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Angiotensin-Converting Enzyme Gene Polymorphism in Children With Idiopathic Nephrotic Syndrome, Effect on Biopsy Findings Publisher Pubmed



Monajemzadeh M1 ; Hesami M1 ; Shahsiah R1 ; Vasei M1 ; Hooshmand S1 ; Tanzifi P1 ; Hajizadeh N1 ; Ataei N1 ; Mehrkash M1 ; Javadi Larijani F1 ; Moghtaderi M1 ; Bazargani B1 ; Khorvash R1 ; Soleimanifar N1
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Authors Affiliations
  1. 1. Tehran University of Medical Sciences, Pathology, Tehran, Iran

Source: Fetal and Pediatric Pathology Published:2017


Abstract

Objective: Angiotensin converting enzyme (ACE) converts angiotensin I into angiotensin II. The ACE gene shows an I/D polymorphism, which correlates with ACE concentrations. The aim of this study is to evaluate the distribution of the ACE I/D genotype in children with idiopathic nephrotic syndrome (INS) and healthy controls and study the effect of this polymorphism on clinical and pathologic findings. Methods: ACE gene I/D polymorphism of 104 patients with INS and 119 controls were determined. Results: The DD, ID, and II genotypes were found in 58.7%, 22.1%, and 19.2% of the patients, and in 79.8%, 2.5%, and 17.6% of controls, respectively (p > 0.05). The ID genotype was seen more frequently in patients resistant to treatment. Conclusion: The observed differences with previous reports suggest the influence of the genetic background on disease course. The ACE I/D gene polymorphism's role seems to be more important in renal disease progression than susceptibility. © 2017 Taylor & Francis Group, LLC.