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ACE基因插入/缺失多态性与脑血管病的关联性研究
引用本文:何育生,姚景莉.ACE基因插入/缺失多态性与脑血管病的关联性研究[J].中国临床神经科学,1999,7(2):78-82.
作者姓名:何育生  姚景莉
作者单位:上海医科大学附属华山医院神经内科 200040(何育生,姚景莉),上海医科大学流行病学教研室 200032(乐园罗)
摘    要:目的:探讨血管紧张素转换酶(ACE)基因插入(I)/缺失(D)多态性与脑血管病(CVD)的关系。方法:采用聚合酶链反应技术(PCR)检测19Z例卒中患者、95例高血压病人和124例正常人的ACE基因多态性。结果:CVD组ACE基因D等位基因频率为0.58,明显高于高血压对照组(P<0.02)和正常对照组(P<0.01),DD基因型频率明显高于正常对照组(P<0.05)。腔隙性梗死(LACI)组的DD基因型显著高于对照组(P<0.05)。多元回归分析发现ACE*DD基因型与卒中无明显相关性(P<0.08),而与LACI存在明显相关性(P=0.048)。结论:ACE基因缺失多态性在LACI的形成中可能产生重要作用。

关 键 词:血管紧张素转换酶  基因  脑血管病  腔隙性梗死

A Study on relationship between Insertion/Deletion Polymorphism of Angiotensin-Converting Enzyme Gene and Cerebrovascular Disease
He Yu-Sheng,Yao Jing-Li,Le Yuan-Luo.A Study on relationship between Insertion/Deletion Polymorphism of Angiotensin-Converting Enzyme Gene and Cerebrovascular Disease[J].Chinese Journal of Clinical Neurosciences,1999,7(2):78-82.
Authors:He Yu-Sheng  Yao Jing-Li  Le Yuan-Luo
Affiliation:He Yu-Sheng,Yao Jing-Li,Le Yuan-LuoDepartment of Neurology,Ganquan Hospital,Shanghai Railway University,Shanghai 200065, Department of Neurology,Huashan Hospital,Shanghai Medical University,Shanghai 200040, Department of Epidemiology,Shanghai Medical University,Shanghai 200032
Abstract:Aim: To study the relationship between the angiotensin-converting enzyme (ACE) inser-tion(I)/deletion(D) polymorphism and cerebrovascular disease. Methods: We identified the ACE gene polymorphisms by PCR in 192 stroke subjects, 95 hypertensive and 124 normotensive control subjects. Results:D allele frequency (0. 58) in stroke group was significantly higher than in hypertensive (P<0. 02) and normotensive control group(P<0. 01). ACE DD genotype in stroke group was also more common than in normal control group(P<0. 05). DD genotype in lacunar infarction was significantly higher than in control group(P <0. 05). Deletion polymorphism of ACE gene was significantly associated with lacunar infarction (P = 0. 048), but not with general stroke (P=0. 08) by multiple regression analysis. Conclusion: Deletion polymorphism of ACE gene may play an important role in development of lacunar infarction.
Keywords:angiotensin-converting enzyme gene cerebrovascular disease lacunar infarction
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