Background: Numerous studies in Chinese populations have evaluated the association between the A-6G and A-20C polymorphisms in the promoter region of angiotensinogen gene and hypertension. However, the results remain conflicting. We carried out a meta-analysis for these associations. Methods and Results: Case-control studies in Chinese and English publications were identified by searching the MEDLINE, EMBASE, CNKI, Wanfang, CBM, and VIP databases. The random-effects model was applied for dichotomous outcomes to combine the results of the individual studies. We finally selected 24 studies containing 5932 hypertensive patients and 5231 normotensive controls. Overall, we found significant association between the A-6G polymorphism and the decreased risk of hypertension in the dominant genetic model (AA+AG vs. GG: P = 0.001, OR = 0.71, 95% CI 0.57-0.87, P-heterogeneity = 0.96). The A-20C polymorphism was significantly associated with the increased risk for hypertension in the allele comparison (C vs. A: P = 0.03, OR = 1.14, 95% CI 1.02-1.27, P-heterogeneity = 0.92) and recessive genetic model (CC vs. CA+AA: P = 0.005, OR = 1.71, 95% CI 1.18-2.48, P-heterogeneity = 0.99). In the subgroup analysis by ethnicity, significant association was also found among Han Chinese for both A-6G and A-20C polymorphisms. A borderline significantly decreased risk of hypertension between A-6G and Chinese Mongolian was seen in the allele comparison (A vs. G: P = 0.05, OR = 0.79, 95% CI 0.62-1.00, P-heterogeneity = 0.84). Conclusion: Our meta-analysis indicated significant association between angiotensinogen promoter polymorphisms and hypertension in the Chinese populations, especially in Han Chinese.
基金:
National High Technology Research and Development ProgramNational High Technology Research and Development Program of China [2008AA02Z441]; Ministry of Science and Technology in People's Republic of China [2008BAI52B03]
第一作者机构:[1]Beijing Anzhen Hosp, Beijing Inst Heart Lung & Blood Vessel Dis, Dept Hypertens Res, Beijing, Peoples R China;[2]Capital Med Univ, Beijing, Peoples R China;
通讯作者:
通讯机构:[1]Beijing Anzhen Hosp, Beijing Inst Heart Lung & Blood Vessel Dis, Dept Hypertens Res, Beijing, Peoples R China;[2]Capital Med Univ, Beijing, Peoples R China;
推荐引用方式(GB/T 7714):
Gu Wei,Liu Jielin,Niu Qiuli,et al.A-6G and A-20C Polymorphisms in the Angiotensinogen Promoter and Hypertension Risk in Chinese: A Meta-Analysis[J].PLOS ONE.2011,6(12):-.doi:10.1371/journal.pone.0029489.
APA:
Gu, Wei,Liu, Jielin,Niu, Qiuli,Wang, Hao,Lou, Yuqing...&Wen, Shaojun.(2011).A-6G and A-20C Polymorphisms in the Angiotensinogen Promoter and Hypertension Risk in Chinese: A Meta-Analysis.PLOS ONE,6,(12)
MLA:
Gu, Wei,et al."A-6G and A-20C Polymorphisms in the Angiotensinogen Promoter and Hypertension Risk in Chinese: A Meta-Analysis".PLOS ONE 6..12(2011):-