[Impact of angiotensionogen and angiotensin II receptor type 1 gene polymorphisms on the development and course of chronic heart failure]
Related Experiment Video
Updated: May 12, 2026

Receptor Autoradiography Protocol for the Localized Visualization of Angiotensin II Receptors
Published on: June 7, 2016
Insights
Gene variants in angiotensinogen (AGT) and angiotensin II receptor type 1 (AGTR1) are linked to chronic heart failure (CHF) development and progression in coronary heart disease (CHD) patients.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Genetics of Heart Failure
Background:
- Coronary heart disease (CHD) is a major cause of chronic heart failure (CHF).
- Genetic factors play a role in the pathogenesis and progression of CHF.
- The renin-angiotensin-aldosterone system (RAAS) is implicated in cardiovascular disease, with angiotensinogen (AGT) and its receptor (AGTR1) as key components.
Purpose of the Study:
- To investigate the association between polymorphisms in the angiotensinogen (AGT) gene (M235T) and angiotensin II receptor type 1 (AGTR1) gene (A1166C) with the development and course of chronic heart failure (CHF) in patients with coronary heart disease (CHD).
Main Methods:
- A case-control study involving 226 CHF patients with CHD and 136 healthy controls.
- Genotyping was performed using polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP) analysis.
- Analysis focused on M235T polymorphism of the AGT gene and A1166C polymorphism of the AGTR1 gene.
Main Results:
- The T allele of the AGT M235T polymorphism was associated with increased risk and unfavorable course of CHF in CHD patients.
- The M allele of the AGT M235T polymorphism was linked to a favorable course of CHF.
- The C allele and A/C genotype of the AGTR1 A1166C polymorphism were associated with CHF development, while the A allele and A/A genotype showed a protective effect.
- No significant differences in genotype or allele frequencies of AGTR1 A1166C were observed based on CHF severity or course.
Conclusions:
- Polymorphisms in the AGT (M235T) and AGTR1 (A1166C) genes are associated with the development of chronic heart failure (CHF) in patients with coronary heart disease (CHD).
- These genetic variations may serve as potential biomarkers for CHF risk and progression in this patient population.
Aim:
To study the impact of angiotensinogen (AGT) and angiotensin II receptor type 1 (AGTR1) gene polymorphisms on the development and course of chronic heart failure (CHF) in patients with coronary heart disease (CHD).
Subjects And Methods:
Two hundred and twenty-six patients (149 men and 77 women; mean age 55.9 +/- 5.8 years) with CHF were examined. Genotypes were identified by the restriction fragment length polymorphism analysis of polymerase chain reaction products. A control group comprised 136 subjects (63 men and 73 women; mean age 53.6 +/- 4.8 years) without signs of cardiovascular diseases, as evidenced by the examination.
Results:
The T allele of the M235T polymorphism in the AGT gene was found to be associated with the development and unfavorable course of CHF in patients with CHD. At the same time, carriage of the M allele of the M235T polymorphism in the AGT gene reflected the favorable course of this disease. That of the C allele and A/C genotype of the A1166C polymorphism in the AGTR1 gene was associated with the development of CHF and the A allele and A/A genotype manifested themselves as protective factors. According to the severity of CHF and the nature of its course, the distribution of frequencies of the genotypes and alleles of the A1166C polymorphism in the AGTR1 gene showed no significant differences between the patient groups.
Conclusion:
There were associations of the polymorphisms of the AGT gene (the M235T polymorphic marker) and the AGTR1 gene (the A1166C polymorphic marker) with the development of CHF in patients with CHD.
Related Concept Videos
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
Heart Failure II: Pathophysiology
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Pathophysiology of Heart Failure
Antihypertensive Drugs: Angiotensin II Receptor Blockers
