frequency of factor V Leiden mutation, ACE gene polymorphism, serum ACE activity and response to ACE inhibitor and angiotensin II receptor antagonist drugs in Iranians type II diabetic patients with microalbuminuria

The aim of present study was to determine if factor V Leiden (FVL) mutation and angiotensin converting enzyme insertion/deletion (ACE I/D) polymorphism are associated with diabetic nephropathy (DN) among Kurdish population from Western Iran. This case-control study comprised 144 unrelated adult type...

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Veröffentlicht in:Molecular biology reports 2011-03, Vol.38 (3), p.2117-2123
Hauptverfasser: Rahimi, Zohreh, Felehgari, Vahid, Rahimi, Mehrali, Mozafari, Hadi, Yari, Kheirollah, Vaisi-Raygani, Asad, Rezaei, Mansour, Malek-Khosravi, Shohreh, Khazaie, Habibolah
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container_title Molecular biology reports
container_volume 38
creator Rahimi, Zohreh
Felehgari, Vahid
Rahimi, Mehrali
Mozafari, Hadi
Yari, Kheirollah
Vaisi-Raygani, Asad
Rezaei, Mansour
Malek-Khosravi, Shohreh
Khazaie, Habibolah
description The aim of present study was to determine if factor V Leiden (FVL) mutation and angiotensin converting enzyme insertion/deletion (ACE I/D) polymorphism are associated with diabetic nephropathy (DN) among Kurdish population from Western Iran. This case-control study comprised 144 unrelated adult type 2 diabetic mellitus patients (T2DM) including 72 patients with microalbuminuria and 72 age and sex matched patients without nephropathy. The ACE I/D polymorphism and FVL mutation were detected by polymerase chain reaction (PCR) and PCR-RFLP, respectively. The frequency of FVL G1691A and ACE D allele in T2DM patients with microalbuminuria were 1.6 and 57%, respectively and in normoalbuminuric T2DM patients were 4.9 and 58.3%, respectively (P > 0.05). ACE genotypes affected on serum ACE activity and a better response to ACE inhibitor therapy (captopril) compared to angiotensin II receptor antagonist (losartan) was obtained with significant reduction of ACE activity in diabetic patients without nephropathy carrying DD genotype. However, the beneficial effect of losartan therapy was observed in microalbuminuric patients with II genotype compared to ID and DD genotypes.
doi_str_mv 10.1007/s11033-010-0338-1
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This case-control study comprised 144 unrelated adult type 2 diabetic mellitus patients (T2DM) including 72 patients with microalbuminuria and 72 age and sex matched patients without nephropathy. The ACE I/D polymorphism and FVL mutation were detected by polymerase chain reaction (PCR) and PCR-RFLP, respectively. The frequency of FVL G1691A and ACE D allele in T2DM patients with microalbuminuria were 1.6 and 57%, respectively and in normoalbuminuric T2DM patients were 4.9 and 58.3%, respectively (P &gt; 0.05). ACE genotypes affected on serum ACE activity and a better response to ACE inhibitor therapy (captopril) compared to angiotensin II receptor antagonist (losartan) was obtained with significant reduction of ACE activity in diabetic patients without nephropathy carrying DD genotype. However, the beneficial effect of losartan therapy was observed in microalbuminuric patients with II genotype compared to ID and DD genotypes.</abstract><cop>Dordrecht</cop><pub>Dordrecht : Springer Netherlands</pub><pmid>20853144</pmid><doi>10.1007/s11033-010-0338-1</doi><tpages>7</tpages></addata></record>
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ispartof Molecular biology reports, 2011-03, Vol.38 (3), p.2117-2123
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subjects ACE genotypes and activity
ACE inhibitors
ACE protein
Albuminuria - complications
Albuminuria - genetics
Alleles
Angiotensin II receptor antagonists
Angiotensin II receptors
Angiotensin Receptor Antagonists - therapeutic use
Angiotensin-Converting Enzyme Inhibitors - therapeutic use
Animal Anatomy
Animal Biochemistry
Antagonist drugs
Biomedical and Life Sciences
Captopril - therapeutic use
Coagulation factors
Diabetes
Diabetes mellitus
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - drug therapy
Diabetes Mellitus, Type 2 - enzymology
Diabetes Mellitus, Type 2 - genetics
Diabetic Nephropathies - complications
Diabetic Nephropathies - drug therapy
Diabetic Nephropathies - enzymology
Diabetic Nephropathies - genetics
Drugs
Factor V
Factor V - genetics
Female
FVL
Gene deletion
Gene polymorphism
Genetic Predisposition to Disease
Histology
Humans
Insertion
Iran
Life Sciences
Losartan - therapeutic use
Male
Microalbuminuria
Middle Aged
Molecular biology
Morphology
Mutation
Nephropathy
Peptidyl-dipeptidase A
Peptidyl-Dipeptidase A - blood
Peptidyl-Dipeptidase A - genetics
Polymerase chain reaction
Polymorphism
Polymorphism, Genetic
Restriction fragment length polymorphism
Sex
Treatment Outcome
Type 2 diabetes mellitus
title frequency of factor V Leiden mutation, ACE gene polymorphism, serum ACE activity and response to ACE inhibitor and angiotensin II receptor antagonist drugs in Iranians type II diabetic patients with microalbuminuria
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