The importance of association between angiotensin-converting enzyme (ACE) Gene I/D polymorphism and diabetic peripheral neuropathy

Gene. 2013 Nov 10;530(2):253-6. doi: 10.1016/j.gene.2013.07.051. Epub 2013 Aug 22.

Abstract

Background: Diabetic peripheral neuropathy (DPN) is a microvascular complication of diabetes mellitus (DM) due to decreasing quality of life. In the present study, it is aimed to evaluate angiotensin-converting enzyme (ACE) Gene I/D polymorphism in Turkish population.

Materials and methods: Two hundred and thirty-five DPN patients and two hundred and eighty-one controls were enrolled in this study. Genomic DNA was isolated and genotyped using polymerase chain reaction (PCR) analyses for the ACE gene I/D polymorphism.

Results: Baseline characteristics of the DPN patients according to ACE genotypes were similar, except for history of hypertension. The frequency of II genotype was significantly higher in patients with positive history of hypertension than the patients with negative history of hypertension (p=0.013). DD genotype of I/D polymorphism was found to be a susceptibility factor for DPN in homozygous form (p=0.032). According to allele frequencies, D allele of I/D polymorphism was found to be a susceptibility factor for DPN (p=0.031).

Conclusion: ACE gene I/D polymorphism may research in DM patients to determine genetic predisposition for DPN. It can be useful for taking early measures and avoiding DPN in a Turkish population.

Keywords: Angiotensin-converting enzyme; Bp; Diabetic peripheral neuropathy; Gene Polymorphism; base pair.

MeSH terms

  • Aged
  • Alleles
  • Amino Acid Substitution
  • Aspartic Acid / genetics
  • Case-Control Studies
  • Diabetic Neuropathies / complications
  • Diabetic Neuropathies / genetics*
  • Diabetic Neuropathies / pathology
  • Female
  • Gene Frequency
  • Genetic Predisposition to Disease*
  • Heterozygote
  • Homozygote
  • Humans
  • Hypertension / complications
  • Hypertension / genetics*
  • Hypertension / pathology
  • Isoleucine / genetics
  • Male
  • Middle Aged
  • Peptidyl-Dipeptidase A / genetics*
  • Polymorphism, Genetic*

Substances

  • Isoleucine
  • Aspartic Acid
  • ACE protein, human
  • Peptidyl-Dipeptidase A