Angiotensin-Converting Enzyme Gene Polymorphism in Patients with Coronary Artery Disease
Keywords:
Angiotensin-Converting enzyme, Genotypes, Polymorphism, Coronary artery diseaseAbstract
Several genetic investigations have been attempted to elucidate the association of gene polymorphism of angiotensin-converting enzyme (ACE) in coronary artery disease. This study was conducted to investigate the role of gene polymorphism of ACE in patients with coronary artery disease. The study included fifty-six numbers of patients with atherosclerotic coronary artery disease where proven angiographically and fifty-six numbers of healthy individuals of sex matched as a control group. The patients and control group were subjected to routine investigations, assays like, serum cholesterol, triglycerides, high-density Lipoprotein-cholesterol (HDL-C), low-density lipoprotein-cholesterol (LDL-C). Genomic DNA was extracted and analyzed for angiotensin-converting enzyme insertion/deletion polymorphism using polymerase chain reaction (PCR). When we compared the genotypes of patients with coronary artery disease and controls, it was observed that all three genotypes were not statistically different also no significant difference of alleles in ACE gene genotypes was found. Inpatient serum cholesterol, triglyceride and HDL-C (P <0.001, P <0.001 and P <0.001: respectively) showed a significant increase than the control group. In patients, LDL-C level was not more significant than controls. In the evaluated population, we conclude that the gene I/D polymorphism for ACE are not risk associated and may not be a useful marker for coronary artery disease.
Downloads
References
Ortega, E.H., Fernández-Aceituno, A.M., Esparragón, F.J., Perera, O.H., Nuez, F.M., Espinosa, A.D., Pérez, D.F., Prieto, A.A. & Pérez, J.C. (2002). The involvement of the renin-angiotensin system gene polymorphisms in coronary heart disease. Rev. Esp. Cardiol., 55(2): 92–99. https://doi.org/10.1016/s0300-8932(02)76567-6.
Cambien, F., Poirier, O., Lecerf, L., Evans, A., Cambou, J.P., Arveiler, D., Luc, G., Bard, J.M., Bara, L. & Ricard, S. (1992). Deletion polymorphism in the gene for angiotensin-converting enzyme is a potent risk factor for myocardial infarction. Nature, 359: 641–644. https://doi.org/10.1038/359641a0.
Jeunemaitre, X., Ledru, F., Battaglia, S., Guillanneuf, M.T., Courbon, D., Dumont, C., Darmon, O., Guize, L., Guermonprez, J.L., Diebold, B. & Ducimetière, P. (1997). Genetic polymorphisms of the renin-angiotensin system and angiographic extent and severity of coronary artery disease: the CORGENE study. Hum. Genet., 99(1): 66–73. https://doi.org/10.1007/s004390050313.
Fatini, C., Abbate, R., Pepe, G., Battaglini, B., Gensini, F., Ruggiano, G., Gensini, G.F. & Guazzelli, R. (2000). Searching for a better assessment of the individual coronary risk profile. The role of angiotensin-converting enzyme, angiotensin II type 1 receptor and angiotensinogen gene polymorphisms. Eur. Heart J., 21(8): 633–638. https://doi.org/10.1053/euhj.1999.1738.
Montgomery, H., Brull, D. & Humphries, S.E. (2002). Analysis of gene-environment interactions by "stressing-the-genotype" studies: the angiotensin converting enzyme and exercise-induced left ventricular hypertrophy as an example. Ital. Heart J., 3(1): 10–14.
Baudin, B. (2002). New aspects on angiotensin-converting enzyme: from gene to disease. Clin. Chem. Lab. Med., 40(3): 256–265. https://doi.org/10.1515/CCLM.2002.042.
Rigat, B., Hubert, C., Alhenc-Gelas, F., Cambien, F., Corvol, P. & Soubrier, F. (1990). An insertion/deletion polymorphism in the angiotensin I-converting enzyme gene accounting for half the variance of serum enzyme levels. J. Clin. Invest., 86(4): 1343–1346. https://doi.org/10.1172/JCI114844.
Tiret, L., Rigat, B., Visvikis, S., Breda, C., Corvol, P., Cambien, F. & Soubrier, F. (1992). Evidence, from combined segregation and linkage analysis, that a variant of the angiotensin I-converting enzyme (ACE) gene controls plasma ACE levels. Am. J. Hum. Genet., 51(1): 197–205.
Mayer, B. & Schunkert, H. (2000). ACE gene polymorphism and cardiovascular diseases. Herz, 25(1): 1–6. https://doi.org/10.1007/BF03044118.
Gardemann, A., Fink, M., Stricker, J., Nguyen, Q.D., Humme, J., Katz, N., Tillmanns, H., Hehrlein, F.W., Rau, M. & Haberbosch, W. (1998). ACE I/D gene polymorphism: presence of the ACE D allele increases the risk of coronary artery disease in younger individuals. Atherosclerosis, 139(1): 153–159. https://doi.org/10.1016/s0021-9150(98)00040-9.
Enas, E.A., Yusuf, S. & Sharma, S. (1998). Coronary artery disease in South Asians. Second meeting of the International Working Group. 16 March 1997, Anaheim, California. Indian Heart J., 50(1): 105–113.
Miller, S.A., Dykes, D.D. & Polesky, H.F. (1988). A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Res., 16(3): 1215. https://doi.org/10.1093/nar/16.3.1215.
Pfeffer, M.A., Braunwald, E., Moyé, L.A., Basta, L., Brown, E.J., Cuddy, T.E., Davis, B.R., Geltman, E.M., Goldman, S. & Flaker, G.C. et al. (1992). Effect of captopril on mortality and morbidity in patients with left ventricular dysfunction after myocardial infarction. Results of the survival and ventricular enlargement trial. N. Engl. J. Med., 327(10): 669–677. https://doi.org/10.1056/NEJM199209033271001.
Cambien, F. & Evans, A. (1995). Angiotensin I converting enzyme gene polymorphism and coronary heart disease. Eur. Heart J., 16: 13–22. https://doi.org/10.1093/eurheartj/16.suppl_K.13.
Wenzel, K., Blackburn, A., Ernst, M., Affeldt, M., Hanke, R., Baumann, G., Felix, S.B., Kleber, F.X., Rohde, K., Gläser, C. & Speer, A. (1997). Relationship of polymorphisms in the renin-angiotensin system and in E-selectin of patients with early severe coronary heart disease. J. Mol. Med., 75(1): 57–61. https://doi.org/10.1007/s001090050087.
Bøhn, M., Berge, K.E., Bakken, A., Erikssen, J. & Berg, K. (1993). Insertion/deletion (I/D) polymorphism at the locus for angiotensin I-converting enzyme and parental history of myocardial infarction. Clin. Genet., 44(6): 298–301. https://doi.org/10.1111/j.1399-0004.1993.tb03904.x.
Schächter, F., Faure-Delanef, L., Guénot, F., Rouger, H., Froguel, P., Lesueur-Ginot, L. & Cohen, D. (1994). Genetic associations with human longevity at the APOE and ACE loci. Nat. Genet., 6(1): 29–32. https://doi.org/10.1038/ng0194-29.
Pereira, A.C., Mota, G.F., Cunha, R.S., Herbenhoff, F.L., Mill, J.G. & Krieger, J.E. (2002). Angiotensinogen 235T allele "dosage" is associated with blood pressure phenotypes. Hypertension, 41(1): 25–30. https://doi.org/10.1161/01.hyp.0000047465.97065.15.
Kawamoto, R., Kohara, K., Tabara, Y. & Miki, T. (2002). An interaction between systolic blood pressure and angiotensin-converting enzyme gene polymorphism on carotid atherosclerosis. Hypertens. Res., 25(6): 875–880. https://doi.org/10.1291/hypres.25.875.
Chowdhury, A.H., Zaman, M.M., Haque, K.M., Rouf, M.A., Shah, A.T., Nakayama, T., Yokoyama, T., Yoshiike, N. & Tanaka, H. (1998). Association of angiotensin converting enzyme (ACE) gene polymorphism with hypertension in a Bangladeshi population. Bangladesh Med. Res. Counc. Bull., 24(3): 55–59.
Ludwig, E., Corneli, P.S., Anderson, J.L., Marshall, H.W., Lalouel, J.M. & Ward, R.H. (1995). Angiotensin-converting enzyme gene polymorphism is associated with myocardial infarction but not with development of coronary stenosis. Circulation, 91(8): 2120–2124. https://doi.org/10.1161/01.cir.91.8.2120.
Lindpaintner, K., Pfeffer, M.A., Kreutz, R., Stampfer, M.J., Grodstein, F., LaMotte, F., Buring, J. & Hennekens, C.H. (1995). A prospective evaluation of an angiotensin-converting-enzyme gene polymorphism and the risk of ischemic heart disease. N. Engl. J. Med., 332(11): 706–711. https://doi.org/10.1056/NEJM199503163321103.
Eichner, J.E., Christiansen, V.J., Moore, W.E., Dunn, S.T. & Schechter, E. (2001). Angiotensin-converting enzyme gene polymorphism in a cohort of coronary angiography patients. Atherosclerosis, 154(3): 673–679. https://doi.org/10.1016/s0021-9150(00)00395-6.
Campbell-Boswell, M. & Robertson, A.L. (1981). Effects of angiotensin II and vasopressin on human smooth muscle cells in vitro. Exp. Mol. Pathol., 35(2): 265–276. https://doi.org/10.1016/0014-4800(81)90066-6.
Naftilan, A.J., Pratt, R.E. & Dzau, V.J. (1989). Induction of platelet-derived growth factor A-chain and c-myc gene expressions by angiotensin II in cultured rat vascular smooth muscle cells. J. Clin. Invest., 83(4): 1419–1424. https://doi.org/10.1172/JCI114032.
Akar, N., Aras, O., Omürlü, K. & Cin, S. (1998). Deletion polymorphism at the angiotensin-converting enzyme gene in Turkish patients with coronary artery disease. Scand. J. Clin. Lab. Invest., 58(6): 491–495. https://doi.org/10.1080/00365519850186292.
Isbir, T., Yilmaz, H., Ağaçhan, B., Aydin, M. & Isbir, C.S. (1999). Association between angiotensin-converting enzyme gene polymorphism and coronary artery disease. IUBMB Life, 48(2): 205–207. https://doi.org/10.1080/713803502.
Rose, G. (1992). The Strategy of Preventive Medicine. Oxford University Press, New York. pp. 135.
AHA (1995). Heart and Stroke Facts: 1996 Statistical Supplement. American Heart Association Publication No. 55-0522. Dallas, TX.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2010 The author(s) retains the copyright of this article.
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.