INVESTIGATION OF ANGIOTENSIN CONVERTING ENZYME GENE INSERTION/DELETION POLYMORPHISM IN TYPE 2 DIABETIC PATIENTS WITH CHRONIC KIDNEY DISEASE
Main Article Content
Abstract
Objective: Investigation of polymorphisms of angiotensin converting enzyme (ACE) Insertion/Deletion in type 2 diabetic patients with chronic kidney disease (CKD). Methods: Cross-sectional study. Results: From November 2022 to November 2024, two hundred and eighty-nine type 2 diabetic patients from outpatient departments of Nhan Dan Gia Dinh hospital and University Medical Center at Ho Chi Minh City enrolled in the study. These patients had estimated glomerular filtration rate < 60 ml/min/1.73 m2 body surface area, urinary albumin/creatinine ratio (uACR) ≥ 300 mg/g and diabetic retinopathy. The average age of study population was 63,8 ± 11,0 and the rate of male was 42.6%. The median time of diabetes was 14 (9 – 20) years. Genotype II, ID and DD had the rate of 46.4%, 34.9% and 18.7%, respectively. Allele I and D had the rate of 63.8% and 36.2%, respectively. Conclusions: In type 2 diabetic patients with CKD, genotype II and allele I are prominent. There is no relationship between ACE I/D with the severity of CKD in type 2 diabetic patients.
Article Details
Keywords
chronic kidney disease, type 2 diabetes mellitus, polymorphisms of angiotensin converting enzyme gene (Insertion/Deletion)
References
2. Wei L., Xiao Y., Li L., et al. The Susceptibility Genes in Diabetic Nephropathy. Kidney Dis (Basel). 2018, 4 (4): pp. 226-237
3. James P.A., Oparil S., Carter B.L., et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). Jama. 2014, 311 (5): 507- 520
4. Mach F., Baigent C., Catapano A.L., et al. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. Eur Heart J. 2020, 41 (1): 111-188
5. Kidney Disease: Improving Global Outcomes (KDIGO) Anemia Work Group. KDIGO Clinical Practice Guideline for Anemia in Chronic Kidney Disease Kidney Inter. 2012, 279 – 335
6. Trần Thị Thu Hương, Trần Khánh Vân, Đặng Thị Việt Hà và cộng sự. Nghiên cứu mối liên quan giữa đa hình kiểu gen AGT M235T với bệnh thận đái tháo đường. Tạp chí nghiên cứu Y học. 2021, 137 (1): 58 – 65
7. Ahluwalia T.S., Ahuja M., Rai T.S. et al. ACE variants interact with the RAS pathway to confer risk and protection against type 2 diabetic nephropathy. DNA Cell Biol. 2009, 28(3): 141 – 150
8. Cheung B.M. and Li C. Diabetes and hypertension: is there a common metabolic pathway? Curr Atheroscler Rep. 2012, 14 (2): 160-166
9. Ha S.K., Park H.C., Park H.S., et al. ACE gene polymorphism and progression of diabetic nephropathy in Korean type 2 diabetic patients: effect of ACE gene DD on the progression of diabetic nephropathy. Am J Kidney Dis. 2003, 41 (5): 943-949
10. Yu Z.Y., Chen L.S., Zhang L.C., et al. Meta-analysis of the relationship between ACE I/D gene polymorphism and end-stage renal disease in patients with diabetic nephropathy. Nephrology (Carlton). 2012, 17 (5): 480-487