A Biallelic Gene Polymorphism of CYP11B2 Predicts Increased Aldosterone to Renin Ratio in Selected Hypertensive Patients

作者: Jérôme Nicod , David Bruhin , Lucas Auer , Bruno Vogt , Felix J. Frey

DOI: 10.1210/JC.2002-021598

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摘要: Altered control of aldosterone synthase (CYP11B2) gene expression may modulate secretion, as suggested by a raised to renin ratio (ARR) in some patients with essential hypertension. We compared the frequency two linked CYP11B2 polymorphisms, one steroidogenic factor-1 (SF-1) binding site and other an intronic conversion (Int2) relation ARR 141 hypertensive patients. Patients were divided into groups either normal or high supine using cut-off threshold 145 pmol/liter per ng/liter. Supine was 104 37 The polymorphisms strong linkage disequilibrium (χ2 = 123.8; P < 0.0001). SF-1 T Int2 C alleles more prevalent among (46% 43%, respectively) than (22% 17%; 0.01 0.005, respectively). Odds ratios for subjects homozygous haplotype 6.1 (95% confidence interval, 1.6–22.5; 0.005) w...

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