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毛以林,袁肇凯,黄献平,卢芳国,谭光波,胡志希.冠心病血瘀证与血管紧张素转换酶基因多态性的相关性研究[J].,2004,(9):776-780
冠心病血瘀证与血管紧张素转换酶基因多态性的相关性研究
Study on Relationship between the Polymorphism of Angiotensin Converting Enzyme Gene and Blood Stasis Syndrome in Patients with Coronary Heart Disease
  
DOI:
中文关键词:  血管紧张素转换酶I/D基因多态性  血管紧张素Ⅱ  内皮素  一氧化氮  冠心病
英文关键词:insertion/deletion polymorphism of angiotensin converting enzyme gene  angiotensin Ⅱ  endothelin  nitric oxide  coronary heart disease
基金项目:国家自然科学基金资助 (No.30 2 71 574)
Author NameAffiliation
MAO Yi lin 湖南中医学院中医诊断学国家重点学科 长沙410005 
YUAN Zhao kai 湖南中医学院中医诊断学国家重点学科 长沙410005 
HUANG Xian ping 湖南中医学院中医诊断学国家重点学科 长沙410005 
卢芳国 湖南中医学院中医诊断学国家重点学科 长沙410005 
谭光波 湖南中医学院中医诊断学国家重点学科 长沙410005 
胡志希 湖南中医学院中医诊断学国家重点学科 长沙410005 
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中文摘要:
      目的探讨血管紧张素转换酶 (angiotensinconvertingenzyme ,ACE)基因插入 /缺失 (insertion/deletion ,I/D)多态性与冠心病血瘀证的关系。方法用PCR法检测 4 8例血瘀证和 5 2例非血瘀证冠心病患者及 5 4名健康人的ACE基因型 ,同时检测内皮素 (endothelins ,ET)、血管紧张素Ⅱ (angiotensinⅡ ,AgⅡ )、一氧化氮 (nitrogenmonoxide ,NO)值。 结果冠心病血瘀证组ACEDD基因型及D等位基因频率高于非血瘀证组和健康对照组 (P <0 0 1)。ET/NO冠心病血瘀证组明显升高 ,与健康对照组比较差异有显著性(P <0 0 1)。ET、AgⅡ冠心病血瘀证组明显高于非血瘀证组和健康对照组 (P <0 0 5 ,P <0 0 1)。ET/NO、AgⅡ各组DD型均高于II型和ID型 ,其中以冠心病血瘀证组DD型为最高 ,与其他两组比较AgⅡ差异有显著性 (P <0 0 5 ,P <0 0 1) ,与健康对照组比较ET/NO差异有显著性 (P <0 0 1)。结论DD型ACE基因可能为冠心病血瘀证发病的易感基因
英文摘要:
      Objective To explore the relationship between the insertion/deletion (I/D) polymorphism of angiotensin converting enzyme (ACE), and blood stasis syndrome (BSS) in patients with coronary heart disease (CHD). Methods The ACE gene type in 48 patients of CHD of BSS type, 52 CHD patients of non BSS type and 54 healthy subjects (control) was determined by PCR assay, also levels of endothelin (ET), angiotensin Ⅱ (AgⅡ), and nitric oxide (NO) were determined. Results Occurrence of DD genotype and allele genotype of ACE gene was higher in patients of BSS than that in patients of non BSS and control (P<0 01). ET/NO level was higher in patients of BSS than that in control (P<0 01). ET and AgⅡ levels in patients of BSS were significantly higher than those in patients of non BSS (P<0 05) and control (P<0 01). Levels of ET/NO and AgⅡ in subjects with DD genotype in various groups were higher than those in subjects with AgⅡ or ID genotype, the highest level occurred in patients of BSS with DD genotype, when compared with the other two groups, the difference in AgⅡ was significant (P<0 05 and P<0 01), when compared with control, the difference in ET/NO was significant (P<0 01). Conclusion DD genotype of ACE gene may be the susceptible gene of CHD in patients of BSS type.
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