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Submitted: 30 Apr 2023
Accepted: 15 Jun 2023
ePublished: 28 Apr 2024
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J Renal Inj Prev. 2024;13(4): e32197.
doi: 10.34172/jrip.2024.32197
  Abstract View: 472
  PDF Download: 102

Meta-analysis

Association of AT1R (A1166C) gene polymorphisms and hypertension: A study in south Indian population and meta-analysis

Amulya Ramakrishnegowda 1 ORCID logo, Sandhya Suresh 1* ORCID logo, Ramprasad Elumalai 1 ORCID logo, Harini Ravi 2 ORCID logo, Gnanasambandan Ramanathan 2 ORCID logo

1 Department of Nephrology, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai-600116, India
2 School of BioSciences and Technology, Vellore Institute of Technology, Vellore-632014, India
*Corresponding Author: Sandhya Suresh, Email: sandhyasuresh@sriramachandra.edu.in

Abstract

Introduction: Hypertension is a multi-factorial disease caused by several etiologies. It has been reported that hypertension has been linked to AT1R A1166C polymorphism, but the previous studies in Indian populations remain controversial.

Objectives: In this study, we aimed to investigate the AT1R A1166C gene polymorphism with the risk of hypertension in the south Indian populations.

Patients and Methods: The 179 subjects were considered in the association study utilizing polymerase chain reaction–restriction fragment length polymorphism (PCR-RFLP) genotyping technique, yielding no significant association in the dominant and allelic models P=0.76 and P=0.76 respectively. Additionally, to determine the relationship between the AT1R gene A1166C polymorphism and hypertension in the Indian population, a metaanalysis was conducted. The retrieved seven case-control studies on Indian populations are conducted to determine how strongly genes are associated using the pooled odds ratio (OR) and 95% confidence intervals (CI).

Results: The meta-analysis was performed by RevMan software and significant association was observed in the dominant (AA versus AC+CC, P=0.05), recessive (CC versus AA+AC, P=0.02) and allelic (A versus C, P=0.04) models respectively.

Conclusion: The ‘C’ allele is statistically associated with an elevated hypertension risk in Indian populations.


Implication for health policy/practice/research/medical education:

The south Indian population case-control study reveals no relationship between the AT1R gene A1166C polymorphism and hypertension. However, the Indian meta-analysis study reveals the ‘C’ allele of A1166C polymorphism is statistically associated with elevated hypertension risk.

Please cite this paper as: Ramakrishnegowda A, Suresh S, Elumalai R, Ravi H, Ramanathan G. Association of AT1R (A1166C) gene polymorphisms and hypertension: a study in south Indian population and meta-analysis. J Renal Inj Prev. 2024; 13(4): e32197. doi: 10.34172/jrip.2024.32197.

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