Angiotensin-converting enzyme polymorphism gene and evolution of nephropathy to end-stage renal disease

Genetic polymorphisms of the renin‐angiotensin system (RAS) have been implicated in the pathogenesis of nephropathy and end‐stage renal disease (ESRD). The association between angiotensin‐converting enzyme (ACE) gene polymorphism and nephropathy evolution was studied. A random sample of 161 subjects...

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Veröffentlicht in:Nephrology (Carlton, Vic.) Vic.), 2003-08, Vol.8 (4), p.171-176
Hauptverfasser: ORTIZ, M Angels, DE PRADO, Anna, DOÑATE, Teresa, GALLART, Lluis, CLARAMUNT, Helena, HERNÁNDEZ, Marta, MARTÍNEZ, Joaquin, MARTÍNEZ, Esther, POU, Jose M
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container_issue 4
container_start_page 171
container_title Nephrology (Carlton, Vic.)
container_volume 8
creator ORTIZ, M Angels
DE PRADO, Anna
DOÑATE, Teresa
GALLART, Lluis
CLARAMUNT, Helena
HERNÁNDEZ, Marta
MARTÍNEZ, Joaquin
MARTÍNEZ, Esther
POU, Jose M
description Genetic polymorphisms of the renin‐angiotensin system (RAS) have been implicated in the pathogenesis of nephropathy and end‐stage renal disease (ESRD). The association between angiotensin‐converting enzyme (ACE) gene polymorphism and nephropathy evolution was studied. A random sample of 161 subjects from the Nephrology Department (of Hospital de Sant Pau) were divided into two groups: (i) 117 with end‐stage renal disease; (ii) 44 with established nephropathy; and (iii) control groups of 129 subjects. The ACE gene polymorphism was performed by using polymerase chain reaction. High DD genotype presentation was observed in the two groups of subjects with nephropathy (46.12 and 61.37%, respectively vs 35.66% in controls; P 
doi_str_mv 10.1046/j.1440-1797.2003.00165.x
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The association between angiotensin‐converting enzyme (ACE) gene polymorphism and nephropathy evolution was studied. A random sample of 161 subjects from the Nephrology Department (of Hospital de Sant Pau) were divided into two groups: (i) 117 with end‐stage renal disease; (ii) 44 with established nephropathy; and (iii) control groups of 129 subjects. The ACE gene polymorphism was performed by using polymerase chain reaction. High DD genotype presentation was observed in the two groups of subjects with nephropathy (46.12 and 61.37%, respectively vs 35.66% in controls; P &lt; 0.0482), and also, a decrease was observed in the II genotype (6.4 and 4.54%, respectively vs 13.17% in controls, P &lt; 0.0404). Glomerular filtration rate (GFR) was evaulated after 44 months of follow up. An important decrease of GFR was observed in patients with DD polymorphism versus other genotypes (initial, 32.3 ± 7.9 and at 44 months, 18.35 ± 3.3 mL/min vs 31.4 ± 11.9 and 11.7 ± 3.2 mL/min; P &lt; 0.039). In a non‐longitudinal study of patients in ESRD, patients with an ACE‐DD genotype had a lower period of time between diagnosis of nephropathy and ESRD than patients with other genotypes (10.45 ± 9.32 vs 19.5 ± 8.4 years; P &lt; 0.034). In conclusion, the ACE gene that controls RAS response may influence the development and progression of nephropathy to ESRD. 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In a non‐longitudinal study of patients in ESRD, patients with an ACE‐DD genotype had a lower period of time between diagnosis of nephropathy and ESRD than patients with other genotypes (10.45 ± 9.32 vs 19.5 ± 8.4 years; P &lt; 0.034). In conclusion, the ACE gene that controls RAS response may influence the development and progression of nephropathy to ESRD. 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In a non‐longitudinal study of patients in ESRD, patients with an ACE‐DD genotype had a lower period of time between diagnosis of nephropathy and ESRD than patients with other genotypes (10.45 ± 9.32 vs 19.5 ± 8.4 years; P &lt; 0.034). In conclusion, the ACE gene that controls RAS response may influence the development and progression of nephropathy to ESRD. Patients who develop several types of nephropathy have a higher risk of severe evolution if they have a profile of ACE‐DD genotype.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Science Pty</pub><pmid>15012717</pmid><doi>10.1046/j.1440-1797.2003.00165.x</doi><tpages>6</tpages></addata></record>
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subjects DD and II genotype
Disease Progression
end-stage renal disease
Female
genetic markers
Humans
Kidney Diseases - complications
Kidney Diseases - genetics
Kidney Failure, Chronic - etiology
Kidney Failure, Chronic - genetics
Male
Middle Aged
nephropathy evolution
Peptidyl-Dipeptidase A - genetics
Polymorphism, Genetic
renin-angiotensin system
title Angiotensin-converting enzyme polymorphism gene and evolution of nephropathy to end-stage renal disease
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