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• W1984251365 abstract "La nefropatía diabética es una enfermedad de etiología poligénica y multifactorial. Estudios de ligamiento familiar indican que están involucrados factores genéticos. Un gen candidato es el que codifica la enzima de conversión de la angiotensina (ECA), en el que se ha identificado un polimorfismo inserción/deleción (I/D). El objetivo del presente trabajo ha sido analizar la asociación del polimorfismo I/D del gen de la ECA con la nefropatía diabética incipiente y establecida en una población mexicana. Se estudió a 204 pacientes con diabetes mellitus tipo 2, de los que 43 presentaban además nefropatía diabética incipiente y 45 nefropatía diabética establecida; los 116 restantes no tenían nefropatía diabética (controles). La nefropatía diabética se definió de acuerdo con los criterios de la American Diabetes Association. El polimorfismo I/D del gen de la ECA se detectó por reacción en cadena de la polimerasa. Los pacientes con diabetes mellitus tipo 2 y nefropatía diabética incipiente o establecida presentaron diferencias significativas respecto a los controles en las variables que determinan el daño renal (p < 0,0001) y en los lípidos (p < 0,01). El genotipo DD se asoció estrechamente con el desarrollo de nefropatía diabética tanto incipiente (odds ratio [OR] ajustada = 2,83; intervalo de confianza [IC] del 95%, 1,74-4,59; p < 0,0001) como establecida (OR ajustada = 2,95; IC del 95%, 1,83-4,73; p < 0,0001). El genotipo DD del gen de la ECA se asoció con el desarrollo de nefropatía diabética incipiente y nefropatía diabética establecida en una población mexicana Diabetic nephropathy is a polygenic and multifactorial disease. Studies of familial clustering and genetic predisposition suggest that genetic factors are involved. Among candidate genes, the coding for angiotensin-converting enzyme (ACE) polymorphism has been described. Our objective was to investigate the association ACE gene insertion/deletion (I/D) polymorphism with the development of diabetic nephropathy in a Mexican population. In a cross-sectional study, we evaluated 204 patients with type 2 diabetes: 43 with incipient diabetic nephropathy, 45 with established diabetic nephropathy and 116 without diabetic nephropathy. Diabetic nephropathy was defined according the American Diabetes Association criteria. The ACE I/D gene polymorphism was detected by polymerase chain reaction. Patients with type 2 diabetes with both incipient diabetic nephropathy and established diabetic nephropathy significantly differed from controls with respect to variables that determined kidney damage (P< .0001) and serum lipids (P<.01). The genotype DD was strongly associated with the development of incipient diabetic nephropathy (odds ratio [OR] adjusted = 2.83; 95% confidence interval, 1.74-4.59; P<.0001) and established diabetic nephropathy (OR adjusted = 2.95; 95% CI, 1.83-4.73; P<.0001). The ACE DD genotype is associated with the development of incipient diabetic nephropathy and established diabetic nephropathy in a Mexican population." @default.
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• W1984251365 date "2007-06-01" @default.
• W1984251365 modified "2023-10-18" @default.
• W1984251365 title "Polimorfismo inserción/deleción del gen de la enzima de conversión de la angiotensina en una población mexicana con nefropatía diabética" @default.
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• W1984251365 doi "https://doi.org/10.1157/13106674" @default.
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