PMID- 20853144 OWN - NLM STAT- MEDLINE DCOM- 20110523 LR - 20211020 IS - 1573-4978 (Electronic) IS - 0301-4851 (Linking) VI - 38 IP - 3 DP - 2011 Mar TI - The frequency of factor V Leiden mutation, ACE gene polymorphism, serum ACE activity and response to ACE inhibitor and angiotensin II receptor antagonist drugs in Iranians type II diabetic patients with microalbuminuria. PG - 2117-23 LID - 10.1007/s11033-010-0338-1 [doi] AB - The aim of present study was to determine if factor V Leiden (FVL) mutation and angiotensin converting enzyme insertion/deletion (ACE I/D) polymorphism are associated with diabetic nephropathy (DN) among Kurdish population from Western Iran. This case-control study comprised 144 unrelated adult type 2 diabetic mellitus patients (T2DM) including 72 patients with microalbuminuria and 72 age and sex matched patients without nephropathy. The ACE I/D polymorphism and FVL mutation were detected by polymerase chain reaction (PCR) and PCR-RFLP, respectively. The frequency of FVL G1691A and ACE D allele in T2DM patients with microalbuminuria were 1.6 and 57%, respectively and in normoalbuminuric T2DM patients were 4.9 and 58.3%, respectively (P > 0.05). ACE genotypes affected on serum ACE activity and a better response to ACE inhibitor therapy (captopril) compared to angiotensin II receptor antagonist (losartan) was obtained with significant reduction of ACE activity in diabetic patients without nephropathy carrying DD genotype. However, the beneficial effect of losartan therapy was observed in microalbuminuric patients with II genotype compared to ID and DD genotypes. FAU - Rahimi, Zohreh AU - Rahimi Z AD - The Rhazes Center for Research in Family Health and Sexual Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran. zrahimi@kums.ac.ir FAU - Felehgari, Vahid AU - Felehgari V FAU - Rahimi, Mehrali AU - Rahimi M FAU - Mozafari, Hadi AU - Mozafari H FAU - Yari, Kheirollah AU - Yari K FAU - Vaisi-Raygani, Asad AU - Vaisi-Raygani A FAU - Rezaei, Mansour AU - Rezaei M FAU - Malek-Khosravi, Shohreh AU - Malek-Khosravi S FAU - Khazaie, Habibolah AU - Khazaie H LA - eng PT - Journal Article DEP - 20100919 PL - Netherlands TA - Mol Biol Rep JT - Molecular biology reports JID - 0403234 RN - 0 (Angiotensin Receptor Antagonists) RN - 0 (Angiotensin-Converting Enzyme Inhibitors) RN - 0 (factor V Leiden) RN - 9001-24-5 (Factor V) RN - 9G64RSX1XD (Captopril) RN - EC 3.4.15.1 (ACE protein, human) RN - EC 3.4.15.1 (Peptidyl-Dipeptidase A) RN - JMS50MPO89 (Losartan) SB - IM MH - Albuminuria/*complications/genetics MH - Alleles MH - Angiotensin Receptor Antagonists/*therapeutic use MH - Angiotensin-Converting Enzyme Inhibitors/*therapeutic use MH - Captopril/therapeutic use MH - Diabetes Mellitus, Type 2/complications/drug therapy/enzymology/*genetics MH - Diabetic Nephropathies/complications/drug therapy/enzymology/genetics MH - Factor V/*genetics MH - Female MH - Genetic Predisposition to Disease MH - Humans MH - Iran MH - Losartan/therapeutic use MH - Male MH - Middle Aged MH - Mutation MH - Peptidyl-Dipeptidase A/*blood/*genetics MH - Polymorphism, Genetic MH - Treatment Outcome EDAT- 2010/09/21 06:00 MHDA- 2011/05/24 06:00 CRDT- 2010/09/21 06:00 PHST- 2010/01/31 00:00 [received] PHST- 2010/09/04 00:00 [accepted] PHST- 2010/09/21 06:00 [entrez] PHST- 2010/09/21 06:00 [pubmed] PHST- 2011/05/24 06:00 [medline] AID - 10.1007/s11033-010-0338-1 [doi] PST - ppublish SO - Mol Biol Rep. 2011 Mar;38(3):2117-23. doi: 10.1007/s11033-010-0338-1. Epub 2010 Sep 19.