Serveur d'exploration sur les relations entre la France et l'Australie

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The ACE gene I/D polymorphism is not associated with the blood pressure and cardiovascular benefits of ACE inhibition

Identifieur interne : 001042 ( PascalFrancis/Curation ); précédent : 001041; suivant : 001043

The ACE gene I/D polymorphism is not associated with the blood pressure and cardiovascular benefits of ACE inhibition

Auteurs : Stephen B. Harrap [Australie] ; Christophe Tzourio [France] ; Francois Cambien [France] ; Odette Poirier [France] ; Segolene Raoux [France] ; John Chalmers [Australie] ; Neil Chapman [Australie] ; Samuel Colman [Australie] ; Solenn Leguennec [France] ; Stephen Macmahon [Australie] ; Bruce Neal [Australie] ; Takayoshi Ohkubo [Australie] ; Mark Woodward [Australie]

Source :

RBID : Pascal:04-0070201

Descripteurs français

English descriptors

Abstract

The insertion/deletion (I/D) polymorphism of the angiotensin-converting enzyme (ACE) gene might have consequences for the risks of vascular diseases. We examined the ACE genotype and the effects of a perindopril-based blood pressure-lowering regimen on macrovascular events, dementia, and cognitive decline among hypertensive and nonhypertensive patients with a history of cerebrovascular disease. ACE I/D genotypes were measured in 5688 of 6105 individuals with previous stroke or transient ischemic attack who participated in the PROGRESS trial. The DD genotype was significantly (P<0.0001) less frequent in Asian subjects (Chinese and Japanese, 14.7%) than in non-Asian subjects (32.0%). Controlling for racial background, there were no associations between ACE genotypes and cerebrovascular disease history or cardiovascular risk factors, including baseline blood pressure. The ACE genotype was not associated with the long-term risks of stroke, cardiac events, mortality, dementia, or cognitive decline; neither did the ACE genotype predict the blood pressure reduction associated with the use of the ACE inhibitor perindopril. Similarly, there was no evidence that the ACE genotype modified the relative benefits of ACE inhibitor-based therapy over placebo. This study provides no evidence that in patients with cerebrovascular disease, knowledge of ACE genotype is useful for predicting either the risk of disease or the benefits of perindopril-based blood pressure-lowering treatment.
pA  
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A08 01  1  ENG  @1 The ACE gene I/D polymorphism is not associated with the blood pressure and cardiovascular benefits of ACE inhibition
A11 01  1    @1 HARRAP (Stephen B.)
A11 02  1    @1 TZOURIO (Christophe)
A11 03  1    @1 CAMBIEN (Francois)
A11 04  1    @1 POIRIER (Odette)
A11 05  1    @1 RAOUX (Segolene)
A11 06  1    @1 CHALMERS (John)
A11 07  1    @1 CHAPMAN (Neil)
A11 08  1    @1 COLMAN (Samuel)
A11 09  1    @1 LEGUENNEC (Solenn)
A11 10  1    @1 MACMAHON (Stephen)
A11 11  1    @1 NEAL (Bruce)
A11 12  1    @1 OHKUBO (Takayoshi)
A11 13  1    @1 WOODWARD (Mark)
A14 01      @1 Department of Physiology, University of Melbourne @2 Melbourne @3 AUS @Z 1 aut.
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C01 01    ENG  @0 The insertion/deletion (I/D) polymorphism of the angiotensin-converting enzyme (ACE) gene might have consequences for the risks of vascular diseases. We examined the ACE genotype and the effects of a perindopril-based blood pressure-lowering regimen on macrovascular events, dementia, and cognitive decline among hypertensive and nonhypertensive patients with a history of cerebrovascular disease. ACE I/D genotypes were measured in 5688 of 6105 individuals with previous stroke or transient ischemic attack who participated in the PROGRESS trial. The DD genotype was significantly (P<0.0001) less frequent in Asian subjects (Chinese and Japanese, 14.7%) than in non-Asian subjects (32.0%). Controlling for racial background, there were no associations between ACE genotypes and cerebrovascular disease history or cardiovascular risk factors, including baseline blood pressure. The ACE genotype was not associated with the long-term risks of stroke, cardiac events, mortality, dementia, or cognitive decline; neither did the ACE genotype predict the blood pressure reduction associated with the use of the ACE inhibitor perindopril. Similarly, there was no evidence that the ACE genotype modified the relative benefits of ACE inhibitor-based therapy over placebo. This study provides no evidence that in patients with cerebrovascular disease, knowledge of ACE genotype is useful for predicting either the risk of disease or the benefits of perindopril-based blood pressure-lowering treatment.
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C07 10  X  SPA  @0 Vaso sanguíneo patología @5 74
N21       @1 047
N82       @1 PSI

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Pascal:04-0070201

Le document en format XML

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<title level="j" type="main">Hypertension : (Dallas, Tex. 1979)</title>
<title level="j" type="abbreviated">Hypertension : (Dallas Tex., 1979)</title>
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<title level="j" type="main">Hypertension : (Dallas, Tex. 1979)</title>
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<term>Controlled therapeutic trial</term>
<term>Coronary heart disease</term>
<term>Enzyme inhibitor</term>
<term>Gene</term>
<term>Genetic determinism</term>
<term>Human</term>
<term>Peptidyl-dipeptidase A</term>
<term>Perindopril</term>
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<div type="abstract" xml:lang="en">The insertion/deletion (I/D) polymorphism of the angiotensin-converting enzyme (ACE) gene might have consequences for the risks of vascular diseases. We examined the ACE genotype and the effects of a perindopril-based blood pressure-lowering regimen on macrovascular events, dementia, and cognitive decline among hypertensive and nonhypertensive patients with a history of cerebrovascular disease. ACE I/D genotypes were measured in 5688 of 6105 individuals with previous stroke or transient ischemic attack who participated in the PROGRESS trial. The DD genotype was significantly (P<0.0001) less frequent in Asian subjects (Chinese and Japanese, 14.7%) than in non-Asian subjects (32.0%). Controlling for racial background, there were no associations between ACE genotypes and cerebrovascular disease history or cardiovascular risk factors, including baseline blood pressure. The ACE genotype was not associated with the long-term risks of stroke, cardiac events, mortality, dementia, or cognitive decline; neither did the ACE genotype predict the blood pressure reduction associated with the use of the ACE inhibitor perindopril. Similarly, there was no evidence that the ACE genotype modified the relative benefits of ACE inhibitor-based therapy over placebo. This study provides no evidence that in patients with cerebrovascular disease, knowledge of ACE genotype is useful for predicting either the risk of disease or the benefits of perindopril-based blood pressure-lowering treatment.</div>
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<s0>The insertion/deletion (I/D) polymorphism of the angiotensin-converting enzyme (ACE) gene might have consequences for the risks of vascular diseases. We examined the ACE genotype and the effects of a perindopril-based blood pressure-lowering regimen on macrovascular events, dementia, and cognitive decline among hypertensive and nonhypertensive patients with a history of cerebrovascular disease. ACE I/D genotypes were measured in 5688 of 6105 individuals with previous stroke or transient ischemic attack who participated in the PROGRESS trial. The DD genotype was significantly (P<0.0001) less frequent in Asian subjects (Chinese and Japanese, 14.7%) than in non-Asian subjects (32.0%). Controlling for racial background, there were no associations between ACE genotypes and cerebrovascular disease history or cardiovascular risk factors, including baseline blood pressure. The ACE genotype was not associated with the long-term risks of stroke, cardiac events, mortality, dementia, or cognitive decline; neither did the ACE genotype predict the blood pressure reduction associated with the use of the ACE inhibitor perindopril. Similarly, there was no evidence that the ACE genotype modified the relative benefits of ACE inhibitor-based therapy over placebo. This study provides no evidence that in patients with cerebrovascular disease, knowledge of ACE genotype is useful for predicting either the risk of disease or the benefits of perindopril-based blood pressure-lowering treatment.</s0>
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<s5>18</s5>
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<s5>19</s5>
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<s5>70</s5>
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<s5>71</s5>
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<s5>71</s5>
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<fC07 i1="09" i2="X" l="FRE">
<s0>Cérébrovasculaire pathologie</s0>
<s5>72</s5>
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<fC07 i1="09" i2="X" l="ENG">
<s0>Cerebrovascular disease</s0>
<s5>72</s5>
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