Renin-angiotensin system polymorphisms and coronary artery surgery patients

Asian Cardiovasc Thorac Ann. 2005 Jun;13(2):153-6. doi: 10.1177/021849230501300212.

Abstract

The frequencies of angiotensin-converting enzyme gene insertion/deletion, angiotensinogen-M253T, and angiotensin II type 1 receptor-A1166C polymorphisms were analyzed in 105 patients undergoing coronary artery bypass grafting (group 1) and a control group of 105 non-cardiac patients (group 2). Blood samples were obtained for biochemical analyses and DNA extraction. Genotyping was performed by polymerase-chain-reaction-based restriction analysis. According to the angiotensin-converting enzyme gene insertion/deletion polymorphism, 36.3% of patients in group 1 and 30.7% in group 2 were homozygous for the DD allele. This difference was not statistically significant. Angiotensin II type 1 receptor-A1166C genotype polymorphism was also not significantly different between the groups. The results showed the angiotensinogen-M235T polymorphism to be heterogenous. The MM homozygote frequency was significantly higher in controls (72.3%), whereas 80% of the TT homozygote frequency was in the surgical group ( p = 0.001). These results show that although there were no significant differences in angiotensin-converting enzyme gene insertion/deletion and angiotensin II type 1 receptor-A1166C genotype polymorphisms between the groups, angiotensinogen-M235T polymorphism of TT homozygote frequency was significantly associated with patients undergoing coronary artery bypass surgery.

MeSH terms

  • Aged
  • Angiotensinogen / genetics*
  • Coronary Artery Bypass*
  • Coronary Disease / genetics*
  • Coronary Disease / surgery
  • DNA Transposable Elements
  • Female
  • Gene Deletion
  • Gene Frequency
  • Humans
  • Male
  • Middle Aged
  • Polymerase Chain Reaction
  • Polymorphism, Genetic
  • Receptor, Angiotensin, Type 1 / genetics*
  • Renin-Angiotensin System / genetics*

Substances

  • DNA Transposable Elements
  • Receptor, Angiotensin, Type 1
  • Angiotensinogen