Angiotensin-Converting Enzyme Gene Polymorphism in Obesity and Its Interaction with Blood Pressure in Academicians
DOI:
https://doi.org/10.18196/mmjkk.v25i2.22867Keywords:
Angiotensin-converting enzyme (ACE) gene, Blood Pressure, ObesityAbstract
Obesity is one of the risk factors for hypertension. Obesity in hypertensive patients determines the severity of hypertension. Angiotensin-converting enzyme (ACE) is an enzyme that triggers vasoconstriction. ACE gene insertion/deletion polymorphisms may be associated with hypertension. This study aims to determine an association between ACE gene polymorphisms and blood pressure in obese patients. This research used an analytic observational study with a cross-sectional design. The research sample consisted of 36 obese academicians. Blood samples were taken from the patients to examine the ACE gene polymorphism. The correlative hypothesis used the Kruskal-Wallis test. The results showed that the most common types of ACE gene polymorphisms were type II (55.6%), type ID (33.3%), and type DD (11.1%)—the mean value of systolic blood pressure type II 123.29mmHg, type ID 125.82mmHg, DD 134.5mmHg. The mean value of diastolic pressure in ACE gene polymorphism type II was 81.57mmHg, type ID was 79.73mmHg, and type DD was 82.5mmHg. The Kruskal-Wallis test showed a relationship between ACE polymorphism and systolic pressure at p=0.705 (p>0.05) and the relationship between ACE polymorphism and diastolic pressure at p=0.980 (p>0.05). It concluded that there is no relationship between the ACE gene polymorphism and blood pressure in obese academicians.
References
World Health Organization (WHO). Obesity and Overweight. 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Indonesian Ministry of Health. General Guidelines for Obesity Control. Directorate of Non-communicable Disease Control. 2015. Available from: https://p2p.kemkes.go.id/wp-content/uploads/2023/12/FINAL_231123_Layout-PTM_Bahasa-Inggris.pdf
Tiara UI. Relationship between Obesity and Hypertension. J Health Sci Physio. 2020;2(2):167–71. https://www.neliti.com/publications/423343/hubungan-obesitas-dengan-kejadian-hipertensi
Pan YH, Wang M, Huang YM, et al. ACE gene I/D polymorphism and obesity in 1,574 patients with type 2 diabetes mellitus. Dis Markers. 2016. Available from: https://pubmed.ncbi.nlm.nih.gov/28115791/
Sarkar P, Chatterjee D, Bandyopadhyay AR. A study on the association of ACE I/D gene polymorphism, obesity, blood pressure, and susceptibility of type 2 diabetes mellitus among the Kurmis of West Bengal, India. J Immunol Geriatr. 2016;1(1):1–8. https://openaccesspub.org/immunology-and-geriatrics/article/303
Lemes VA, Neves AL, Guazzelli IC, et al. Angiotensin converting enzyme insertion/deletion polymorphism is associated with increased adiposity and blood pressure in obese children and adolescents. Gene. 2013;532(2):197–202. https://pubmed.ncbi.nlm.nih.gov/24076353/
Sun C, Ponsonby AL, Carlin JB, et al. Childhood adiposity, adult adiposity, and the ACE gene insertion/deletion polymorphism: evidence of gene–environment interaction effects on adult blood pressure and hypertension status in adulthood. J Hypertens. 2018;36(11):2168. https://pubmed.ncbi.nlm.nih.gov/29939946/
Wrzosek M, Sokal M, Sawicka A, et al. Impact of obesity and nitric oxide synthase gene G894T polymorphism on essential hypertension. J Physiol Pharmacol. 2015;66(5):681–9. https://pubmed.ncbi.nlm.nih.gov/26579574/
Jiofansyah M. Angiotensin-converting enzyme inhibitors as therapy for primary hypertensive patients with obesity. JIMKI. 2019;7(2):147–51. https://jimki.bapin.or.id/main/article/view/55
Nabillah D. Interaction between Angiotensin Converting Enzyme (ACE) gene polymorphisms and sodium intake with blood pressure in overweight/obesity adult women [dissertation]. Yogyakarta: Universitas Gadjah Mada; 2019.
Harris S, Tambunan T. Hypertension in metabolic syndrome. Sari Pediatri. 2016;11(4):257–63. https://saripediatri.org/index.php/sari-pediatri/article/view/577
Handayani A, Thristy I, Andina M. Association of Angiotensin-Converting Enzyme polymorphism with improved left ventricular ejection fraction in patients with chronic heart failure. Bull Farmatera. 2021;6(2):108–15. https://jurnal.umsu.ac.id/index.php/buletin_farmatera/article/view/5549
Ali A, Alghasham A, Ismail H, et al. ACE I/D and eNOS E298D gene polymorphisms in Saudi subjects with hypertension. J Renin Angiotensin Aldosterone Syst. 2013;14(4):348–53. https://pubmed.ncbi.nlm.nih.gov/23042814/
Simonyte S, Kuciene R, Medzioniene J, et al. Renin-angiotensin system gene polymorphisms and high blood pressure in Lithuanian children and adolescents. BMC Med Genet. 2017;18:1–9. https://pmc.ncbi.nlm.nih.gov/articles/PMC5598068/
Wong MK. Renin-angiotensin system. In: Handbook of Hormones. Academic Press; 2016. p. 253-e29.
Apidi E, et al. Association of Angiotensin Converting Enzyme (ACE) gene insertion/deletion (I/D) polymorphism with obesity and obesity-related phenotypes in Malay subjects. Jordan J Biol Sci. 2020;13(3). https://jjbs.hu.edu.jo/files/vol13/n3/Paper%20Number%202.pdf
Kwon I. Angiotensin-converting enzyme gene insertion/deletion polymorphism is not associated with BMI in Korean adults. Phys Act Nutr. 2020;24(1):24. https://pmc.ncbi.nlm.nih.gov/articles/PMC7451838/
Lelis DF, et al. Polymorphisms of the renin–angiotensin system are not associated with overweight and obesity in a general adult population. Arch Endocrinol Metab. 2019;63:402–10. https://pmc.ncbi.nlm.nih.gov/articles/PMC10528654/
I Putu Sudayasa, La Ode Alifariki. Polymorphism of Gene ACE I/D and Family History of Hypertension as the predisposition of hypertension. Malays J Med Health Sci. 2023;19(2):236–41. https://medic.upm.edu.my/upload/dokumen/2023032215582933_MJMHS_0640.pdf
Fan Z, Wu G, Yue M, et al. Hypertension and hypertensive left ventricular hypertrophy are associated with ACE2 genetic polymorphism. Life Sci. 2019;225:39–45. https://doi.org/10.1016/j.lfs.2019.03.059
Hadian B, Zafarmohtashami A, Chaghervand Z, Nouryazdan N. Angiotensin-converting enzyme gene insertion/deletion polymorphism and hypertension disease. Arch Physiol Biochem. 2020;128:1165–9. https://doi.org/10.1080/13813455.2020.1762225
Pinheiro DS, Santos RS, Jardim P, et al. The combination of ACE I/D and ACE2 G8790A polymorphisms reveals susceptibility to hypertension: a genetic association study in Brazilian patients. PLoS One. 2019;14. https://doi.org/10.1371/journal.pone.0221248
Liu M, Yi J, Tang W. Association between angiotensin-converting enzyme gene polymorphism and essential hypertension: a systematic review and meta-analysis. J Renin Angiotensin Aldosterone Syst. 2021;22. https://doi.org/10.1177/1470320321995074
Tsegaye A, Birhan M, Derbew M, et al. The effect of angiotensin-converting enzyme gene insertion/deletion polymorphism on anthropometric and biochemical parameters among hypertension patients: a case-control study from Northwest Ethiopia. PLoS One. 2023;18(5):e0285618. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0285618
Fulton D, Stepp D. Origins of hypertension in obesity: plain vanilla(oid) or multiple flavors? Circulation. 2020. https://doi.org/10.1161/CIRCULATIONAHA.120.046027
Pita MR, Maddie N, Carrillo-Sepulveda MA. Increased Toll-like receptor 4 in perirenal adipose tissue is associated with elevated systolic blood pressure in obese mice. Hypertension. 2022. Abstract P034. https://doi.org/10.1161/hyp.79.suppl_1.p034
Tsegaye A, Birhan M, Derbew M, et al. The effect of angiotensin-converting enzyme gene insertion/deletion polymorphism on anthropometric and biochemical parameters among hypertension patients: a case-control study from Northwest Ethiopia. PLoS One. 2023;18(5):e0285618. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0285618
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