Assessment of insertion/deletion polymorphism of ACE gene as a genetic risk marker for preeclampsia in pregnant women

J Pak Med Assoc. 2020 May;70(5):791-795. doi: 10.5455/JPMA.11322.

Abstract

Objective: To investigate the possible associations of angiotensin converting enzyme insertion or deletion genotypes and alleles with the risk of preeclampsia in Arab women.

Methods: The case-control study was conducted from January 2016 to December 2017 at King Abdulaziz University Hospital and Maternity & Children Hospital, Jeddah, Saudi Arabia, and comprised pregnant women withpreeclampsia as cases and normal pregnant women as controls. Deoxyribonucleic acid was extracted and angiotensin-converting enzyme gene was amplified by polymerase chain reaction analysis and characterised through gel electrophoresis.

Results: Of the 162 women, 68(42%) were cases and 94(58%) controls. The mean values of age, body mass index, and systolic and diastolic blood pressure were significantly different among the cases than the controls (p<0.05), but mean gestational age did not significantly differ between the groups (p>0.05). The distribution of the polymorphic variants of the angiotensin converting enz yme gene insertion/deletion was not significantly different between the groups (p>0.05). Also, genotype distribution and allelic frequencies were not significantly different between the groups (p>0.05).

Conclusions: For insertion/deletion polymorphism, no significant differences were detected in the genotype and allele frequencies or any of the inheritance models between preeclampsia patients and controls.

Keywords: ACE gene, Preeclampsia, Genetic risk marker, Polymorphism, Pregnant women.

MeSH terms

  • Adult
  • Blood Pressure Determination* / methods
  • Blood Pressure Determination* / statistics & numerical data
  • Case-Control Studies
  • Female
  • Genetic Markers
  • Genetic Profile
  • Humans
  • Mutagenesis, Insertional
  • Peptidyl-Dipeptidase A / genetics*
  • Polymorphism, Genetic
  • Pre-Eclampsia* / diagnosis
  • Pre-Eclampsia* / ethnology
  • Pre-Eclampsia* / genetics
  • Pregnancy
  • Saudi Arabia
  • Sequence Deletion

Substances

  • Genetic Markers
  • ACE protein, human
  • Peptidyl-Dipeptidase A