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Genes involved in the regulation of vascular homeostasis determine renal survival rate in patients with chronic glomerulonephritis
Authors:Olga Litovkina  Elena Nekipelova  Volodymyr Dvornyk  Alexey Polonikov  Olga Efremova  Nina Zhernakova  Evgeny Reshetnikov  Mikhail Churnosov
Affiliation:1. Institute of Medicine, Belgorod State National Research University, Belgorod, Russia;2. School of Biological Sciences, University of Hong Kong, Hong Kong S.A.R., PR China;3. Kursk State Medical University, Kursk, Russia
Abstract:
Chronic glomerulonephritis (CGN) is one of the most severe kidney diseases. Genes of vascular reactivity are thought to play an important role in development and progression of CGN. In this study, we analyzed association of genes of vascular homeostasis with hypertension and renal survival of CGN patients. The study sample included 238 patients with CGN and 304 healthy subjects of population control. Ten polymorphisms of ten genes of vascular homeostasis were genotyped through polymerase chain reaction (PCR), restriction fragment length polymorphism (RFLP) analysis and TaqMan assays. Association of the genotypes with renal survival was analyzed by the Kaplan–Meier estimator. Genotypes 311SC and 311SS of the PON2 gene, (− 1166)AC and (− 1166)CC of the AGTR1 gene, (+ 46)AA of the ADRB2 gene, and 198KK and 198KN of the EDN1 gene were associated with decreased rate of renal survival of the patients. Polymorphisms S311C PON2, (− 1166)A/C AGTR1, (+ 46)G/A ADRB2, and K198N EDN1 were associated with the accelerated decline in kidney function in the CGN patients.
Keywords:CGN, chronic glomerulonephritis   AH, arterial hypertension   BP, blood pressure   SBP, systolic blood pressure   DBP, diastolic blood pressure   GFR, glomerular filtration rate   DNA, deoxyribonucleic acid   SNP, single-nucleotide polymorphism   ACE, angiotensin I converting enzyme   NOS3, nitric oxide synthase 3   PON2, paraoxonase-2   AGT, angiotensinogen   AGTR1, angiotensin II receptor, type 1   EDN1, endothelin 1   CYP3A5, Cytochrome P450, Family 3, Subfamily A, Polypeptide 5   GNB3, guanine nucleotide binding protein (G Protein), beta polypeptide 3   ADD1, adducin 1 (alpha)   ADRB2, adrenoceptor beta 2   PCR, polymerase chain reaction   HWE, Hardy&ndash  Weinberg equilibrium   Ors, odds ratios   CIs, 95% confidence intervals   pc, Bonferroni correction
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