基础医学与临床 ›› 2010, Vol. 30 ›› Issue (8): 843-846.

• 研究论文 • 上一篇    下一篇

血管紧张素转换酶基因I/D多态性与血脂水平及原发性高血压的相关性探讨

韩秀玲 沈志霞 李宏芬 张志纺 王贺永 张淑青 吴寿岭   

  1. 华北煤炭医学院附属开滦医院
  • 收稿日期:2010-04-07 修回日期:2010-05-17 出版日期:2010-08-05 发布日期:2010-08-05
  • 通讯作者: 李宏芬

The Association of I/D Genetic Polymorphism of ACE and Plasma Lipid with Essential Hypertension

Xiu-ling HAN, Zhi-xia SHEN, Hong-fen LI, Zhi-fang ZHANG, He-yong WANG, Shu-qing ZHANG, Shou-ling WU   

  1. The Affiliated Kailuan Hospital of North China Coal Medical College
  • Received:2010-04-07 Revised:2010-05-17 Online:2010-08-05 Published:2010-08-05
  • Contact: Hong-fen LI,

摘要: 目的 探讨血管紧张素转换酶(ACE)基因I/D多态性与血脂水平及原发性高血压(EH)的关系,为EH的病因学研究提供依据。方法 采用聚合酶链反应(PCR)对开滦煤矿汉族人群ACE基因Alu I/D多态性进行基因型检测。用全自动生化分析仪测定血清总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)含量。结果 调查人群中,HDL水平,携带ACE基因II基因型者高于携带ID、DD基因型者; LDL水平, 携带ID、DD基因型者高于携带II基因型者。EH组与非EH组比较,ACE基因不同基因型原发性高血压患病率不同, 携带ID(19.88%)、DD(20.82%)基因型者患病率高于携带II(14.26%)基因型者(P<0.05); ACE等位基因频率在两组间分布有差异(P<0.05,P<0.01);除HDL含量和携带ID、II基因型者LDL含量外,其余血脂指标EH组与NEH组相比,各项均有差异(P<0.05)。在NEH组,TC水平,携带II基因型者高于携带DD基因型者;LDL水平,携带ID、DD基因型者高于携带II基因型者。结论 ACE基因不同基因型EH患病率不同,ACE基因I/D多态性与TC、HDL、LDL等血脂水平有关。

关键词: 血管紧张素转换酶基因, 原发性高血压, 基因多态性, 血脂

Abstract: Objective To study the relationship between angiotensin converting enzyme(ACE) gene dyslipemia and Essential Hypertension.Methods To examinate the I/D Polymorphism of ACE gene by PCR .Biochemical indexex included of TC、TG、HDL、LDL and VLDL were detected by autochiemical emalyzer. Results The HDL was higher in II type than the others; The LDL was higher in ID、DD types than the II type.The morbidities of EH were different among three gene types, the morbidity of EH was higher in ID (19.88%)、DD (20.82%) types than the II (14.26%) type(p<0.05);There was a significant difference in the distribution of ACE genetypes and allele frequency in different cohort who were EH or not (P<0.05,P<0.01).The lipemia was different between EH group and NEH group,except HDL ,and LDL in ID、II genetypes.In NEH group,the TC was higher in II type than the DD type;The LDL was higher in ID、DD types than the II type. Conclusion The morbidity of EH were different among three gene types.Polymorphism of ACE gene has some relation of lipemia levels such as TC、HDL、LDH .

Key words: angiotensin converting enzyme, essential hypertension, genetic polymorphism, Plasma Lipid