PMID- 21942443 OWN - NLM STAT- MEDLINE DCOM- 20120618 LR - 20120416 IS - 1557-7430 (Electronic) IS - 1044-5498 (Linking) VI - 31 IP - 4 DP - 2012 Apr TI - Interaction of MTHFR 1298C with ACE D allele augments the risk of diabetic nephropathy in Western Iran. PG - 553-9 LID - 10.1089/dna.2011.1364 [doi] AB - The aim of the current study was to examine the influence of interaction between polymorphisms of methylenetetrahydrofolate reductase (MTHFR) C677T and A1298C with angiotensin converting enzyme insertion/deletion (ACE I/D) polymorphism on the risk of diabetic nephropathy (DN). In a case control study using polymerase chain reaction (PCR)- and PCR-restriction fragment length polymorphism (RFLP), the presence of three polymorphisms in 140 patients with type 2 diabetes mellitus (T2DM) with nephropathy including patients with micro- and macro-albuminuria and 72 patients with normoalbuminuria from Western Iran were investigated. In the presence of both MTHFR 677 T and ACE D alleles, there was a trend toward increased risk of DN 2.68-fold (p=0.054). The possession of both MTHFR 677 T and ACE D alleles increased the risk of macro-albuminuria four times (p=0.035). The concomitant presence of both MTHFR 1298 C and ACE D alleles increased the risk of macro-albuminuria 7.8-fold (p=0.012). In addition, the risk of progression from micro- to macro-albuminuria in the presence of both alleles tended to be increased (4.1-fold, p=0.09). Our study for the first time demonstrated a synergistic effect between ACE I/D with either MTHFR C677T or A1298C polymorphism on the increased risk of DN among patients with T2DM. We found that MTHFR 1298 C strongly interacts with the ACE D allele and augments the risk of DN in our population. FAU - Rahimi, Zohreh AU - Rahimi Z AD - Medical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. zrahimi@kums.ac.ir FAU - Hasanvand, Ali AU - Hasanvand A FAU - Felehgari, Vahid AU - Felehgari V LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110923 PL - United States TA - DNA Cell Biol JT - DNA and cell biology JID - 9004522 RN - 0 (DNA Primers) RN - EC 1.5.1.20 (Methylenetetrahydrofolate Reductase (NADPH2)) RN - EC 3.4.15.1 (ACE protein, human) RN - EC 3.4.15.1 (Peptidyl-Dipeptidase A) SB - IM MH - Albuminuria/epidemiology/*genetics MH - DNA Primers/genetics MH - Diabetes Mellitus, Type 2/*complications MH - Diabetic Nephropathies/epidemiology/*genetics MH - Female MH - Gene Frequency MH - Genetic Association Studies MH - Genetic Predisposition to Disease/*genetics MH - Genotype MH - Humans MH - Iran/epidemiology MH - Male MH - Methylenetetrahydrofolate Reductase (NADPH2)/*genetics MH - Middle Aged MH - Odds Ratio MH - Peptidyl-Dipeptidase A/*genetics MH - Polymerase Chain Reaction MH - Polymorphism, Genetic/*genetics MH - Polymorphism, Restriction Fragment Length MH - Risk Factors EDAT- 2011/09/29 06:00 MHDA- 2012/06/19 06:00 CRDT- 2011/09/28 06:00 PHST- 2011/09/28 06:00 [entrez] PHST- 2011/09/29 06:00 [pubmed] PHST- 2012/06/19 06:00 [medline] AID - 10.1089/dna.2011.1364 [doi] PST - ppublish SO - DNA Cell Biol. 2012 Apr;31(4):553-9. doi: 10.1089/dna.2011.1364. Epub 2011 Sep 23.