Key result
The ACE (I/D) polymorphism D allele was significantly associated with essential hypertension, and serum ACE levels were significantly correlated with the polymorphism (p=0.001).
Why the study?
Is ACE gene polymorphism (I/D) associated with essential hypertension and serum ACE levels in Egyptian patients?
Cross-Sectional (n=84)
Is ACE gene polymorphism (I/D) associated with essential hypertension and serum ACE levels in Egyptian patients?
p-value: p=0.001
The ACE D allele and DD genotype are associated with increased serum ACE activity and essential hypertension in Egyptian patients.
Supports ACE D allele link to hypertension in Egyptians; hypothesis-generating, requires prospective validation before any clinical role.
Background: Hypertension (HT) is a public health challenge due to its high prevalence, and being a major risk factor for cardiovascular diseases. HT is a multifactorial disorder with genetic and environmental interactive factors. Aim: This study aims to evaluate association of angiotensin converting enzyme gene polymorphism (I/D) with blood pressure among Egyptian patients with essential hypertension and the interrelationship with other clinical parameters. Subjects and methods: Eighty four patients with essential hypertension were included in this cross sectional descriptive study. Venous blood samples were withdrawn for DNA extraction, determination of different genotypes of ACE gene (I/D) polymorphism by polymerase chain reaction (PCR) and measuring serum ACE levels, lipid profile, blood sugar and creatinin. Results: The frequency of different ACE genotypes were; 41.7% homozygous (DD), 45.2% heterozygous (ID) and 13.1% homozygous (II) indicating that (D) allele is significantly associated with essential hypertension. Also serum ACE level was significantly correlated with ACE (I/D) polymorphism (p=0.001). Patients with DD genotype had the highest serum ACE level followed by patients with ID genotype and patients with II genotype had the lowest serum ACE level. Conclusion: ACE (I/D) polymorphism is associated with increased serum ACE activity and consequently with increased risk for essential hypertension and its complications.
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Eman R Abdel hamid (2016) conducted a cross-sectional in Essential hypertension (n=84). Angiotensin converting enzyme (ACE) gene (I/D) polymorphism was evaluated on Frequency of ACE genotypes and correlation with serum ACE levels (p=0.001). The ACE (I/D) polymorphism D allele was significantly associated with essential hypertension, and serum ACE levels were significantly correlated with the polymorphism (p=0.001).
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