Key result
The AGT M235T polymorphism was significantly associated with increased coronary heart disease risk in a Chinese population under a recessive model (OR 1.65; 95% CI 1.22-2.25).
Why the study?
Are AGT gene polymorphisms (M235T, T174M) associated with an increased risk of coronary heart disease in the Chinese population?
Meta-Analysis (n=4,713)
Are AGT gene polymorphisms (M235T, T174M) associated with an increased risk of coronary heart disease in the Chinese population?
Odds Ratio: 1.65 (95% CI 1.22–2.25)
AGT gene polymorphisms M235T and T174M are significantly associated with an increased risk of coronary heart disease in the Chinese population.
May inform CHD risk assessment in Chinese patients; leaves open whether AGT testing should guide therapy.
OBJECTIVE: The angiotensinogen (AGT) gene has been shown to be involved in the development of coronary heart disease (CHD). However, the results have been inconsistent. In this study, the authors performed a meta-analysis to clarify the associations between AGT polymorphisms and CHD risk among the Chinese population. METHODS: Published literature from PubMed, the China National Knowledge Infrastructure and Wanfang Data were searched. Pooled odds ratio (OR) and 95% confidence interval (CI) were calculated using a fixed- or random-effects model. RESULTS: Fourteen studies (2540 cases and 2173 controls) for M235T polymorphism and five studies (655 cases and 815 controls) for T174M polymorphism were included in the meta-analyses. The results showed that M235T polymorphism was significantly associated with CHD risk under a recessive model (OR=1.65, 95% CI 1.22-2.25). There was also significant association between T174M polymorphism and CHD risk under a homogeneous co-dominant model (OR= 4.20, 95% CI 1.90-9.29) and a recessive model (OR=4.15, 95% CI 1.88-9.15). Further sensitivity analyses confirmed the significant association. CONCLUSIONS: The meta-analyses indicated the significant associations of two AGT polymorphisms (M235T, T174M) with CHD risk in the Chinese population.
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Li et al. (2012) conducted a meta-analysis in Coronary heart disease (n=4,713). AGT gene polymorphisms (M235T, T174M) vs. Absence of polymorphism was evaluated on Coronary heart disease risk (M235T polymorphism under a recessive model) (OR 1.65, 95% CI 1.22-2.25). The AGT M235T polymorphism was significantly associated with increased coronary heart disease risk in a Chinese population under a recessive model (OR 1.65; 95% CI 1.22-2.25).
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