Department of Internal Medicine, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
Internal Ward, Social Security Hospital, Lorestan University of Medical Sciences, Khorramabad, Iran.
Arch Physiol Biochem. 2022 Oct;128(5):1165-1169. doi: 10.1080/13813455.2020.1762225. Epub 2020 May 13.
The renin-angiotensin system (RAS), which is important for controlling haemostasis in the body, can increase the development of essential hypertension (HTN). Various surveys have shown that ACE I/D polymorphism that influences ACE activity, a key component of RAS, has been known to be associated with the risk of HTN. The goal of this study was to investigate the correlation between ACE (I/D) polymorphism and HTN. Blood samples were obtained from 102 patients and 104 healthy individuals. The two groups were matched by age and sex. Informed consent was prepared for the study. The demographic data were collected using a questionnaire. White blood cells (WBCs) and then DNA were extracted from whole blood. After this, the PCR test was performed using specific primers. PCR products were examined using 1% agarose gel. Individuals with genotype II having a band of 490 bp, ID two band of 490 bp and 190 bp, and individuals with DD genotype, have a band in region 190 bp. The average age of the patients was 52.7 ± 7.5 years. A significant difference was seen in the distribution of DD, II and I/D genotypes of ACE polymorphism between the essential hypertensive patients (44.1, 10.8, and 45.1%) and their ethnically matched healthy control (61.5, 3.8, and 24.6%, respectively). Our study showed an increased risk of disease in people with II genotype in comparison to ID and DD genotypes (0.46 (0.1-1.75) and 0.26 (0.05-0.94), respectively). The present study demonstrated that ACEI/D polymorphism is characterised with greater risk of essential HTN in the Lorestan province. II genotype increased the relative risk of essential HTN in the population. In the future, more investigations with more samples size are recommended for the better study of genetic factors in hypertensive patients.
肾素-血管紧张素系统(RAS)对于控制体内止血非常重要,它会增加原发性高血压(HTN)的发展。各种调查表明,影响 RAS 关键组成部分 ACE 活性的 ACE I/D 多态性与 HTN 的风险相关。本研究的目的是探讨 ACE(I/D)多态性与 HTN 的相关性。从 102 名患者和 104 名健康个体中获得了血液样本。两组在年龄和性别上进行了匹配。为研究准备了知情同意书。使用问卷收集了人口统计学数据。从全血中提取白细胞(WBC)和 DNA。然后,使用特定引物进行 PCR 测试。使用 1%琼脂糖凝胶检查 PCR 产物。基因型为 II 的个体具有 490bp 的带,ID 为 490bp 和 190bp 的两个带,DD 基因型的个体在 190bp 区域有一个带。患者的平均年龄为 52.7±7.5 岁。在原发性高血压患者(44.1%、10.8%和 45.1%)和与其种族匹配的健康对照组(61.5%、3.8%和 24.6%)之间,ACE 多态性的 DD、II 和 I/D 基因型分布存在显著差异。与 ID 和 DD 基因型相比,我们的研究表明 II 基因型的个体患疾病的风险增加(分别为 0.46(0.1-1.75)和 0.26(0.05-0.94))。本研究表明 ACEI/D 多态性与洛雷斯坦省原发性 HTN 的风险增加有关。II 基因型增加了人群中原发性 HTN 的相对风险。在未来,建议进行更多的研究,以增加样本量,以便更好地研究高血压患者的遗传因素。