PMID- 18165925 OWN - NLM STAT- MEDLINE DCOM- 20080618 LR - 20211203 IS - 0300-8177 (Print) IS - 0300-8177 (Linking) VI - 311 IP - 1-2 DP - 2008 Apr TI - ACE I/D polymorphism in Indian patients with hypertrophic cardiomyopathy and dilated cardiomyopathy. PG - 67-72 LID - 10.1007/s11010-007-9695-z [doi] AB - AIM: The study was carried to determine the association of angiotensin converting enzyme (ACE) insertion/deletion (I/D) polymorphism with the risk of hypertrophic cardiomyopathy (HCM), dilated cardiomyopathy (DCM), and restrictive cardiomyopathy (RCM). METHODS AND RESULTS: A total of 174 patients diagnosed with cardiomyopathy (118 with HCM, 51 with DCM, and 5 with RCM) and 164 ethnically, age- and gender-matched controls were included in the study. ACE I/D genotyping was performed by PCR. In total, 25.86% of the patients were in New York Heart Association (NYHA) class III and IV at presentation. A total of 67.24% patients had dyspnea, 56.89% had angina pectoris, and 25.28% of the patients had at least one event of syncope. Frequency of occurrence of the disease was more in male patients compared to female patients (P < 0.05). After adjustment for age, sex, body mass index (BMI), and smoking habit, the prevalence of ACE DD genotype, and ACE 'D' allele was significantly higher in patients as compared to controls and was associated with increased risk (DD: OR 2.11, 95% CI 1.27-3.52, P < 0.05; 'D': OR 1.91, 95% CI 1.08-3.35, P < 0.05). The mean septal thickness was higher for DD and ID genotypes (20.40 +/- 3.73 mm and 21.82 +/- 5.35 mm, respectively) when compared with II genotype (18.63 +/- 6.69 mm) in HCM patients, however, the differences were not significant statistically (P > 0.05). The DCM patients with ID genotype showed significantly decreased left ventricular ejection fraction (LVEF) at enrolment (26.50 +/- 8.04%) (P = 0.04). CONCLUSION: Our results suggest that D allele of ACE I/D polymorphism significantly influences the HCM and DCM phenotypes. FAU - Rai, Taranjit Singh AU - Rai TS AD - Department of Experimental Medicine and Biotechnology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. FAU - Dhandapany, Perundurai Subramaniam AU - Dhandapany PS FAU - Ahluwalia, Tarunveer Singh AU - Ahluwalia TS FAU - Bhardwaj, Monica AU - Bhardwaj M FAU - Bahl, Ajay AU - Bahl A FAU - Talwar, Kewal Krishan AU - Talwar KK FAU - Nair, Krishnakumar AU - Nair K FAU - Rathinavel, Andiappan AU - Rathinavel A FAU - Khullar, Madhu AU - Khullar M LA - eng PT - Journal Article DEP - 20071230 PL - Netherlands TA - Mol Cell Biochem JT - Molecular and cellular biochemistry JID - 0364456 RN - EC 3.4.23.15 (Renin) SB - IM MH - Adult MH - Cardiomyopathies/diagnosis/*enzymology/*genetics MH - Female MH - Gene Frequency MH - Genotype MH - Humans MH - India MH - Male MH - Middle Aged MH - *Polymorphism, Genetic MH - *Racial Groups/genetics MH - Renin/*genetics MH - Risk Factors EDAT- 2008/01/01 09:00 MHDA- 2008/06/19 09:00 CRDT- 2008/01/01 09:00 PHST- 2007/10/15 00:00 [received] PHST- 2007/12/17 00:00 [accepted] PHST- 2008/01/01 09:00 [pubmed] PHST- 2008/06/19 09:00 [medline] PHST- 2008/01/01 09:00 [entrez] AID - 10.1007/s11010-007-9695-z [doi] PST - ppublish SO - Mol Cell Biochem. 2008 Apr;311(1-2):67-72. doi: 10.1007/s11010-007-9695-z. Epub 2007 Dec 30.