Both alleles of the M235T polymorphism of the angiotensinogen gene can be a risk factor for myocardial infarction.

Abstract:

:We have studied the role of three polymorphic genes of the renin-angiotensin system (RAS) as independent risk factors for myocardial infarction (MI) and their correlation with three of the major coronary risk factors: serum cholesterol (CH), hypertension (HT) and smoking (SM). A population of 392 men was genotyped for the M235T polymorphism of the angiotensinogen (AGT) gene, the insertion/deletion of the angiotensin-converting enzyme (ACE) and the all66c of the angiotensin-II type 1 receptor (AT1R), by means of polymerase chain reaction (PCR) and restriction enzyme analysis. It was observed that the T allele frequency increased significantly in the MI with HT, CH, and SM subgroup (0.58 vs 0.31) (p<0.01). In contrast, the M allele frequency was higher in the MI without HT, CH, and SM (0.69 vs 0.42) (p<0.01). A strong association between the MM genotype and MI (p<0.001, odds ratio=4.29, confidence interval=1.95-9.42) was found when age-matched MM control subjects were compared to MI individuals with none of the other known major coronary risk factors. Futhermore, subjects with the MM genotype showed a significantly higher plasma renin activity (PRA) profile than those with the TT genotype (p<0.001). It can be concluded that the M allele is an independent risk factor for MI and the T allele modified the risk when other major risk factors are present.

journal_name

Clin Genet

journal_title

Clinical genetics

authors

Fernández-Arcás N,Dieguez-Lucena JL,Muñoz-Morán E,Ruiz-Galdón M,Espinosa-Caliani S,Aranda-Lara P,Rius-Diaz F,Gaitán-Arroyo MJ,De Teresa-Galván E,Reyes-Engel A

doi

10.1034/j.1399-0004.2001.600108.x

subject

Has Abstract

pub_date

2001-07-01 00:00:00

pages

52-7

issue

1

eissn

0009-9163

issn

1399-0004

pii

cge600108

journal_volume

60

pub_type

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