Skip to main content

Advertisement

Log in

Genetic association study of ACE I/D, 4a/b of eNOS, rs1801133 of MTHFR, and T344C of CYP11B2 with chronic kidney disease (CKD) in the Jammu region of North Indian population

  • Original Article
  • Published:
The Nucleus Aims and scope Submit manuscript

Abstract

Chronic kidney diseases are described by the decreased ability of the kidney to perform its normal functions, which include removing waste products from the blood, controlling blood pressure, and producing erythropoietin. In the current molecular epidemiological study we aimed to find out the association between the ACE I/D, 4a/b of eNOS, rs1801133 of MTHFR, and T344C of CYP11B2 polymorphism and chronic kidney diseases (CKD) in the population of Jammu region of the north Indian population. Convenient-based random sampling and simple random sampling approach were utilized to draw patients and control respectively. DNA was isolated from the collected blood sample and after target sequence amplification, the PCR–RFLP genotyping method was utilized to detect polymorphism and the result was confirmed by statistical analysis. We observed that risk allele i.e., CC of T344C, 4a/b variation of eNOS and rs1801133 of MTHFR was found to be significantly associated with CKD with an association value of OR 1.33, 95% CIs [1.02–1.72] (p value = 0.007), OR 1.72, 95% CIs 1.72 [1.24–2.38] (p value = 0.001) and OR 5.98, 95% CIs [2.05–17.42] (p value = 0.0002) respectively. In conclusion, this molecular epidemiology study shows the variation in CYP11B2, eNOS, and MTHFR (T344C, 4a/b allele, and rs1801133 respectively) significantly increases the risk of CKD in the region of Jammu of the north Indian population.

Graphical abstract

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

Data and material availability

The data that has been generated in the present study, has been included in the manuscript.

Abbreviations

CKD:

Chronic kidney diseases

NKF:

National kidney foundation

eGFR:

Estimated glomerular filtration rate

GBD-2019:

Global burden disorder- 2019

ACE :

Angiotensin-converting enzyme

e-NOS :

Endothelial nitric oxide synthase

MTHFR :

Methylenetetrahydrofolate reductase

CYP11B2 :

Cytochrome P450 family 11 subfamily B member 2

VNTR:

Variable number of tandem repeats

ASCOMS:

Acharaya Shri Chander college of medical sciences

UT:

Union territory

EDTA:

Ethylenediaminetetraacetic acid solution

GAS:

Genetic association study

IEC:

Institutional ethical committee

GUI:

Graphical user interface

OR:

Odds ratio

CI:

Confidence interval

BMI:

Body mass index

WHR:

Waist hip ratio

SBP:

Systolic blood pressure

DBP:

Diastolic blood pressure

PR:

Pulse rate

FBS:

Fasting blood sugar

LDL-C:

Low density lipoprotein-cholesterol

HDL-C:

High-density lipoprotein-cholesterol

HWE:

Hardy–Weinberg equilibrium

ESRD:

End stage renal diseases

SF-1:

Steroidogenic transcription factor

HTN:

Hypertension

T2DM:

Type 2 diabetes

5,10-MTHF:

5,10-Methylenetetrahydrofolate

5-MTHF:

5-Methyltetrahydrofolate

CVD:

Cardio vascular diseases

References

  1. AbdeL-Aziz AF, EL-Saeed AF, EL-Dahshan K, AL-Sayed Ebead B. Association of angiotensin-I-converting enzyme (ACE) insertion/deletion gene polymorphism with end stage renal disease in Egyptian patients. Br J Med Med Res. 2014;4(8):1763–71.

    Google Scholar 

  2. Ahluwalia TS, Ahuja M, Rai TS, Kohli HS, Sud K, Bhansali A, Khullar M. Endothelial nitric oxide synthase gene haplotypes and diabetic nephropathy among Asian Indians. Mol Cell Biochem. 2008;314:9–17.

    Article  CAS  PubMed  Google Scholar 

  3. Ali S, Mehr MT, Bilal M, Zubair M, Khan AS, Mehmood N. Angiotensin 1 converting enzyme encoding gene polymorphism in renal patients. Pakistan J Med Health Sci. 2022;16(08):890–890.

    Article  Google Scholar 

  4. Al-Janabi LM, Algenabi AHA, Mohammed AJ. Endothelial nitric oxide synthase (eNOS) 4b/a gene polymorphism and the risk of diabetic nephropathy in type 2 diabetes. Tai-Qar Med J. 2016;11(1):65–75.

    Google Scholar 

  5. Anbazhagan K, Sampathkumar K, Ramakrishnan M, Gomathi P, Gomathi S, Selvam GS. Analysis of polymorphism in renin angiotensin system and other related genes in south Indian chronic kidney disease patients. Clin Chim Acta. 2009;406:108–12.

    Article  CAS  PubMed  Google Scholar 

  6. Antoniades C, Shirodaria C, Warrick N, Cai S, de Bono J, Lee J, Leeson P, Neubauer S, Ratnatunga C, Pillai R, Refsum H, Channon KM. 5-methyltetrahydrofolate rapidly improves endothelial function and decreases superoxide production in human vessels: effects on vascular tetrahydrobiopterin availability and endothelial nitric oxide synthase coupling. Circulation. 2006;114(11):1193–201. https://doi.org/10.1161/CIRCULATIONAHA.106.612325.

    Article  CAS  PubMed  Google Scholar 

  7. Arfa I, Abid A, Nouria S, Elloumii Zghal H, Malouche D, Mannai L, Zorgati MM, Ben AN, Zouari B, Ben Ammar S, Ben Rayana MC, Hmida S, Blousa-Chabchoub S, Abdelhak S. Lack of association between the angiotensis converting enzyme gene (I/D) polymorphism and diabetic nephrology in Tunisian type 2 Diabetic patients. J Renin Angio Aldo. 2008;S-9:32–6.

    Google Scholar 

  8. Aucella F, Margaglione M, Grandone E, Vigilante M, Gatta G, Forcella M, Ktena M, Min AD, Salatino G, Procaccini DA, Stallone C, Gesualdo L. The C677T methylenetetrahydrofolate reductase gene mutation does not influence cardiovascular risk in the dialysis population: results of a multicentre prospective study. Nephrol Dial Transplant. 2005;20:382–6.

    Article  CAS  PubMed  Google Scholar 

  9. Bellini MH, Figueira MN, Piccoli MF, Marumo JT, Cendoroglo MS, Neto MC, Dalboni MA, Batista MC, Goes MA, Schor N. Association of endothelial nitric oxide synthase gene intron 4 polymorphism with end-stage renal disease. Nephrology. 2007;12:289–93.

    Article  CAS  PubMed  Google Scholar 

  10. Bhagat M, Raina JK, Sharma M, Sharma R, Panjaliya RK, Bali SK, Tripathi NK. Association analysis of ACE I/D genotype with gynoid chronic kidney disease patients of Jammu region (J&K). Int J Recent Sci Res. 2017;8(12):22115–7.

    Google Scholar 

  11. Buraczynska M, Ksiazek P, Zaluska W, Nowicka T, Ksiazek A. Endothelial nitric oxide synthase gene intron 4 polymorphism in patients with end-stage renal disease. Nephrol Dial Transplant. 2004;19:2302–6.

    Article  CAS  PubMed  Google Scholar 

  12. Chen H, Wei F, Wang L, Wang Z, Meng J, Jia L, Sun G, Zhang R, Li B, Yu H, Pang H, Bi X, Dong H, Jiang A, Wang L. MTHFR gene C677T polymorphism and type 2 diabetic nephropathy in Asian populations: a meta-analysis. Int J Clin Exp Med. 2015;8(3):3662–70.

    PubMed  PubMed Central  Google Scholar 

  13. Choudhry N, Nagra SA, Shafi T, Mujtaba G, Abiodullah M, Rashid N. Lack of association of insertion/deletion polymorphism in angiotensin converting enzyme gene with nephropathy in type 2 diabetic patients in Punjabi population of Pakistan. Afr J Biotech. 2012;11(6):1484–9.

    CAS  Google Scholar 

  14. Cimponeriu DG, Vladica M, Apostol PP, Panaite C, Craciun AM, Ungureanu D, Moldovan C, Serafinceanu C, Gavrila L, Cheta DM. The MTHFR C677T and eNOS ID polymorphisms increase the risk for ESRD in Romanian diabetic and nondiabetic patients. Diabetes. 2007;1(56):A92.

    Google Scholar 

  15. Deepashree GA, Ramprasad E, Jayakumar M, Paul SF, Gnanasambandan R. ACE ID gene polymorphism contributes to chronic kidney disease progression but not NOS3 gene among type 2 diabetes with nephropathy patients. Endocr Metab Sci. 2021;4:100100.

    Article  Google Scholar 

  16. Dong Q, Tang G, He M, Cai Y, Cai Y, Xing H, Sun L, Li J, Zhang Y, Fan F, Wang B, Sun N, Liu L, Xu X, Hou F, Shen H, Xu X, Huo Y. Methylenetetrahydrofolate reductase C677T polymorphism is associated with estimated glomerular filtration rate in hypertensive Chinese males. BMC Med Genet. 2012;13:74.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Elhawary NA, Bogari N, Rashad M, Tayeb MT. Null genetic risk of ACE gene polymorphisms with nephropathy in type 1 diabetes among Egyptian population. Egyptian J Med Human Genet. 2011;12:187–92.

    Article  CAS  Google Scholar 

  18. Elshamaa MF, Sabry SM, Bazaraa HF, Koura HF, Elghoroury EM, Kantoush NA, Thabet EH, Abd-El Haleem DA. Genetic polymorphism of ACE and the angiotensin II type1 receptor genes in children with chronic kidney disease. J Inflamm. 2011;8:20.

    Article  CAS  Google Scholar 

  19. Elumalai R, Periasamy S, Ramanathan G, Lakkakula BNKS. Role of endothelial nitric oxide synthase VNTR (intron 4 a/b) polymorphism on the progression of renal disease in autosomal dominant polycystic kidney disease. J Renal Inj Prev. 2014;3(3):69–73.

    PubMed  PubMed Central  Google Scholar 

  20. Fawwaz S, Balbaa M, Fakhoury H, Borjac J, Fakhoury R. Association between Angiotensin-converting Enzyme Insertion/Deletion Gene Polymorphism and End-stage Renal Disease in Lebanese Patients with Diabetic Nephropathy. Saudi J Kidney Dis Transpl. 2017;28(2):325–9.

    Article  PubMed  Google Scholar 

  21. Förstermann U, Sessa WC. Nitric oxide synthases: regulation and function. Eur Heart J. 2012;33(7):829–837d. https://doi.org/10.1093/eurheartj/ehr304.

    Article  CAS  PubMed  Google Scholar 

  22. Freitas SR, Cabello PH, Moura-Neto RS, Dolinsky LC, Boia MN. Combined analysis of genetic and environmental factors on essential hypertension in a brazilian rural population in the Amazon region. Arq Bras Cardiol. 2007;88(4):447–51.

    Article  PubMed  Google Scholar 

  23. Gao XH, Zhang GY, Wang Y, Zhang HY. Correlations of MTHFR 677C.T polymorphism with cardiovascular disease in patients with end-stage renal disease: a meta-analysis. PLoS ONE. 2014;9(7):e102323. https://doi.org/10.1371/journal.pone.0102323.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Gutierrez-Amavizca BE, Orozco-Castellanos R, Ortíz-Orozco R, Padilla-Gutierrez P, Valle Y, Gutierrez-Gutierrez N, Garcia-Garcia G, Gallegos-Arreola M, Figuera LE. Contribution of GSTM1, GSTT1, and MTHFR polymorphisms to end-stage renal disease of unknown etiology in Mexicans. Indian J Nephrol. 2013;23(6):438–43.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. He Y, Fan Z, Zhang J, Zhang Q, Zheng M, Li Y, Zhang D, Gu S, Yang H. Polymorphism of eNOS gene association with diabetic nephropathy: a meta-analysis. Mutagenesis. 2011;26(2):339–49.

    Article  CAS  PubMed  Google Scholar 

  26. Hishida A, Okada R, Guang Y, Naito M, Wakai K, Hosono S, Nakamura K, Turin TC, Suzuki S, Niimura H, Mikami H, Otonari J, Kuriyama N, Katsuura S, Kubo M, Tanaka H, Hamaiima N. MTHFR, MTR and MTRR polymorphisms and risk of chronic kidney disease in Japanese: cross-sectional data from the J-MICC study. Int Urol Nephrol. 2013;45(6):1613–20.

    Article  CAS  PubMed  Google Scholar 

  27. Jamison RL, Shih MC, Humphries DE, GuarinoDP KJS, Goldfarb DS, Warren SR, Gaziano JM, Lavori P. Effect of the MTHFR C677T and A1298C polymorphisms on survival in patients with advanced CKD and ESRD: a prospective study. Am J Kidney Dis. 2009;53(5):779–89.

    Article  CAS  PubMed  Google Scholar 

  28. Jayapalan JJ, Muniandy S, Pheng CS. Null association between ACE gene I/D polymorphism and diabetic nephropathy among multiethnic Malaysian subjects. Trop J Pharm Res. 2010;9(5):431–9.

    CAS  Google Scholar 

  29. Kazancioğlu R. Risk factors for chronic kidney disease: an update. Kidney Int Suppl. 2013;3(4):368–71. https://doi.org/10.1038/kisup.2013.79.

    Article  Google Scholar 

  30. Kundal BR, Jasrotia R, Raina JK, Bhardawaj R, Panjaliya RK, Kumar P. Angiotensin converting enzyme (ACE) I/D gene polymorphism in susceptibility of migraine. Indian J Appl Res. 2016;6(6):57–9.

    Google Scholar 

  31. Lakkakula BV, Khare RL, Verma HK, Pattnaik S. Genetic association of ACE gene I/D polymorphism with the risk of diabetic kidney disease; a meta-analysis. J Nephropathol. 2019;8(4):e44–e44.

    Article  Google Scholar 

  32. Lee JE, Bae SY, Kim JY, Pyo HJ, Kwon YJ. Aldosterone Synthase Gene (CYP11B2) Polymorphism in Korean End-Stage Renal Disease Patients on Hemodialysis. Electrolyte Blood Press. 2009;7:67–72.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Lin C, Yang HY, Wu CC, Lee HS, Lin YH, Lu KC, Chu CM, Lin FH, Kao SY, Su SL. Angiotensin-converting enzyme insertion/deletionpolymorphism contributes high risk for chronic kidney disease in asian male with hypertension–a meta-regression analysis of 98 observational studies. PLoS ONE. 2014;9(1):1–16.

    Article  Google Scholar 

  34. Lovati E, Richard A, Frey BM, Frey FJ, Ferrari P. Genetic polymorphisms of the renin-angiotensin-aldosterone system in end-stage renal disease. Kidney Int. 2001;60:46–54.

    Article  CAS  PubMed  Google Scholar 

  35. Mehmetoglu I, Yilmaz G, Kurban S, Acar H, Duzenli MA. Investigation of eNOS gene intron 4 A/B VNTR and intron 23 polymorphisms in patients with essential hypertension. Turk J Med Sci. 2010;40(3):479–84.

    CAS  Google Scholar 

  36. Movvaa S, Alluric RV, Komandurc S, Vattamc K, Eppac K, Mukkavalid KK, Mubigondab S, Sahariab S, Shastryd JC, Hasana Q. Relationship of angiotensin-converting enzyme gene polymorphism with nephropathy associated with type 2 diabetes mellitus in Asian Indians. J Diabetes Complicat. 2007;21:237–41.

    Article  Google Scholar 

  37. Mtiraoui N, Ezzidi I, Chaieb M, Marmouche H, Aouni Z, Chaieb A, Mahjoub T, Vaxillaire M, Almawi WY. MTHFR C677T and A1298C gene polymorphisms and hyperhomocysteinemia as risk factors of diabetic nephropathy in type 2 diabetes patients. Diabetes Res Clin Pract. 2007;75(1):99–106.

    Article  CAS  PubMed  Google Scholar 

  38. Nagamani S, Perumal MS, Perumal RLS, Kesavan C, Muthusamy K. ACE DD genotype associated with females chronic kidney diseases patient of Tamilnadu population. Egyptian J Med Genet. 2015;16:29–33.

    Article  Google Scholar 

  39. Neugebauer S, Baba T, Wantanabe T. Association of the nitric oxide synthase gene polymorphism with an increased risk for progression to diabetic nephropathy in type 2 diabetes. Diabetes. 2000;49(3):500–3.

    Article  CAS  PubMed  Google Scholar 

  40. Pálsson R, Patel UD. Cardiovascular complications of diabetic kidney disease. Adv Chronic Kidney Dis. 2014;21(3):273–80. https://doi.org/10.1053/j.ackd.2014.03.003.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Panjaliya RK, Sethi S, Sharma M, Sharma R, Kumar P, Gupta S. Association of insertion/deletion polymorphism of Alu angiotensin converting enzyme insertion/deletion genotype with type 2 diabetes mellitus and hypertension in J&K population: a case control study. Glob Sci Res J. 2013;1(1):016–20.

    Google Scholar 

  42. Poduri A, Mukherjee D, Sud K, Kohli HS, Sakhuia V, Khullar M. MTHFR A1298C polymorphism is associated with cardiovascular risk in end stage renal disease in North Indians. Mol Cell Biochem. 2008;308(1–2):43–50.

    Article  CAS  PubMed  Google Scholar 

  43. Prasad P, Tiwari AK, Kumar KMP, Ammini AC, Gupta A, Gupta R, Sharma AK, AK, Rao AR, Nagendra R, Chandra TS, Tiwari SC, Rastogi P, Gupta BL and Thelma BK,. Chronic renal insufficiency among Asian Indians with type 2 diabetes: I. Role of RAAS gene polymorphisms. BMC Med Genet. 2006;7:42.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Purkait P, Raychodhury P, Bandhyopadhya S, Naidu JM, Sarkar BN. Analysis of aldosterone synthase gene promoter (- 344 C >T) polymorphism in Indian diabetic nephropathy patients. J Diabetes Metab. 2013;4(5):1–5.

    Article  Google Scholar 

  45. Rajan S, Ramu P, Umamaheswaran, Adithan C. Association of aldosterone synthase (CYP11B2 C-344T) gene polymorphism & susceptibility to essential hypertension in a south Indian Tamil population. Indian J Med Res. 2010;132:379–438.

    CAS  PubMed  Google Scholar 

  46. Ramanathan G, Harichandana B, Kannan S, Elumalai R, Paul S. Association between end-stage diabetic nephropathy and MTHFR (C677T and A1298C) gene polymorphisms. Nephrology. 2017. https://doi.org/10.1111/nep.13208.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Riordan JF. Angiotensin-I-converting enzyme and its relatives. Genome Biol. 2003;4(8):225. https://doi.org/10.1186/gb-2003-4-8-225.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Santos KG, Crispim D, Canani LH, Ferrugem PT, Gross JL, Roisenberg I. Association of eNOS gene polymorphisms with renal disease in Caucasians with type 2 diabetes. Diabetes Res Clin Pract. 2011;91:353–62.

    Article  CAS  PubMed  Google Scholar 

  49. Sauca O, Cojocaru D. Angiotensin-convering enzyme insertion/deletion polymorphism in type i diabetic nephropathy. Genet Asp Diabetic Nephrop. 2011; 15–19.

  50. Schiavello T, Burke V, Bogdanava N, Jasik P, Melson S, Boudville N, Robertson K, Angelicheva D, Dworniczak B, Lemmens M, Horst J, Todorav V, Dimitrak D, Sulowicz W, Krasniak A, StomporT BL, Hallmayer J, Kalaydjieve L, Thomas M. Angiotensin- converting enzyme activity and the ACE Alu polymorphism in autosomal dominant polycystic kidney disease. Nephrol Dial Transp. 2001;16:2323–7.

    Article  CAS  Google Scholar 

  51. Shanmuganathan R, Kumaresan R, Giri P. Prevalence of angiotensin converting enzyme (ACE) gene insertion/deletion polymorphism in South Indian population with hypertension and chronic kidney disease. J Postgrad Med. 2015;61(4):230–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Sharma M, Raina JK, Bhagat M, Panjaliya RK, And SS, Kumar P. Study of association of CYP11B2 C-344T gene polymorphism with hypertension and type 2 diabetes mellitus in the populace of J&K state. Int J Mol Biol. 2016;7(2):124–8.

    Google Scholar 

  53. Shen W, Jiang XX, Li YW, He Q. I/D polymorphism of ACE and risk of diabetes-related end-stage renal disease: a systematic review and meta-analysis. Eur Rev Med Pharmacol Sci. 2019;23(4):1652–60.

    CAS  PubMed  Google Scholar 

  54. Shimizu T, Onuma T, Kawamori R, Makita Y, Tomino Y. Endothelial nitric oxide synthase gene and the development of diabetic nephropathy. Diabetes Res Clin Pract. 2002;58:179–85.

    Article  CAS  PubMed  Google Scholar 

  55. Shoukry A, Shalaby SM, Abdelazim S, Abdelazim M, Ramadan A, Ismail MI, Fouad M. Endothelial nitric oxide synthase gene polymorphisms and the risk of diabetic nephropathy in type 2 diabetes mellitus. Genet Test Mol Biomarkers. 2012;16:574–9.

    Article  CAS  PubMed  Google Scholar 

  56. Sikdar M, Purkait P, Raychoudhury P, Bhattacharya SN, Naidu JM, Sarkar BN. ACE gene insertion/deletion polymorphism and type-2 diabetic nephropathy in eastern Indian population. Human Biol Rev. 2013;2(1):66–76.

    Google Scholar 

  57. Škovierová H, Vidomanová E, Mahmood S, Sopková J, Drgová A, Červeňová T, Halašová E, Lehotský J. the molecular and cellular effect of homocysteine metabolism imbalance on human health. Int J Mol Sci. 2016;17(10):1733. https://doi.org/10.3390/ijms17101733.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Thomas R, Kanso A, Sedor JR. Chronic kidney disease and its complications. Prim Care. 2008;35(2):329–vii. https://doi.org/10.1016/j.pop.2008.01.008.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Tripathi G, Dharmani P, Khan F, Sharma RK, Pandirikkal V, Agrawal S. High prevalence of ACE DD genotype among north Indian end stage renal disease patients. BMC Nephrol. 2006;7:15.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Trovato FM, Catalano D, Ragusa A, Martines GF, Pirri C, Buccheri MA, Di Nora C, Trovato GM. Relationship of MTHFR gene polymorphisms with renal and cardiac disease. World J Nephrol. 2015;4(1):127–37. https://doi.org/10.5527/wjn.v4.i1.127.

    Article  PubMed  PubMed Central  Google Scholar 

  61. Trovato GM, Catalano D, Ragusa A, Martines GF, Tonzuso A, Pirri C, Buccheri MA, Nora CD, Trovato FM. Renal insufficiency in non-diabetic subjects: relationship of MTHFR C677t gene polymorphism and left ventricular hypertrophy. Ren Fail. 2013;35(5):615–23.

    Article  CAS  PubMed  Google Scholar 

  62. Vasudevan R, Ali ABT, Mansoor MS, Zulkifli NF, Ismail P. Analysis of T34C genetic polymorphism of CYPIIB2 gene in Malaysian end stage renal disease subjects. Res J Biol Sci. 2011;6(5):213–8.

    Google Scholar 

  63. Xiong X, Lin XK, Xiao X, Qin DP, Zhou DY, Hu JG, Liu Y, Zhong XS. Association between MTHFR C677T polymorphism and diabetic nephropathy in the Chinese population: An updated meta-analysis and review. Nephrology (Carlton). 2016;21(1):5–12. https://doi.org/10.1111/nep.12541.

    Article  CAS  PubMed  Google Scholar 

  64. Xu H, Wang X, Liu M, Shao X, He X. Association of aldosterone synthase (CYP11B2) -344 T/C polymorphism with diabetic nephropathy: A meta-analysis. J Renin-Angiotensin-Aldosterone Syst: JRAAS. 2016;17(1):1470320316633896.

    Article  PubMed  PubMed Central  Google Scholar 

  65. Yilmaz M, Sari I, Bagci B, Gumus E, Ozdemir O. Aldosterone synthase CYP11B2 gene promoter polymorphism in a Turkish population with chronic kidney disease. Iran J Kidney Dis. 2015;9:209–14.

    PubMed  Google Scholar 

  66. Yousef HM, Abo-Elmagd YE, Yousif MM, Emam WAE. Association of angiotensin converting enzyme gene polymorphism and diabetic nephropathy in type 2 diabetes mellitus in sharkia governorate. ZUMJ. 2014;20(3):463–9.

    Google Scholar 

  67. Zhang L, Chen X, Qin H, Jiang L, Qin Y. Association between CYP11B2-344T/C gene polymorphism and end-stage renal disease susceptibility: a meta-analysis. Int J Clin Exp Med. 2017;10(6):8728–34.

    Google Scholar 

  68. Zintzaras E, Papathanasiou AA, Stefanidis I. Endothelial nitric oxide synthase gene polymorphisms and diabetic nephropathy: A Huge review and meta-analysis. Genet Med. 2009;11(10):695–706.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

The authors gratefully acknowledged the patients and their family’s cooperation in giving their permission to participate in the study. Also the authors are highly thankful to Department of Nephrology, Government medical college, Jammu. The Institute of Human Genetics, University of Jammu, which provided the lab space, is also gratefully acknowledged by the authors.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

Authors

Contributions

PK contributed to the study design, MB, JKR, MS and AS drafted the manuscript, edited the pictures and tables, MB, JKR, and MS analyse the data, MB, KM, IS collected the data, RKP and PK edited the manuscript, PK finalizes the manuscript.

Corresponding author

Correspondence to Parvinder Kumar.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Consent to participate

Every subject was made aware of the nature and scope of the study and their consent was taken before the blood sample collection.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Corresponding Editor: Samik Bhattacharya; Reviewers: Mohd Younis, Javaid Sheikh.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bhagat, M., Raina, J.K., Sharma, M. et al. Genetic association study of ACE I/D, 4a/b of eNOS, rs1801133 of MTHFR, and T344C of CYP11B2 with chronic kidney disease (CKD) in the Jammu region of North Indian population. Nucleus (2023). https://doi.org/10.1007/s13237-023-00433-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s13237-023-00433-7

Keywords

Navigation