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Angiotensin Converting Enzyme Gene Polymorphism and its Association with Hypertension in South Indian Population

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Abstract

Hypertension, a well known risk factor for various cardiovascular, peripheral vascular and renal events is an important public health challenge. Renin angiotensin system (RAS) being the most vital pathogenic mechanism of hypertension is mediated by a key component; the angiotensin converting enzyme (ACE). The present study was aimed to know the relationship of ACE gene polymorphism and the possible risk of development of hypertension in south Indian population. The study included 101 clinically diagnosed hypertensive patients without any associated disease condition and 81 age and sex matched apparently healthy controls. Genotyping was performed using a polymerase chain reaction, (PCR) amplification of the intron 16 fragment harboring the 287 bp Alu repeat sequence. Three possible genotypes D/D, I/I homozygous and I/D heterozygous were analyzed where the D/D genotypes corresponds to higher ACE levels (D-Deletion, I-Insertion). The PCR products were separated on 2 % agarose gel. Statistical analysis was performed using SPSS.15 software program. We found a significance in frequency of D/D genotype in the hypertensive patients compared to the control group (p = 0.0005, odd’s ratio = 4.157). This suggested that ACE (D/D) genotypes are more prone for the development of hypertension. This is relatively a pilot study; but nevertheless may assist in identifying the pathophysiological cause of hypertension.

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References

  1. Kannel WB, Wilson PWF. Cardiovascular risk factors and hypertension. In: Izzo Jl, Black H, editors. Hypertension primer (Second edition): The essentials of high blood pressure. 1999;335:765–774.

  2. Lindpaintner K, Ganten D. Tissue renin angiotensin system and their modulation: the heart as a paradigm for new aspects of converting enzyme inhibition. Cardiology. 1991;79 suppl:32–44.

    Article  Google Scholar 

  3. Griendling KK, Murphy TW. Molecular biology of renin angiotensin system. Circulation. 1993;87:1810–28.

    Article  Google Scholar 

  4. Neuringer IR, Brenner BM. Hemodynamic theory of progressive renal disease—a 10 yr updates in brief review. Am J Kidney Dis. 1993;22:98–104.

    PubMed  CAS  Google Scholar 

  5. Navar LG, Lewis L, Hymel A. Tubular fluid concentrations and kidney contents of angiotensins I and II in anesthetized rats. J Am Soc Nephrol. 1994;5:1153–8.

    PubMed  CAS  Google Scholar 

  6. Atiyeh BA, Arant BS Jr, Henrich WL. In vitro production of angiotensin II by isolated glomeruli. Am J Physiol Renal. 1995;268:F266–72.

    CAS  Google Scholar 

  7. Urata H, Nishimura H, Ganten D. Mechanism of angiotensin II formation in humans. Eur Heart J. 1995;16:79–85.

    PubMed  CAS  Google Scholar 

  8. Zitnay C, Siragy HM. Action of angiotensin receptor subtypes on the renal tubules and vasculature: implications for volume homeostasis and atherosclerosis. Miner Electrolyte Metab. 1998;24:362–70.

    Article  PubMed  CAS  Google Scholar 

  9. Siragy HM. AT1 and AT2 receptors in the kidney: role in disease and treatment. Am J Kidney Dis. 2000;36:S4–90.

    Article  PubMed  CAS  Google Scholar 

  10. Hubert C, Houot AM, Corvol P. Association between ACE gene I/D polymorphism and primary hypertension in Turkish patients of Trakya region. Biol Chem. 1991;266:15377–83.

    CAS  Google Scholar 

  11. Mattei MG, Hubert C, Alhenc F. ACE gene is on chromosome 17. Cytogenet Cell Genet. 1989;51:1041–5.

    Google Scholar 

  12. Rigat B, Hubert C, Corvol P. Serum ACE levels in D/D genotype. Nucleic Acids Res. 1992;20:143.

    Article  Google Scholar 

  13. Rigat B, Hubert C, Alhenc gelas F. An insertion/deletion polymorphism in the ACE gene accounting for half the variance of serum enzyme levels. J Clin Invest. 1990;86:1343–6.

    Article  PubMed  CAS  Google Scholar 

  14. Jeffers BW, Estacio RO, Raynolds MV. Angiotensin converting enzyme polymorphism in non insulin dependent diabetes mellitus and its relationship with diabetic nephropathy. Kidney Int. 1997;52:473–7.

    Article  PubMed  CAS  Google Scholar 

  15. Marre M, Jeunemaitre X, Gallois Y. Contribution of genetic polymorphism in the renin angiotensin system to the development of renal complication in IDDM. J Clin Invest. 1997;99:1585–95.

    Article  PubMed  CAS  Google Scholar 

  16. Mulder HJGH, van Geel PP, Schalij MJ, van Gilst WH, Zwinderman AH, Bruschke AVG. DD ACE gene polymorphism is associated with increased coronary artery endothelial dysfunction. Heart. 2003;89:557–8.

    Article  PubMed  CAS  Google Scholar 

  17. Takemoto Yuji, Sakatini Mitsunori, Takani Seijyu. Association between AII receptor gene polymorphism and serum ACE activity in patients with sarcoidosis. Thorax. 1998;53:549–62.

    Article  Google Scholar 

  18. Chobain AV. The Seventh report of joint national committee on prevention, detection, evaluation and treatment of high blood pressure. The JNC & report. JAMA. 2003;289:2560–72.

    Article  Google Scholar 

  19. Miller SA, Dykes DD, Polesky HF. A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Res. 1998;16:1215.

    Article  Google Scholar 

  20. Gupta R. Trends in hypertension. Epidemiology in India. Hum Hypertens. 2004;18:73–8.

    Article  CAS  Google Scholar 

  21. Chaturvedi N. Ethnic differences in cardiovascular disease. Heart. 2003;89:681–6.

    Article  PubMed  Google Scholar 

  22. Manunta Paolo. Are the new single nucleotide polymorphisms relevant for hypertensive populations? J Hypertens. 2002;20(12):2335–6.

    Article  PubMed  CAS  Google Scholar 

  23. Thiol B, Weber AB. Genes for essential hypertension. Hype, help or hope? J Clin Hypertens (Greenwich). 2002;2:187–93.

    Google Scholar 

  24. Duru K, Farrow S, Wang J. Frequency of deletion polymorphism in the gene for ACE is increased in African Americans with hypertension. Am J Hypertens. 1994;7:759–62.

    PubMed  CAS  Google Scholar 

  25. Chiang FT, Chern TH, Lai ZP. Age and gender dependent association of ACE gene with essential hypertension in a Chinese population. J Hum Hypertens. 1996;10:823–6.

    PubMed  CAS  Google Scholar 

  26. Morise T, Takeguchi Y, Takeda R. ACE polymorphism and essential hypertension. Lancet. 1994;343:125.

    Article  PubMed  CAS  Google Scholar 

  27. Nakno Y, Oshima T, Hiraga H. Genotype of ACE is a risk factor for early onset of essential hypertension Japanese population. J Lab Clin Med. 1998;13:502–6.

    Article  Google Scholar 

  28. Morshed Mahboob. Association between ACE polymorphism and hypertension in selected individuals of Bangladeshi populations. J Biochem Mol Biol. 2002;35(3):251–4.

    Article  PubMed  CAS  Google Scholar 

  29. Alaatin Y. No association between deletion type ACE gene polymorphism and left ventricular hypertrophy in hemodialysis patients. Nephron. 2000;84:130–5.

    Article  Google Scholar 

  30. Maguchi M. ACE polymorphism in essential hypertensive patients in Japanese population. Angiology. 1996;47(7):643–8.

    Article  PubMed  CAS  Google Scholar 

  31. Pamies AE, Palmero PC, Garcia LR. Effect of angiotensinogen M235T and the ACE I/D polymorphism on arterial hypertension and cardiovascular risk factors. Med Clin. 1999;113(51):164–8.

    Google Scholar 

  32. Dazida G, Sobatyl J, Puzniak A. Polymorphism of ACE and Ang II receptor type I gene in essential hypertension in Polish population. Clin Res. 2001;7:1236–41.

    Google Scholar 

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Correspondence to Ipsita Choudhury.

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Choudhury, I., Jothimalar, R. & Patra, A.K. Angiotensin Converting Enzyme Gene Polymorphism and its Association with Hypertension in South Indian Population. Ind J Clin Biochem 27, 265–269 (2012). https://doi.org/10.1007/s12291-012-0217-8

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