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ACE I/D gene polymorphism: presence of the ACE D allele increases the risk of coronary artery disease in younger individuals.
Gardemann, A; Fink, M; Stricker, J; Nguyen, Q D; Humme, J; Katz, N; Tillmanns, H; Hehrlein, F W; Rau, M; Haberbosch, W.
Afiliación
  • Gardemann A; Institut für Klinische Chemie und Pathobiochemie, Klinikum der Justus-Liebig-Universität Giessen, Germany.
Atherosclerosis ; 139(1): 153-9, 1998 Jul.
Article en En | MEDLINE | ID: mdl-9699903
BACKGROUND: Presence of the D allele or homozygosity for the deletion (D) allele of the ACE insertion/deletion (I/D) polymorphism has been discussed as potent risk factor for coronary artery disease (CAD) and myocardial infarction (MI). METHODS AND RESULTS: In 2267 male Caucasians the relation of the ACE I/D gene polymorphism to CAD and MI were investigated. An association of the D allele to CAD was detected in younger subjects (e.g. < 61.7 years, mean value), but not in older patients (e.g. > or = 61.7 years). Additional exclusion of individuals with other cardiovascular risk factors (e.g. high BMI) produced an even stronger association of the D allele to CAD. In contrast, a relation of this polymorphism to non-fatal MI was only observed in older subjects; additional limitation to individuals without cardiovascular risk factors (e.g. BMI and/or diabetes) yielded a further enhancement of this association to MI. In younger subjects (e.g. < 61.7 years) the gene polymorphism was not related to non-fatal MI even after exclusion of additional risk factors. CONCLUSIONS: The present large case-control study strengthens the assumption of an association of the ACE D allele with the risk of ischemic heart disease.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Peptidil-Dipeptidasa A / Enfermedad Coronaria Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Aged / Humans / Male / Middle aged Idioma: En Revista: Atherosclerosis Año: 1998 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Irlanda
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Peptidil-Dipeptidasa A / Enfermedad Coronaria Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Aged / Humans / Male / Middle aged Idioma: En Revista: Atherosclerosis Año: 1998 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Irlanda