KEGG   DISEASE: High blood pressure
Entry
H01633                      Disease                                
Name
High blood pressure;
Hypertension
  Subgroup
Essential hypertension (EHT)
Glucocorticoid-remediable aldosteronism (GRA) [DS:H00602]
Apparent mineralocorticoid excess syndrome (AME) [DS:H00259]
Gordon syndrome [DS:H00243]
Liddle syndrome [DS:H00242]
Description
High blood pressure (hypertension) is the most frequent classic cardiovascular risk factor and accounts for a large proportion of cardiovascular mortality, the main cause of death worldwide. Hypertension is generally classified as primary (essential) or secondary. Essential hypertension (EHT) is the most common diagnosis in this disease, suggesting that a monocausal etiology has not been identified. However, a number of risk factors associated with EHT have also been identified such as age, sex, demographic, environmental, genetic, and vascular factors. Secondary hypertension generally has an earlier age at onset, no family history, and a clear cause such as a renal or endocrine disorder, or an iatrogenic trigger, such as use of oral contraceptives. Blood pressure is a heritable trait; an estimated 30% of variance in blood pressure relates to genetic factors. Understanding of the genetic architecture of traits has progressed in rare mendelian hypertensive phenotypes, such as Gordon's syndrome and Liddle syndrome (LIDLS).
Category
Cardiovascular disease
Brite
Human diseases in ICD-11 classification [BR:br08403]
 11 Diseases of the circulatory system
  Hypertensive diseases
   BA00  Essential hypertension
    H01633  High blood pressure
Pathway
hsa04925  Aldosterone synthesis and secretion
hsa04960  Aldosterone-regulated sodium reabsorption
Gene
(EHT) PTGIS [HSA:5740] [KO:K01831]
(EHT) AGTR1 [HSA:185] [KO:K04166]
(EHT) ADD1 [HSA:118] [KO:K18622]
(EHT) AGT [HSA:183] [KO:K09821]
(EHT) ECE1 [HSA:1889] [KO:K01415]
(EHT) CYP3A5 [HSA:1577] [KO:K17690]
(EHT) NOS3 [HSA:4846] [KO:K13242]
(EHT) GNB3 [HSA:2784] [KO:K07825]
NR3C2 [HSA:4306] [KO:K08555]
(GRA) CYP11B2 [HSA:1585] [KO:K07433]
(GRA) CYP11B1 [HSA:1584] [KO:K00497]
(AME) HSD11B2 [HSA:3291] [KO:K00071]
(LIDLS) SCNN1B [HSA:6338] [KO:K04825]
(LIDLS) SCNN1G [HSA:6340] [KO:K04827]
(LIDLS) SCNN1A [HSA:6337] [KO:K04824]
Drug
Methyldopa [DR:D00405]
Clonidine hydrochloride [DR:D00604]
Guanfacine hydrochloride [DR:D00606]
Mecamylamine hydrochloride [DR:D00611]
Prazosin hydrochloride [DR:D00609]
Doxazosin mesylate [DR:D00608]
Hydralazine hydrochloride [DR:D01302]
Minoxidil [DR:D00418]
Methyldopa and hydrochlorothiazide [DR:D10267]
Clonidine and chlorthalidone [DR:D10591]
Hydrochlorothiazide [DR:D00340]
Chlorothiazide [DR:D00519]
Methyclothiazide [DR:D00656]
Chlorthalidone [DR:D00272]
Indapamide [DR:D00345]
Furosemide [DR:D00331]
Torsemide [DR:D00382]
Spironolactone [DR:D00443]
Eplerenone [DR:D01115]
Hydrochlorothiazide and triamterene [DR:D10269]
Spironolactone and hydrochlorothiazide [DR:D10270]
Amiloride hydrochloride and hydrochlorothiazide [DR:D10271]
Phenoxybenzamine hydrochloride [DR:D00507]
Diltiazem hydrochloride [DR:D00616]
Pindolol [DR:D00513]
Propranolol hydrochloride [DR:D00483]
Nadolol [DR:D00432]
Metoprolol tartrate [DR:D00601]
Metoprolol succinate [DR:D00635]
Atenolol [DR:D00235]
Acebutolol hydrochloride [DR:D00597]
Betaxolol hydrochloride [DR:D00598]
Bisoprolol fumarate [DR:D00634]
Esmolol hydrochloride [DR:D00644]
Nebivolol hydrochloride [DR:D06622]
Labetalol hydrochloride [DR:D00600]
Carvedilol [DR:D00255]
Carvedilol phosphate [DR:D03415]
Propranolol hydrochloride and hydrochlorothiazide [DR:D10274]
Nadolol and bendroflumethiazide [DR:D10272]
Metoprolol and hydrochlorothiazide [DR:D10273]
Bisoprolol fumarate and hydrochlorothiazide [DR:D10275]
Atenolol and chlorthalidone [DR:D10592]
Amlodipine besylate [DR:D00615]
Amlodipine benzoate [DR:D11881]
Felodipine [DR:D00319]
Isradipine [DR:D00349]
Nicardipine hydrochloride [DR:D00617]
Nifedipine [DR:D00437]
Nisoldipine [DR:D00618]
Clevidipine [DR:D08892]
Levamlodipine maleate [DR:D11723]
Amlodipine and celecoxib [DR:D11705]
Verapamil hydrochloride [DR:D00619]
Captopril [DR:D00251]
Enalapril maleate [DR:D00621]
Lisinopril [DR:D00362]
Perindopril erbumine [DR:D00624]
Ramipril [DR:D00421]
Quinapril hydrochloride [DR:D00459]
Benazepril hydrochloride [DR:D00620]
Fosinopril sodium [DR:D00622]
Trandolapril [DR:D00383]
Moexipril hydrochloride [DR:D00623]
Captopril and hydrochlorothiazide [DR:D10276]
Enalapril maleate and hydrochlorothiazide [DR:D10277]
Hydrochlorothiazide and lisinopril [DR:D10268]
Quinapril hydrochloride and hydrochlorothiazide [DR:D10278]
Benazepril hydrochloride and hydrochlorothiazide [DR:D10279]
Fosinopril and hydrochlorothiazide [DR:D10280]
Moexipril hydrochloride and hydrochlorothiazide [DR:D10281]
Perindopril and amlodipine [DR:D11581]
Trandolapril and verapamil hydrochloride [DR:D10282]
Amlodipine and benazepril [DR:D11069]
Losartan potassium [DR:D00357]
Eprosartan mesylate [DR:D02082]
Valsartan [DR:D00400]
Irbesartan [DR:D00523]
Candesartan cilexetil [DR:D00626]
Telmisartan [DR:D00627]
Olmesartan medoxomil [DR:D01204]
Azilsartan medoxomil [DR:D08067]
Azilsartan kamedoxomil [DR:D08865]
Losartan potassium and hydrochlorothiazide [DR:D07895]
Eprosartan mesylate and hydrochlorothiazide [DR:D10283]
Valsartan and hydrochlorothiazide [DR:D09197]
Irbesartan and hydrochlorothiazide [DR:D10249]
Candesartan cilexetil and hydrochlorothiazide [DR:D09196]
Telmisartan and hydrochlorothiazide [DR:D09219]
Olmesartan medoxomil and hydrochlorothiazide [DR:D10284]
Azilsartan medoxomil and chlorthalidone [DR:D10589]
Valsartan and amlodipine besilate [DR:D09745]
Amlodipine besylate and olmesartan medoxomil [DR:D10285]
Telmisartan and amlodipine besilate [DR:D09743]
Amlodipine, valsartan and hydrochlorothiazide [DR:D10286]
Olmesartan medoxomil, amlodipine besylate and hydrochlorothiazide [DR:D10288]
Nebivolol and valsartan [DR:D11388]
Aliskiren fumarate [DR:D06412]
Aliskiren hemifumarate and hydrochlorothiazide [DR:D10289]
Amlodipine besilate and atorvastatin calcium [DR:D08488]
Terazosin hydrochloride anhydrous [DR:D11585]
Enalaprilat [DR:D03769]
Methyldopate hydrochloride [DR:D04997]
Other DBs
ICD-11: BA00
ICD-10: I10
MeSH: D006973
OMIM: 145500 605115
Reference
  Authors
Poulter NR, Prabhakaran D, Caulfield M
  Title
Hypertension.
  Journal
Lancet 386:801-12 (2015)
DOI:10.1016/S0140-6736(14)61468-9
Reference
  Authors
Singh M, Singh AK, Pandey P, Chandra S, Singh KA, Gambhir IS
  Title
Molecular genetics of essential hypertension.
  Journal
Clin Exp Hypertens 38:268-77 (2016)
DOI:10.3109/10641963.2015.1116543
Reference
  Authors
Ehret GB, Caulfield MJ
  Title
Genes for blood pressure: an opportunity to understand hypertension.
  Journal
Eur Heart J 34:951-61 (2013)
DOI:10.1093/eurheartj/ehs455
Reference
PMID:12372404 (PTGIS)
  Authors
Nakayama T, Soma M, Watanabe Y, Hasimu B, Sato M, Aoi N, Kosuge K, Kanmatsuse K, Kokubun S, Marrow JD, Oates JA
  Title
Splicing mutation of the prostacyclin synthase gene in a family associated with hypertension.
  Journal
Biochem Biophys Res Commun 297:1135-9 (2002)
DOI:10.1016/s0006-291x(02)02341-0
Reference
PMID:15042429 (AGTR1)
  Authors
Kobashi G, Hata A, Ohta K, Yamada H, Kato EH, Minakami H, Fujimoto S, Kondo K
  Title
A1166C variant of angiotensin II type 1 receptor gene is associated with severe hypertension in pregnancy independently of T235 variant of angiotensinogen gene.
  Journal
J Hum Genet 49:182-186 (2004)
DOI:10.1007/s10038-004-0129-4
Reference
PMID:10024330 (ADD1)
  Authors
Manunta P, Burnier M, D'Amico M, Buzzi L, Maillard M, Barlassina C, Lanella G, Cusi D, Bianchi G
  Title
Adducin polymorphism affects renal proximal tubule reabsorption in hypertension.
  Journal
Hypertension 33:694-7 (1999)
DOI:10.1161/01.hyp.33.2.694
Reference
PMID:1394429 (AGT)
  Authors
Jeunemaitre X, Soubrier F, Kotelevtsev YV, Lifton RP, Williams CS, Charru A, Hunt SC, Hopkins PN, Williams RR, Lalouel JM, et al.
  Title
Molecular basis of human hypertension: role of angiotensinogen.
  Journal
Cell 71:169-80 (1992)
DOI:10.1016/0092-8674(92)90275-h
Reference
PMID:12566389 (ECE1)
  Authors
Funke-Kaiser H, Reichenberger F, Kopke K, Herrmann SM, Pfeifer J, Orzechowski HD, Zidek W, Paul M, Brand E
  Title
Differential binding of transcription factor E2F-2 to the endothelin-converting enzyme-1b promoter affects blood pressure regulation.
  Journal
Hum Mol Genet 12:423-33 (2003)
DOI:10.1093/hmg/ddg040
Reference
PMID:11279519 (CYP3A5)
  Authors
Kuehl P, Zhang J, Lin Y, Lamba J, Assem M, Schuetz J, Watkins PB, Daly A, Wrighton SA, Hall SD, Maurel P, Relling M, Brimer C, Yasuda K, Venkataramanan R, Strom S, Thummel K, Boguski MS, Schuetz E
  Title
Sequence diversity in CYP3A promoters and characterization of the genetic basis of polymorphic CYP3A5 expression.
  Journal
Nat Genet 27:383-91 (2001)
DOI:10.1038/86882
Reference
PMID:11394896 (NOS3)
  Authors
Jachymova M, Horky K, Bultas J, Kozich V, Jindra A, Peleska J, Martasek P
  Title
Association of the Glu298Asp polymorphism in the endothelial nitric oxide synthase gene with essential hypertension resistant to conventional therapy.
  Journal
Biochem Biophys Res Commun 284:426-30 (2001)
DOI:10.1006/bbrc.2001.5007
Reference
PMID:9425898 (GNB3)
  Authors
Siffert W, Rosskopf D, Siffert G, Busch S, Moritz A, Erbel R, Sharma AM, Ritz E, Wichmann HE, Jakobs KH, Horsthemke B
  Title
Association of a human G-protein beta3 subunit variant with hypertension.
  Journal
Nat Genet 18:45-8 (1998)
DOI:10.1038/ng0198-45
Reference
PMID:10884226 (NR3C2)
  Authors
Geller DS, Farhi A, Pinkerton N, Fradley M, Moritz M, Spitzer A, Meinke G, Tsai FT, Sigler PB, Lifton RP
  Title
Activating mineralocorticoid receptor mutation in hypertension exacerbated by pregnancy.
  Journal
Science 289:119-23 (2000)
DOI:10.1126/science.289.5476.119
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