Key result
The ACE DD genotype was significantly associated with chronic kidney disease in females (OR 2.40; 95% CI 1.05-5.51; p=0.04).
Why the study?
Is the ACE DD genotype associated with Chronic Kidney Disease in the South Indian population?
Case-Control (n=358)
Is the ACE DD genotype associated with Chronic Kidney Disease in the South Indian population?
The ACE DD genotype is associated with an increased risk of Chronic Kidney Disease specifically in females within the South Indian population.
Supports hypothesis of ACE DD as CKD risk factor in South Indian females; leaves open clinical utility pending prospective validation.
The Renin-Angiotensin System (RAS) is an important regulator for blood pressure and kidney disease. The level of vaso active peptide Angiotensin-II is mainly determined by the RAS enzyme angiotensin converting enzyme-1 (ACE-1). To investigate the association of ACE I/D polymorphism and Chronic Kidney Disease (CKD) in south India. In the present study, we have collected CKD patients (n = 147) and control subjects (n = 211) from Tamilnadu. Genotyping was carried out by polymerase chain reaction (PCR) on the basis of allele specific primers. The DD genotype is associated with the female population (OR-CI = 2.40 (1.05–5.51), p = 0.04) as compared to the male population (OR-CI = 0.75 (0.37–1.51), p = 0.42). Further, we found the over representation of “I” – allele (homozygous II and heterozygous ID) in unaffected males [OR (CI) – 0.58 (0.32–1.04), p = 0.07] which suggests its protective role in male population. The DD genotype of ACE is associated with CKD in south India.
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Nagamani et al. (2014) conducted a case-control in Chronic Kidney Disease (n=358). ACE DD genotype vs. Non-DD genotypes was evaluated on Chronic Kidney Disease in females (OR 2.40, 95% CI 1.05-5.51, p=0.04). The ACE DD genotype was significantly associated with chronic kidney disease in females (OR 2.40; 95% CI 1.05-5.51; p=0.04).
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