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Published on: March 12, 2013
Angiotensin-converting enzyme gene polymorphism in Japanese patients with hypertrophic cardiomyopathy
K Yoneya1, H Okamoto, M Machida
1Institute of Immunological Science, Hokkaido University, Sapporo, Japan.
Insights
The angiotensin-converting enzyme (ACE) D allele is linked to hypertrophic cardiomyopathy (HCM). This genetic factor appears more significant in solitary HCM cases, suggesting a genetic predisposition.
Area of Science:
- Cardiovascular Genetics
- Molecular Biology
- Human Genetics
Background:
- Hypertrophic cardiomyopathy (HCM) is a complex cardiac disease with known genetic underpinnings.
- The role of specific gene polymorphisms, such as in the angiotensin-converting enzyme (ACE) gene, requires further investigation in HCM etiology.
Purpose of the Study:
- To investigate the association between the angiotensin-converting enzyme (ACE) gene insertion/deletion (I/D) polymorphism and hypertrophic cardiomyopathy (HCM).
- To determine if the ACE I/D polymorphism contributes to genetic predisposition in familial (FHCM) and solitary (SHCM) forms of HCM.
Main Methods:
- Genotyping of the ACE I/D polymorphism using polymerase chain reaction (PCR) in 80 HCM patients and 88 unaffected relatives.
- Categorization of patients into familial (FHCM) and solitary (SHCM) groups.
- Statistical analysis of D-allele frequencies and probability ratios between patient groups and controls.
Main Results:
- The D-allele frequency was significantly higher in HCM patients (0.42) compared to relatives (0.35).
- Probability ratios indicated an increased risk associated with the D allele in overall HCM, FHCM, and particularly SHCM.
- The D allele frequency was notably higher in SHCM than in FHCM, suggesting a stronger genetic influence in solitary cases.
Conclusions:
- The angiotensin-converting enzyme (ACE) D allele is a contributing genetic factor in hypertrophic cardiomyopathy (HCM).
- Genetic predisposition, influenced by the ACE D allele, plays a significant role in the development of HCM, especially in solitary cases.
Abstract:
To examine the contribution of the angiotensin-converting enzyme (ACE) gene to hypertrophic cardiomyopathy (HCM), we determined the ACE insertion/deletion (I/D) polymorphism in 80 patients with HCM and 88 of their unaffected siblings and children. Patients were divided into familial or solitary HCM (FHCM or SHCM) groups with or without affected family members. Genotypes were identified by the polymerase chain reaction (PCR) with oligonucleotide primers flanking the polymorphic region in intron 16 of the ACE gene to amplify template DNA prepared from peripheral leukocytes. D-allele frequencies were 0.38 in all subjects, 0.42 in patients with HCM, and 0.35 in relatives (p < 0.05). The probability ratios were 1.98, 1.46, and 2.97 in patients with HCM, FHCM, and SHCM, respectively. The D allele frequency was higher in SHCM than in FHCM (p < 0.05). The findings suggest that HCM, especially in solitary cases, is partially determined by genetic disposition. Findings imply that the ACE D allele is one of the genetic contributing factors associated with cardiac hypertrophy in HCM.
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