U.K. Prospective Diabetes Study XV: Relationship of renin-angiotensin system gene polymorphisms with microalbuminuria in NIDDM

作者: Christopher R.K. Dudley , Bernard Keavney , Irene M. Stratton , Robert C. Turner , Peter J. Ratcliffe

DOI: 10.1038/KI.1995.490

关键词: MicroalbuminuriaNephropathyMedicineEndocrinologyBlood pressureProteinuriaAlbuminuriaGenotype frequencyInternal medicineAlbuminDiabetes mellitusNephrology

摘要: U.K. Prospective Diabetes Study XV: Relationship of renin-angiotensin system gene polymorphisms with microalbuminuria in NIDDM. We performed a case-control study to determine whether molecular variants genes the were associated presence albuminuria non-insulin dependent diabetes mellitus (NIDDM). A total 180 diabetic patients persistent [median urinary albumin (interquartile range) 74 (54 126 mg/liter)] matched two control groups without 7 (5 10) mg/liter] for variables known be raised concentration including hemoglobin A1c and triglyceride. One group was also blood pressure other not, allow assessment interactions hypertension. Association I/D polymorphism ACE M235T variant angiotensinogen (AGT) retinopathy examined. There no significant differences genotype frequency between cases controls or AGT irrespective matching. However, among subjects microalbuminuria, those DD had significantly greater excretion than individuals non-DD 88 (68 170) mg/liter vs. 67 (53 113) mg/liter, P 100 twice upper normal range (60% 38%, P=0.006). When increased occurs, appears higher levels. No association observed.

参考文章(23)
F Soubrier, L Tiret, P Corvol, B Rigat, S Visvikis, C Breda, F Cambien, Evidence, from combined segregation and linkage analysis, that a variant of the angiotensin I-converting enzyme (ACE) gene controls plasma ACE levels. American Journal of Human Genetics. ,vol. 51, pp. 197- 205 ,(1992)
B. D. Keavney, C. R. K. Dudley, I. M. Stratton, R. R. Holman, D. R. Matthews, P. J. Ratcliffe, R. C. Turner, UK prospective diabetes study (UKPDS) 14: association of angiotensin-converting enzyme insertion/deletion polymorphism with myocardial infarction in NIDDM. Diabetologia. ,vol. 38, pp. 948- 952 ,(1995) , 10.1007/BF00400584
Susanne Schmidt, Nina Schöne, Eberhard Ritz, The Diabetic Nephropathy Study Group, Association of ACE gene polymorphism and diabetic nephropathy Kidney International. ,vol. 47, pp. 1176- 1181 ,(1995) , 10.1038/KI.1995.167
Brigitte Rigat, Christine Hubert, Pierre Corvol, Rorent Soubrier, PCR detection of the insertion/deletion polymorphism of the human angiotensin converting enzyme gene (DCP1) (dipeptidyl carboxypeptidase 1) Nucleic Acids Research. ,vol. 20, pp. 1433- 1433 ,(1992) , 10.1093/NAR/20.6.1433-A
D. J. Pettitt, M. F. Saad, P. H. Bennett, R. G. Nelson, W. C. Knowler, Familial predisposition to renal disease in two generations of Pima Indians with type 2 (non-insulin-dependent) diabetes mellitus. Diabetologia. ,vol. 33, pp. 438- 443 ,(1990) , 10.1007/BF00404096
K. Ward, A. Hata, X. Jeunemaitre, C. Helin, L. Nelson, C. Namikawa, P. F. Farrington, M. Ogasawara, K. Suzumori, S. Tomoda, S. Berrebi, M. Sasaki, P. Corvol, R.P. Lifton, J.-M. Lalouel, A molecular variant of angiotensinogen associated with preeclampsia Nature Genetics. ,vol. 4, pp. 59- 61 ,(1993) , 10.1038/NG0593-59
E M Kearney, J N Mount, G F Watts, B M Slavin, P R Kind, Simple immunoturbidimetric method for determining urinary albumin at low concentrations using Cobas-Bio centrifugal analyser. Journal of Clinical Pathology. ,vol. 40, pp. 465- 468 ,(1987) , 10.1136/JCP.40.4.465
V Shanmugam, K W Sell, B K Saha, Mistyping ACE heterozygotes. Genome Research. ,vol. 3, pp. 120- 121 ,(1993) , 10.1101/GR.3.2.120