The
metabolic syndrome and
type 2 diabetes are associated with endothelial activation (and thus with inflammatory processes leading to
atherosclerosis), but the mechanisms that underlie these associations are not fully understood. Endothelial
intercellular adhesion molecule (ICAM)-1 plays an important role in the recruitment of immune cells during the development of
atherosclerotic plaque and is a marker of inflammatory disease. We performed bivariate quantitative genetic analyses to estimate genetic and environmental correlations between circulating
ICAM-1 concentration and 17 phenotypes associated with the
metabolic syndrome. Our study population comprised 428 adults in 20 extended Mexican-American families from the San Antonio Family Heart Study (SAFHS). Circulating
ICAM-1 concentration is heritable (h(2) = 0.56).
ICAM-1 concentration showed significant positive genetic correlations (range 0.32-0.52, P < 0.05) with fasting
insulin,
insulin 2 h after oral
glucose challenge, homeostasis model assessment of
insulin resistance, BMI, waist circumference, and
leptin concentration; negative genetic correlation with
HDL3 cholesterol concentration; and negative environmental correlation with
adiponectin concentration. Significant genetic correlations were not found between
ICAM-1 and fasting or 2-h serum
glucose or systolic or diastolic blood pressure. Thus,
ICAM-1 expression may share common genetic modulation with traits related to
obesity,
insulin resistance, and
HDL3 cholesterol, but not with
hyperglycemia or
hypertension per se.