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Polymorphism of angiotensinogen gene M235T in myocardial infarction and brain infarction: a meta-analysis
Xinyue Liang1, Jie Qiu, Xiangju Liu
1Department of Geriatrics, Qilu Hospital of Shandong University, Jinan, People's Republic of China.
Abstract:
The angiotensinogen (AGT) gene M235T polymorphism has been reported to be associated with myocardial infarction (MI) and brain infarction (BI), but the results remain inconclusive. This meta-analysis was designed to clarify these controversies. Electronic databases were systematically searched before February 2013. A total of 38 studies with 17304 subjects met our inclusion criteria. In East Asian group, significant association was found between AGT M235T polymorphism and risk of MI (for dominant model: OR=1.79; 95% CI=1.04-3.06; for recessive model OR=2.01; 95% CI=1.21-3.36; for additive model OR=1.79; 95% CI=1.14-2.86) as well as BI (for dominant model: OR=1.66; 95% CI=1.22-2.27; for recessive model OR=1.78, 95% CI=1.29-2.46; for additive model: OR=1.64, 95% CI=1.34-2.00), while the M235T polymorphism did not impact the risk of MI in total population and other ethnicity. In the subgroup analyses by gender and age, there was lack of evidence for the association. This meta-analysis suggested an association between the M235T polymorphism and MI as well as BI in East Asian population. Further studies with larger numbers of worldwide participants are needed to understand the genetic basis of MI and BI.
Insights
The angiotensinogen (AGT) M235T gene polymorphism is linked to increased risk of myocardial infarction (MI) and brain infarction (BI) specifically in East Asian populations. This meta-analysis clarifies previous inconclusive findings for this genetic association.
Area of Science:
- Genetics
- Cardiovascular disease
- Neurology
Background:
- The angiotensinogen (AGT) gene M235T polymorphism has been inconsistently associated with myocardial infarction (MI) and brain infarction (BI).
- Previous studies on the AGT M235T polymorphism and its link to cardiovascular and cerebrovascular events have yielded conflicting results.
- Clarifying the association between the AGT M235T polymorphism and the risk of MI and BI is crucial for understanding genetic predispositions.
Purpose of the Study:
- To conduct a meta-analysis to resolve controversies regarding the association between the angiotensinogen (AGT) gene M235T polymorphism and the risk of myocardial infarction (MI) and brain infarction (BI).
- To systematically evaluate existing studies to determine the conclusive relationship between AGT M235T polymorphism and these cardiovascular and cerebrovascular events.
Main Methods:
- A systematic literature search of electronic databases was performed up to February 2013.
- Included 38 studies comprising a total of 17,304 participants.
- Meta-analysis was employed to synthesize data and assess the association using various genetic models (dominant, recessive, additive).
Main Results:
- A significant association was observed between the AGT M235T polymorphism and the risk of MI and BI in the East Asian population across dominant, recessive, and additive models.
- The M235T polymorphism did not show a significant impact on the risk of MI in the total population or in other ethnic groups.
- Subgroup analyses by gender and age did not provide sufficient evidence to support an association.
Conclusions:
- The meta-analysis suggests a significant association between the angiotensinogen (AGT) M235T polymorphism and an increased risk of myocardial infarction (MI) and brain infarction (BI) specifically within the East Asian population.
- The AGT M235T polymorphism is a potential genetic risk factor for MI and BI in East Asians.
- Further large-scale international studies are recommended to elucidate the genetic basis of MI and BI and confirm these findings across diverse populations.
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