脑卒中缺血性患者ACE基因多态性与高血压的相关性研究

V. Chandra, Y. Siregar, C. A. Arina
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引用次数: 1

摘要

中风是世界第三大脑血管疾病,死亡率和致残率高,主要以缺血性中风为主。已报道的增加缺血性脑卒中发病率的间接影响的遗传因素是ACE基因多态性。ACE基因多态性以17号染色体16号内含子上以字母(I)标记的插入或以字母(D)标记的缺失为特征。ACE基因多态性引起了科学家们的广泛关注,有报道称其通过高血压和动脉粥样硬化的发病机制间接增加了缺血性脑卒中的发病率。本研究共78例缺血性脑卒中患者,其中高血压患者43例,血压正常者35例。ACE基因多态性I等位基因在高血压缺血性脑卒中患者中比D等位基因更占优势(72.1% > 27.9%),这种优势在高血压与正常血压的发生率中也存在(55.4% > 44.6%)。然而,从ACE基因型(p=0.280)和等位基因(p=0.948)比较,ACE基因多态性与高血压发病率的相关性无统计学意义。
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Correlation of ACE Gene Polymorphism and Hypertension in Stroke Ischemic Patients
Stroke is the third highest cerebrovascular disease in the world with high mortality and disability rate that is mostly dominated by ischemic stroke. Genetic factor that had been reported to have an indirect effect in increasing the incidence of ischemic stroke is ACE gene polymorphism. ACE gene polymorphism is characterized by the insertion marked by letter (I) or deletion marked by letter (D) on intron 16, chromosome 17. ACE gene polymorphism has drawn a lot of attention from scientists and had been reported to have an indirect effect in increasing the ischemic stroke incidence through pathogenesis of hypertension and atherosclerosis. In this study, 78 subjects of ischemic stroke consist of 43 subjects with hypertension and 35 subjects with normotension. I allele of ACE gene polymorphism was more dominant than D allele in hypertensive ischemic stroke patients (72.1% > 27,9%) and this dominance was also seen in the incidence of hypertension vs normotension (55.4% > 44.6%). However, the correlation of ACE gene polymorphism with the incidence of hypertension was not statistically significant when compared based on its genotype (p=0.280) and allele (p=0.948).
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