Journal of the American Heart Association

Blood pressure gene scores linked to artery stiffness

An observational study of 5,804 people linked blood pressure gene scores to pressure-related artery stiffness, but not to structural stiffness associated with aging.

Figure 1 from Journal of the American Heart Association
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Figure 1. Gepner et al.
Cohort study of 5,804 peopleMechanisms

An observational study examined 5,804 participants in the Multi-Ethnic Study of Atherosclerosis, whose average age was 62.8 years. Researchers compared ultrasound measurements of neck arteries with genetic scores combining DNA variants associated with blood pressure. They estimated structural stiffness, attributed to aging, at a standard blood pressure of 120/80 millimetres of mercury. They calculated pressure-related stiffness as the difference between total and structural stiffness.

Scores for the upper and lower blood pressure readings were associated with total and pressure-related stiffness. A score for the gap between these readings was associated only with pressure-related stiffness. None was associated with structural stiffness. A Mendelian randomization analysis, which used genetic differences to assess the links, also associated both readings with pressure-related stiffness.

Why it matters

Arterial stiffness is a marker of cardiovascular disease risk. Separating aging-related structural changes from pressure-related stiffness addresses whether the same genetic influences underlie both.

Caveats

This observational study used modelled estimates to separate the stiffness components. It did not test whether lowering blood pressure changed artery stiffness.

The paper

Polygenic Determinants of Arterial Stiffness: Implications for Hypertension

Department of Medicine-Division of Cardiovascular Medicine William S. Middleton Memorial Veteran's Hospital Madison WI USA; The Institute for Translational Genomics and Population Sciences

Journal of the American Heart Association, 10 Oct 2026

doi.org/10.1161/jaha.125.047424PubMed 42858016