RRC ID 41687
著者 Noiri E, Satoh H, Taguchi J, Brodsky SV, Nakao A, Ogawa Y, Nishijima S, Yokomizo T, Tokunaga K, Fujita T.
タイトル Association of eNOS Glu298Asp polymorphism with end-stage renal disease.
ジャーナル Hypertension
Abstract Nitric oxide (NO) derived from endothelial cells is profoundly related to the maintenance of physiological vascular tone. Impairment of endothelial NO generation brought about by gene polymorphism is considered the major deterioration factor for progressive renal disease, including diabetic nephropathy. The present study aimed to elucidate the Glu298Asp polymorphism of endothelial NO synthase (eNOS) in patients with end-stage renal disease (ESRD) and its role as a predisposing factor for cardiovascular complications. Glu298Asp in exon 7 of the eNOS gene was determined by polymerase chain reaction, followed by restriction fragment length polymorphism analysis, in ESRD patients (n=185) and compared with that of unrelated healthy individuals (n=304). The occurrence of 298Asp was significantly higher in the ESRD group (P=0.0020; odds ratio [OR] 1.65; 95% confidential interval [CI]: 1.21 to 2.25). In this group, 72 patients had type 2 diabetes mellitus (DM). Although 298Asp did not reach a significant level in the non-DM ESRD subgroup, the occurrence of 298Asp was significantly higher in DM-derived ESRD patients (P=0.0010; OR 2.02; 95% CI: 1.37 to 3.07). The functional effect of the Glu298Asp was examined using Chinese hamster ovary (CHO) cells stably overexpressing either 1917G or 1917T. NO-selective electrode measurements and fluorometric nitrite assay revealed a statistically significant difference in NO production or nitrite accumulation between CHO 1917G and 1917T (P<0.01). These data indicated that Glu298Asp is the predisposing factor in ESRD, especially DM-derived ESRD. The functional difference in NO generation depending on eNOS with either glutamate or aspartate at position 298 was also confirmed in vitro.
巻・号 40(4)
ページ 535-40
公開日 2002-10-1
DOI 10.1161/01.hyp.0000033974.57407.82
PMID 12364359
MeSH Animals CHO Cells Cricetinae Diabetes Mellitus, Type 2 / genetics Female Genetic Predisposition to Disease* Genotype Humans Kidney Failure, Chronic / genetics* Male Middle Aged Nitric Oxide Synthase / genetics* Nitric Oxide Synthase / physiology Nitric Oxide Synthase Type III Polymorphism, Single Nucleotide* Transfection
IF 7.713
引用数 132
WOS 分野 PERIPHERAL VASCULAR DISEASE
リソース情報
ヒト・動物細胞