›› 2007, Vol. 2 ›› Issue (02): 115-118.

• 论著 • 上一篇    下一篇

血管紧张素Ⅱ受体-1A1166C基因多态性与脑梗死的关系

和姬苓1,孙洪英3,杨月明3,袁利和3,杨国安2   

  1. 内蒙古包头市包头医学院第一附属医院神经内科包头医学院第一附属医院基因诊断中心包头医学院在读研究生
  • 收稿日期:2006-12-04 修回日期:2006-11-04 出版日期:2007-02-20 发布日期:2007-02-20
  • 通讯作者: 和姬苓

Relationship between Angiotensin II Type I Receptor (AT1R)-A1166C GenePolymorphisms and Cerebral Infarction

HE Ji-ling*, SUN Hong-ying, YANG Yue-ming, etal.   

  • Received:2006-12-04 Revised:2006-11-04 Online:2007-02-20 Published:2007-02-20
  • Contact: HE Ji-ling

摘要: 目的 探讨血管紧张素Ⅱ受体-1(AT1R)A1166C基因多态性与脑梗死(CI)的关系。方法 77例CI及98名健康人为研究对象。采用聚合酶链式-限制性片段长度多态性方法检测AT1RA1166C基因多态性。结果 在总研究人群中没有发现CC基因型。CI组AA、AC基因型频率分别为38.9%、61.1%,A、C等位基因频率分别为69.5%、30.5%;正常对照组AA、AC基因型频率分别为91.8%、8.2%,A、C等位基因频率分别为95.9%、4.1%。AT1R A1166C各基因型和等位基因频率在CI组和正常对照组分布有统计学意义。另外,CI组中AC杂合型患者较AA纯合型患者的血压水平增高;AA纯合型的收缩压水平及AC杂合型的收缩压、舒张压水平,CI组较正常对照组升高,差异均有统计学意义。结论 本研究结果提示AT1R A1166C基因多态性可能是CI发病的遗传因素,也是导致高血压特别是舒张压升高的一个重要因素。

关键词: 血管紧张素Ⅱ受体-1; 基因多态性; 脑梗死

Abstract: Objective To explore the relationship between angiotensin II type I receptor (AT1R) A1166C genepolymorphisms and cerebral infarction(CI).Methods The study population was comprised of 77 patients with cerebral infarction and 98healthy individuals. The AT1R-A1166C genotypes were determined by restriction fragment lengthpolymorphism.Results CC genotype was not found both in CI and control group. In CI group, genotypicfrequencies of AA and AC were 38.9% and 61.1%, respectively. The allele frequency of A was 0.695and C was 0.305. In control group, genotypic frequencies of AA and AC were 91.8% and 8.2%,respectively. The allele frequency of A was 0.959 and C was 0.041. AT1R-A1166C polymorphismrevealed significant difference of genotype and allelic distribution between CI patients and controls.In CI group, patients with AC genotype showed significantly higher blood pressure than those withAA genotype. The systolic blood pressure in patients with AA genotype, as well as the systolic anddiastolic blood pressure in patients with AC genotype in CI group were statistically higher thanthose in control group.Conclusion The polymorphism of AT1R-A1166C is related to the incidence of cerebral infarctionand contributes to the development of hypertension, especially for the diastolic blood pressure.

Key words: Angiotensin II type I receptor; Gene polymorphism; Cerebral infarction