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Angiotensin converting enzyme insertion/deletion polymorphisms in vasovagal syncope.

Julia L Newton1, Peter Donaldson, Steve Parry

  • 1Cardiovascular Investigation Unit (Institute for Ageing and Health), Care of the Elderly Offices, Royal Victoria Infirmary, University of Newcastle, Newcastle NE1 4LP, United Kingdom. julianewton@blueyonder.co.uk

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
|June 10, 2005
PubMed
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Genetic factors may influence vasovagal syncope (VVS). This study found no association between the ACE gene and VVS risk, suggesting other genetic causes may be involved in this condition.

Area of Science:

  • Cardiovascular Genetics
  • Human Genetics

Background:

  • Vasovagal syncope (VVS) exhibits a notable heritable component, suggesting a potential genetic basis for some cases.
  • Previous research indicates a significant sibling relative risk (lambda(s): 1080) for VVS.

Purpose of the Study:

  • To investigate the potential genetic contribution of the Angiotensin-Converting Enzyme (ACE) insertion/deletion polymorphism to vasovagal syncope.
  • To examine the association between ACE gene variants and VVS risk through case-control and family-based association studies.

Main Methods:

  • DNA was collected from 165 VVS patients and 114 of their first-degree relatives.
  • Genotyping for the ACE insertion/deletion polymorphism was performed.
  • Case-control analysis compared VVS patients with a large national control population (>6000 subjects).

Related Experiment Videos

  • Family-based association tests assessed allele transmission.
  • Main Results:

    • No significant differences in ACE insertion or deletion allele frequencies were observed between VVS cases and the control population.
    • Family-based association studies did not reveal preferential transmission of ACE alleles to affected individuals (P=0.1789).

    Conclusions:

    • Polymorphisms in the ACE gene alone are not associated with an increased risk of vasovagal syncope.
    • Further research is warranted to explore other candidate genes and clarify the genotype-phenotype relationship in VVS.