BP) is the most important risk factor for cardiovascular disease. Several genome-wide association studies (GWAS) have identified variants associated with BP traits at more than 535 chromosomal loci with genome-wide significance. The post-GWAS challenge is to annotate the most likely causal gene(s) at each locus. Chromosome 10q24.32 is a locus associated with BP that encompasses five genes:
CYP17A1, BORCS7, AS3MT, CNNM2
, and
NT5C2
and warrants investigation to determine the specific gene or genes responsible for the phenotype.
Aim:
To identify the most likely causal gene(s) associated with BP at the 10q24.32 locus using zebrafish as an animal model.
Results:
We report significantly higher blood flow, increased arterial pulse, and elevated linear velocity in zebrafish larvae with
cnnm2
and
nt5c2
knocked down using gene-specific splice modification transcriptional morpholinos, compared with controls. No differences in blood-flow parameters were observed after
as3mt, borcs7
, or
cyp17a1
knockdown. There was no effect on vessel diameter in animals with any of the four genes knocked down. At the molecular level, expression of hypertension markers (
crp
and
ace
) was significantly increased in
cnnm2
and
nt5c2
knockdown larvae. Further, the results obtained by morpholino knockdown were validated using zebrafish knockout (KO) lines with
cnnm2
and
nt5c2
deficiency, again resulting in higher blood flow, increased arterial pulse, and elevated linear velocity. Analysis of
nt5c2a
KO larvae demonstrated that lack of this gene resulted in reduced expression of
cnnm2a
, with reciprocal downregulation of
nt5c2a
in
cnnm2a
KO larvae. Staining of whole-blood smears from
nt5c2
mutants revealed that KO of this gene might be associated with an acute lymphoblastic leukemia phenotype, consistent with literature reports. Additional experiments were designed based on previous literature on
cnnm2a
mutant zebrafish revealed impaired renal function, high levels of renin, and significantly increased expression of the
ren
gene, leading us to hypothesize that the observed elevated blood-flow parameters may be attributable to triggering of the renin–angiotensin–aldosterone signaling pathway.
Conclusion:
Our zebrafish data establish
CNNM2
and
NT5C2
as the most likely causal genes at the 10q24.32 BP locus and indicate that they trigger separate downstream mechanistic pathways.