ASSOCIATION BETWEEN AGTR1 A1166C GENETIC POLYMORPHISM AND CORONARY ARTERY DISEASE RISK FACTORS IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

Công Duy Trần1,, Quang Bình Trương1
1 University of Medicine and Pharmacy at Ho Chi Minh City

Main Article Content

Abstract

Objectives: To investigate the association of AGTR1 A1166C genetic polymorphism with coronary artery disease risk factors in patients with acute myocardial infarction (AMI). Subjects and methods:  We conducted a cross-sectional, descriptive study on AMI patients at the Department of Cardiology and Department of Interventional Cardiology, Cho Ray Hospital from January 2020 to January 2021. The polymerase chain reaction test to determine the genotypes of the AGTR1 A1166C was performed at the Center for Molecular Biomedicine, University of Medicine and Pharmacy at Ho Chi Minh City. Results: This study included 414 patients with first AMI. The mean age of participants was 63.8 ± 11.6 and males accounted for 71.0%. Dyslipidemia (89.4%) and hypertension (79.5%) were the most common coronary artery disease risk factors. The proportions of AA, AC, and CC were 90.3, 9.2%, and 0.5%, respectively. AA, AC, and CC genotypes were not associated with coronary artery disease risk factors in the overall study population and in subgroups by gender, age, and clinical type of AMI. Conclusion: AGTR1 A1166C genetic polymorphism is not associated with coronary artery disease risk factors in patients with first AMI.

Article Details

References

1. Feng X, Zheng BS, Shi JJ, et al. A systematic review and meta-analysis of the association between angiotensin II type 1 receptor A1166C gene polymorphism and myocardial infarction susceptibility. J Renin Angiotensin Aldosterone Syst. 2014;15(3):307-315.
2. Mehri S, Koubaa N, Hammami S, et al. Genotypic interactions of renin-angiotensin system genes with diabetes type 2 in a Tunisian population. Life Sci. 2010;87:49-54.
3. Mehri S, Mahjoub S, Finsterer J, et al. The CC genotype of the angiotensin II type I receptor gene independently associates with acute myocardial infarction in a Tunisian population. J Renin Angiotensin Aldosterone Syst. 2011;12:595–600.
4. Ngô Tuấn Hiệp. So sánh giá trị của các thang điểm nguy cơ trong tiên lượng bệnh nhân nhồi máu cơ tim cấp. Luận án Tiến sĩ Y học. Đại học Y Dược TP. Hồ Chí Minh. 2016.
5. Nguyễn Lương Kỷ. Nghiên cứu vai trò của nhiễu loạn tần số tim trong tiên lượng tử vong bệnh nhân sau nhồi máu cơ tim cấp. Luận án Tiến sĩ Y học. Đại học Y Dược TP. Hồ Chí Minh. 2018.
6. Shahin DS, Irshaid YM, Saleh AA. The A(1166)C polymorphism of the AT1R gene is associated with an early onset of hypertension and high waist circumference in Jordanian males attending the Jordan University Hospital. Clin Exp Hypertens. 2014;36(5):333-339.
7. Thygesen K, Alpert JS, Jaffe AS, et al. Fourth universal definition of myocardial infarction. Circulation. 2018;138:e618-e651. doi: 10.1161/CIR.0000000000000617.
8. Yang Y, Tian T, Lu J, et al. A1166C polymorphism of the angiotensin II type 1 receptor gene contributes to hypertension susceptibility: evidence from a meta-analysis. Acta Cardiologica. 2017;72(2):205–215.