Angiotensin converting enzyme I/D,angiotensinogen M235T and AT1-R A/C1166 gene polymorphisms in patients with acromegaly |
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Authors: | Sebahat Turgut Fulya Ak?n Raziye Akc?lar Ceylan Ayada Günfer Turgut |
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Institution: | (1) Department of Physiology, Faculty of Medicine, University of Pamukkale, 20070 Denizli, Turkey;(2) Division of Endocrinology, Department of Internal Medicine, Faculty of Medicine, University of Pamukkale, Denizli, Turkey |
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Abstract: | Acromegaly is associated with increased morbidity and mortality related to cardiovascular disease. Hypertension is one of
the most common cardiovascular risk factors in acromegalic patients. The aim of this study was to investigate association
between the frequencies of angiotensin converting enzyme (ACE) I/D, angiotensinogen (AGT) M235T and the angiotensin II type
1 receptor (AT1-R) A/C1166 gene polymorphisms and some clinical parameters of acromegalic patients. Total of 33 acromegalic
patients and 63 controls were enrolled to study. We determined the ACE I/D, AGT M235T and AT1-R A/C1166 gene polymorphisms.
Serum insulin, glucose, triglyceride, HDL-cholesterol, LDL-cholesterol, growth hormone and Insulin-like growth factor I (IGF-I)
levels of subjects were analyzed. The frequencies of ACE and M235T AGT genotype were not significantly different between control
and patients. The distribution of AT1R A/C1166 genotypes was significantly different between patients and control subjects
(P = 0.016). None of the three ACE genotypes, DD, ID and II displayed significant difference in acromegalic patients. A significant
difference in systolic blood pressure and the serum IGF-I levels among the three AGT genotype, MM, MT and TT genotypes was
found in patient group. Individuals with MT genotypes had significantly higher serum IGF-I levels and systolic blood pressure
than MM and TT genotype subjects, P < 0.05. In addition, serum triglyceride and HDL levels differed significantly between MM and MT genotypes, P < 0.05. However, systolic blood pressure of patients with CC genotypes was found to be significantly higher than AA genotypes
individuals in acromegaly group, P < 0.05. It can be said that the angiotensinojen MT and AT1R CC1166 genotype carriers may have more risk than other genotypes
in the development of hypertension in acromegaly. |
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