Agachan Bedia, Isbir Turgay, Yilmaz Hulya, Akoglu Emel
University of Istanbul, Institute of Experimental Medical Research, Department of Molecular Medicine, Istanbul, Turkey.
Exp Mol Med. 2003 Dec 31;35(6):545-9. doi: 10.1038/emm.2003.71.
Essential hypertension is a multifactorial disease in which genetic and enviromental factors play an important role. These factors differ in each population. As there are no existing data for the Turkish population, we investigated four Renin Angiotensin System (RAS) gene polymorphisms, the angiotensin converting enzyme (ACE), angiotensinogen (AGN) M235T/T174M and angiotensin II type 1 receptor A1166C polymorphism in 109 hypertensive and 86 normotensive Turkish subjects. Polymerase Chain Reaction (PCR) and Restriction Fragment Length Polymorphism (RFLP), and agarose gel electrophoresis tecniques were used to determine these polymorphism. The frequencies of person that carry ACE D allel (DD+ID) was significantly higher in hypertensive group (99.1%) than controls (80%) (P 0.000). M235T TT genotype was also found significantly higher in hypertensives than control group (20% vs 2.7%; P 0.001). The frequency of AGN 174M allele was higher in the hypertensive group than control subjects (8.76% vs 4.81%). Frequency of ATR1 C allele (AC+CC genotypes) was found higher hypertensives than controls (39.4% vs 25.9%; P = 0.054). Our results suggest that an interaction exists between the RAS genes and hypertension in Turkish population.
原发性高血压是一种多因素疾病,其中遗传和环境因素起着重要作用。这些因素在不同人群中有所不同。由于没有土耳其人群的现有数据,我们调查了109名土耳其高血压患者和86名血压正常的土耳其受试者的四种肾素血管紧张素系统(RAS)基因多态性,即血管紧张素转换酶(ACE)、血管紧张素原(AGN)M235T/T174M以及血管紧张素II 1型受体A1166C多态性。采用聚合酶链反应(PCR)、限制性片段长度多态性(RFLP)和琼脂糖凝胶电泳技术来确定这些多态性。携带ACE D等位基因(DD + ID)的人群在高血压组中的频率(99.1%)显著高于对照组(80%)(P < 0.000)。M235T TT基因型在高血压患者中也显著高于对照组(20% 对2.7%;P < 0.001)。高血压组中AGN 174M等位基因的频率高于对照组受试者(8.76% 对4.81%)。发现ATR1 C等位基因(AC + CC基因型)在高血压患者中的频率高于对照组(39.4% 对25.9%;P = 0.054)。我们的结果表明,在土耳其人群中RAS基因与高血压之间存在相互作用。