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Article

Association of angiotensin‑converting enzyme gene I/D and CYP11B2 gene -344T/C polymorphisms with lone atrial fibrillation and its recurrence after catheter ablation

  • Authors:
    • Xian-Ling Zhang
    • Li-Qun Wu
    • Xu Liu
    • Yi-Qing Yang
    • Hong-Wei Tan
    • Xin-Hua Wang
    • Li Zhou
    • Wei-Feng Jiang
    • Zheng Li
  • View Affiliations / Copyright

    Affiliations: Department of Cardiology, Shanghai Chest Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, P.R. China , Department of Cardiology, Shanghai Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, P.R. China, Department of Cardiovascular Research, Shanghai Chest Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, P.R. China
  • Pages: 741-747
    |
    Published online on: July 31, 2012
       https://doi.org/10.3892/etm.2012.650
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Abstract

The renin-angiotensin-aldosterone system (RAAS) plays a key role in atrial structural and electrical remodeling. The aim of this study was to investigate the potential associations of angiotensin‑converting enzyme (ACE) gene insertion/deletion (I/D) and aldosterone synthase (CYP11B2) gene -344T/C polymorphisms with the risk and recurrence of lone atrial fibrillation (AF). One hundred and ninety-three patients who underwent successful catheter ablation for lone AF were recruited. Two hundred and ninety-seven sinus rhythm subjects without a history of arrhythmia served as controls. The subjects were genotyped for ACE gene I/D and CYP11B2 gene -344T/C polymorphisms. Results showed that the ACE gene DD genotype and D allele were associated with a greater prevalence of lone AF (both P<0.01). In addition, the ACE gene DD genotype had a significantly larger left atrial dimension (LAD; 41.6±5.7 mm vs. 39.6±5.2 mm; P=0.043) and higher risk of AF recurrence [44.7% vs. 23.2%; odds ratio (OR), 2.68; 95% confidence interval (CI), 1.28-5.61; P=0.008] compared with the II+ID genotype in lone AF patients. After adjustment for a variety of risk factors, the ACE gene DD genotype had a 1.97‑fold increased risk for lone AF (OR, 1.97; 95% CI, 1.15‑3.37; P=0.013) and 2.35-fold increased risk for AF recurrence (RR, 2.35; 95% CI, 1.10-5.04; P=0.028) compared with the ACE gene II+ID genotype. However, no correlation between the CYP11B2 gene -344T/C polymorphism and lone AF or its recurrence was observed in this cohort. In conclusion, the ACE gene DD genotype was associated with an increased incidence of lone AF and its recurrence following ablation, which was partly mediated by LAD.
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Copy and paste a formatted citation
Spandidos Publications style
Zhang X, Wu L, Liu X, Yang Y, Tan H, Wang X, Zhou L, Jiang W and Li Z: Association of angiotensin‑converting enzyme gene I/D and CYP11B2 gene -344T/C polymorphisms with lone atrial fibrillation and its recurrence after catheter ablation. Exp Ther Med 4: 741-747, 2012.
APA
Zhang, X., Wu, L., Liu, X., Yang, Y., Tan, H., Wang, X. ... Li, Z. (2012). Association of angiotensin‑converting enzyme gene I/D and CYP11B2 gene -344T/C polymorphisms with lone atrial fibrillation and its recurrence after catheter ablation. Experimental and Therapeutic Medicine, 4, 741-747. https://doi.org/10.3892/etm.2012.650
MLA
Zhang, X., Wu, L., Liu, X., Yang, Y., Tan, H., Wang, X., Zhou, L., Jiang, W., Li, Z."Association of angiotensin‑converting enzyme gene I/D and CYP11B2 gene -344T/C polymorphisms with lone atrial fibrillation and its recurrence after catheter ablation". Experimental and Therapeutic Medicine 4.4 (2012): 741-747.
Chicago
Zhang, X., Wu, L., Liu, X., Yang, Y., Tan, H., Wang, X., Zhou, L., Jiang, W., Li, Z."Association of angiotensin‑converting enzyme gene I/D and CYP11B2 gene -344T/C polymorphisms with lone atrial fibrillation and its recurrence after catheter ablation". Experimental and Therapeutic Medicine 4, no. 4 (2012): 741-747. https://doi.org/10.3892/etm.2012.650
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang X, Wu L, Liu X, Yang Y, Tan H, Wang X, Zhou L, Jiang W and Li Z: Association of angiotensin‑converting enzyme gene I/D and CYP11B2 gene -344T/C polymorphisms with lone atrial fibrillation and its recurrence after catheter ablation. Exp Ther Med 4: 741-747, 2012.
APA
Zhang, X., Wu, L., Liu, X., Yang, Y., Tan, H., Wang, X. ... Li, Z. (2012). Association of angiotensin‑converting enzyme gene I/D and CYP11B2 gene -344T/C polymorphisms with lone atrial fibrillation and its recurrence after catheter ablation. Experimental and Therapeutic Medicine, 4, 741-747. https://doi.org/10.3892/etm.2012.650
MLA
Zhang, X., Wu, L., Liu, X., Yang, Y., Tan, H., Wang, X., Zhou, L., Jiang, W., Li, Z."Association of angiotensin‑converting enzyme gene I/D and CYP11B2 gene -344T/C polymorphisms with lone atrial fibrillation and its recurrence after catheter ablation". Experimental and Therapeutic Medicine 4.4 (2012): 741-747.
Chicago
Zhang, X., Wu, L., Liu, X., Yang, Y., Tan, H., Wang, X., Zhou, L., Jiang, W., Li, Z."Association of angiotensin‑converting enzyme gene I/D and CYP11B2 gene -344T/C polymorphisms with lone atrial fibrillation and its recurrence after catheter ablation". Experimental and Therapeutic Medicine 4, no. 4 (2012): 741-747. https://doi.org/10.3892/etm.2012.650
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