Chen D, Zhang M, Fan W, Shi H, Li Y, Chen Q, Zhang J, Gu X
Department of Cardiology, Huashan Hospital, Shanghai Medical University, Shanghai, 200040 P.R.China.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 1998 Jun 10;15(3):133-5.
A molecular variant of the angiotensinogen(AGT) gene with threonine instead of methionine at position 235(i.e.,with M235T polymor- phism) has been shown to be associated with essential hypertension, preeclampsia, coronary atherosclerosis, coronary heart disease(CHD), myocardial infarction(MI) in Caucasians and in Japanese. The purpose of the present study was to assess whether the M235T polymorphism was associated with MI in a Chinese population.
M235T polymorphism in exon 2 of AGT gene was determined by polymerase chain reaction(PCR) and restriction endonuclease analysis in a study of 57 patients with MI and 76 non-CHD individuals as control.
The frequencies of T235 allele(0.82) and 235TT genotype (0.70) in the MI group were higher than those in the control subjects(0.63 and 0.42 respectively, P=0.013 and P<0.025). AGT gene 235TT genotype was at significantly increased risk of MI(odds ratio 3.65, P=0.016) in analysis adjusted for several main CHD risk factors.
There is a significant association between AGT gene 235TT genotype and MI, this genotype might be an independent risk for MI in Chinese population.
血管紧张素原(AGT)基因的一种分子变异体,在第235位密码子处由苏氨酸取代甲硫氨酸(即M235T多态性),已被证明与白种人和日本人的原发性高血压、先兆子痫、冠状动脉粥样硬化、冠心病(CHD)、心肌梗死(MI)有关。本研究的目的是评估M235T多态性是否与中国人群的心肌梗死有关。
在一项研究中,采用聚合酶链反应(PCR)和限制性内切酶分析,对57例心肌梗死患者和76例非冠心病个体作为对照,检测AGT基因第2外显子的M235T多态性。
心肌梗死组T235等位基因频率(0.82)和235TT基因型频率(0.70)高于对照组(分别为0.63和0.42,P = 0.013和P < 0.025)。在对几个主要冠心病危险因素进行校正的分析中,AGT基因235TT基因型患心肌梗死的风险显著增加(优势比3.65,P = 0.016)。
AGT基因235TT基因型与心肌梗死之间存在显著关联,该基因型可能是中国人群心肌梗死的独立危险因素。