Potential cognitive decline linked to angiotensin-converting enzyme gene but not hypertension: Evidence from cognitive event-related potentials

Clin Neurophysiol. 2015 Dec;126(12):2269-75. doi: 10.1016/j.clinph.2015.01.024. Epub 2015 Feb 15.

Abstract

Objectives: The aims of the present study were to investigate the effect of hypertension and angiotensin-converting enzyme (ACE) genotypes on cognitive event-related potentials (ERPs), and whether the impact of ACE genotypes on P300 is related to the influence of hypertension.

Methods: Using the Cognitive Abilities Screening Instrument (CASI), we recruited 97 mentally healthy middle-aged and older adults. Medical histories were collected, and blood pressure, ACE insertion/deletion polymorphisms and ERPs in an auditory oddball task were measured for all participants.

Results: When the participants were stratified according to the presence or absence of hypertension, there were no differences in CASI score, percentage of ACE genotypes and ERPs. The subjects with the D/D homozygote displayed lower amplitude and longer latency of P300, although there were no differences in CASI score and the percentage of hypertension.

Conclusions: The subjects with the D/D genotype tended to have decreased amplitude and prolonged latency of P300 ERPs which reflected subtle cognitive impairment. There were no associations between hypertension, CASI score and P300 measurements.

Significance: Using ERPs, potential cognitive decline was linked to ACE genotypes, independently of the effect of hypertension.

Keywords: Angiotensin-converting enzyme gene; Cognitive event-related potentials; Hypertension; P300.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cognition / physiology*
  • Cognition Disorders / diagnosis
  • Cognition Disorders / genetics*
  • Cognition Disorders / physiopathology
  • Event-Related Potentials, P300 / genetics*
  • Evidence-Based Medicine* / methods
  • Female
  • Humans
  • Hypertension / diagnosis
  • Hypertension / genetics*
  • Hypertension / physiopathology
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Peptidyl-Dipeptidase A / genetics*

Substances

  • ACE protein, human
  • Peptidyl-Dipeptidase A