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- W1853905915 abstract "Background:The etiology of muscle wasting in chronic obstructive pulmonary disease (COPD) is incompletely understood. We previously showed that the D rather than the I polymorphic variant of the angiotensin-converting enzyme (ACE) gene is associated with preserved quadriceps strength in COPD. If the ACE D allele influences skeletal muscle through increased ACE-related kinin degradation [and reduced activity at the bradykinin type 2 receptor (BK2R)], we might expect a similar association with the +9 BK2R genotype in this population as well. Objective:The objective was to test the hypothesis that the BK2R gene polymorphism is a determinant of fat-free mass and quadriceps strength in patients with COPD. Design:In a cross-sectional design we determined BK2R genotype, fat-free mass, and quadriceps strength in 110 COPD patients with a mean (±SD) predicted forced expiratory volume in 1 s of 34.3 ± 16.4% and in 104 healthy age-matched control subjects. Results:The mean (±SD) fat-free mass index (in kg/m2) was significantly lower in 37 patients homozygous for the +9 allele than in carriers of the −9 allele (15.7 ± 1.8 compared with 16.7 ± 2.3; P = 0.038); the same pattern was true for quadriceps maximal voluntary force (30.8 ± 10.4 and 36.4 ± 12.8 kg; P = 0.02), respectively. No significant effect of BK2R genotype on inspiratory muscle strength or on any variable in control subjects was observed. There was no interaction between the effect of the BK2R and ACE genotypes on quadriceps strength. Conclusions:The genotype associated with reduced BK2R expression is associated with reduced fat-free mass and quadriceps strength in COPD. However, alterations in the activity at the BK2R do not seem to account for the previously identified association of quadriceps strength with ACE genotype." @default.
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- W1853905915 date "2006-04-01" @default.
- W1853905915 modified "2023-09-25" @default.
- W1853905915 title "+9/+9 Homozygosity of the bradykinin receptor gene polymorphism is associated with reduced fat-free mass in chronic obstructive pulmonary disease" @default.
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- W1853905915 doi "https://doi.org/10.1093/ajcn/83.4.912" @default.
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