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Published on: September 1, 2018
ACE insertion/deletion polymorphism is positively associated with resistant hypertension in Morocco
R Abouelfath1, R Habbal2, A Laaraj2
1Genetics and Molecular Pathology Laboratory, Medical School of Casablanca, University Hassan II, 19 Rue Tarik Ibnou Ziad, BP. 9154 Casablanca, Morocco.
The angiotensin-converting enzyme (ACE) gene DD genotype is linked to resistant hypertension. Physical activity also contributes to this condition, suggesting a genetic and lifestyle link.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Hypertension Research
Background:
- Resistant hypertension affects a significant portion of hypertensive patients.
- The angiotensin-converting enzyme (ACE) gene is a key component of the renin-angiotensin system, influencing blood pressure.
- Genetic variations in the ACE gene, such as I/D polymorphism, may play a role in hypertension development and severity.
Purpose of the Study:
- To investigate the association between the I/D polymorphisms of the ACE gene and resistant hypertension versus essential controlled hypertension.
- To explore the relationship between ACE gene genotypes and clinical parameters in hypertensive patients.
Main Methods:
- Genotyping of the ACE gene I/D polymorphism in patients with resistant and controlled hypertension.
- Statistical analysis to compare genotype frequencies between groups.
- Analysis of clinical parameters, including physical activity, in relation to hypertension status.
Main Results:
- The homozygous mutant DD genotype of the ACE gene was more prevalent in patients with resistant hypertension (58.1%) compared to controlled hypertension (41.9%).
- Conversely, the homozygous wild (II) genotype was more common in controlled hypertension (70.6%) than resistant hypertension (29.4%).
- The heterozygous (ID) genotype was also more frequent in controlled hypertension patients (63.6%) than resistant hypertension patients (36.4%), with a statistically significant difference (p=0.04).
- Physical activity was identified as a contributing factor to resistant hypertension (P<0.05).
Conclusions:
- The homozygous mutant DD genotype of the ACE gene is associated with resistant hypertension in the studied population.
- Physical activity is a significant clinical factor associated with resistant hypertension.
- Further research with larger sample sizes is warranted to validate these findings.
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