Araz M, Aynacioglu S, Aktaran S, Alasehirli B, Okan V
Department of Internal Medicine, Gaziantep University, Medical Faculty, Gaziantep, Turkey.
Acta Medica (Hradec Kralove). 2001;44(1):29-32.
It has been suggested that an insertion/deletion (I/D) polymorphism in intron 16 of the angiotensin converting enzyme (ACE) gene may be associated with essential hypertension. The aim of this study was to examine the association between ACE I/D polymorphism with blood pressure level and hypertension status in Turkish type 2' diabetic subjects. Hundred and seven hypertensive (78 female, 29 male) and 132 normotensive type 2 diabetic subjects (73 female, 59 male) and 138 sex and age matched control subjects (87 female, 51 male) without diabetes and hypertension were included into the study. The I/D polymorphism was determined by polymerase chain reaction (PCR). There were no statistically difference in genotypic and allelic frequencies of the ACE I/D polymorphism between the hypertensive and normotensive diabetic patients and control subjects. Also no significant differences was detected in systolic and diastolic blood pressure among three different genotypes. ACE I/D polymorphism does not seem to play an important role in the development of hypertension in Turkish type 2 diabetic subjects, but prospective studies may show an association between ACE gene polymorphism and the development of hypertension in diabetic subjects.
有人提出,血管紧张素转换酶(ACE)基因第16内含子中的插入/缺失(I/D)多态性可能与原发性高血压有关。本研究的目的是探讨土耳其2型糖尿病患者中ACE I/D多态性与血压水平及高血压状态之间的关联。本研究纳入了107例高血压患者(78例女性,29例男性)、132例血压正常的2型糖尿病患者(73例女性,59例男性)以及138例年龄和性别匹配的无糖尿病和高血压的对照受试者(87例女性,51例男性)。通过聚合酶链反应(PCR)确定I/D多态性。高血压糖尿病患者、血压正常的糖尿病患者和对照受试者之间ACE I/D多态性的基因型和等位基因频率无统计学差异。三种不同基因型之间的收缩压和舒张压也未检测到显著差异。ACE I/D多态性似乎在土耳其2型糖尿病患者高血压的发生中不起重要作用,但前瞻性研究可能会显示ACE基因多态性与糖尿病患者高血压的发生之间存在关联。