Combination of Angiotensin-Converting Enzyme and Methylenetetrahydrofolate Reductase Gene Polymorphisms as Determinant Risk Factors for Chronic Allograft Dysfunction
| Autor: | Eny Maria Goloni-Bertollo, Marcos N. Eberlin, M.A.S. Ferreira-Baptista, Robert I. Haddad, Mario Abbud-Filho, E.C. Pavarino-Bertelli, M.P.S. de Alvarenga |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male Hyperhomocysteinemia medicine.medical_specialty Genotype Peptidyl-Dipeptidase A Polymerase Chain Reaction Polymorphism Single Nucleotide Gastroenterology Postoperative Complications Risk Factors Internal medicine medicine Humans Transplantation Homologous Allele Methylenetetrahydrofolate Reductase (NADPH2) Genetics Transplantation Polymorphism Genetic biology Angiotensin-converting enzyme Odds ratio Middle Aged medicine.disease Kidney Transplantation Cross-Sectional Studies Creatinine Methylenetetrahydrofolate reductase Chronic Disease biology.protein Female Surgery Restriction fragment length polymorphism Gene Deletion |
| Zdroj: | Transplantation Proceedings. 39:78-80 |
| ISSN: | 0041-1345 |
| DOI: | 10.1016/j.transproceed.2006.10.224 |
| Popis: | Objective The aim of this study was to investigate the frequency of gene angiotensin-converting enzyme insertion/deletion (ACE I/D) and methylenetetrahydrofolate reductase (MTHFR C677T and A1298C) variants, as well as to evaluate the plasma homocysteine concentrations in 217 patients who underwent renal transplantation at least 12 months prior to define risk factors for chronic allograft dysfunction. Methods The presence of the polymorphism ACE deletion was assessed by polymerase chain reaction (PCR) analysis. MTHFR polymorphisms were determined by PCR and restriction fragment length polymorphism (RFPL) techniques. The restriction enzymes were Hinf I and Mbo II for MTHFR variants C677T and A1298C, respectively. Plasma homocysteine concentrations were measured by liquid chromatography-tandem mass spectrometry (LS-MS/MS). Results Hyperhomocysteinemias were more common in patients with chronic allograft dysfunction ( P = .004). No statistically significant differences were observed between the allelic and genotypic distributions of MTHFR and ACE polymorphisms. An effective risk factor was found when the polymorphisms of the ACE and MTHFR genes and hyperhomocysteinemia were associated (odds ratio 2.51; 95% confidence interval 1.19–5.28). In conclusion, our study identified that the presence of hyperhomocysteinemia in combination with unfavorable genotypes contributes to an increased risk for development of chronic allograft dysfunction. |
| Databáze: | OpenAIRE |
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