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Insertion/deletion polymorphism in the angiotensin-converting enzyme gene affects heart weight
K Nakahara1, S Matsushita, H Matsuoka
1Department of Laboratory Medicine, Tokyo Metropolitan Geriatric Hospital, Tokyo, Japan. nakahara@tmig.or.jp
Circulation
|January 19, 2000
Summary
Angiotensin-converting enzyme (ACE) genotype influences heart weight, with the DD genotype showing significantly higher cardiac mass. However, factors like hypertension and age are stronger predictors of heart weight.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Hypertension Research
Background:
- Angiotensin II (Ang II) regulates left ventricular mass, with its production by ACE linked to ACE gene insertion/deletion (I/D) polymorphism.
- Variations in Ang II concentrations due to ACE polymorphism may affect left ventricular mass.
Purpose of the Study:
- To investigate whether ACE genotype predicts heart weight in autopsy patients.
Main Methods:
- Analysis of autopsy data from 443 patients, excluding those with specific cardiac conditions.
- Determination of ACE genotype via polymerase chain reaction on kidney DNA.
- Correction of heart weight for body surface area.
Main Results:
- Heart weight was significantly higher in the DD genotype group (249.9±49.9 g/m²) compared to ID (230.0±51.2 g/m²) and II (226.8±49.8 g/m²) genotypes.
- Heart weight positively correlated with age and coronary stenosis index.
- Hypertension history, age, and DD genotype were identified as independent predictors of heart weight.
Conclusions:
- ACE genotype is a predictor of cardiac mass.
- Hypertension and age were found to be more potent predictors of cardiac mass than ACE genotype.
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