The M235T polymorphism in the angiotensinogen gene is not a major risk factor for diabetic nephropathy; a meta-analysis
Introduction: Diabetic nephropathy (DN) is the leading cause of chronic kidney disease in diabetes patients. The angiotensin AGT M235T gene polymorphism, which is linked to the renin-angiotensin-aldosterone system (RAAS), has been extensively studied in DN patients, but the results are still conflic...
Guardado en:
Autores principales: | , , , , , |
---|---|
Formato: | article |
Lenguaje: | EN |
Publicado: |
Society of Diabetic Nephropathy Prevention
2022
|
Materias: | |
Acceso en línea: | https://doaj.org/article/000d6d4ef9d84d24ba3abfedd819e200 |
Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
id |
oai:doaj.org-article:000d6d4ef9d84d24ba3abfedd819e200 |
---|---|
record_format |
dspace |
spelling |
oai:doaj.org-article:000d6d4ef9d84d24ba3abfedd819e2002021-11-16T10:42:14ZThe M235T polymorphism in the angiotensinogen gene is not a major risk factor for diabetic nephropathy; a meta-analysis2476-393410.34172/jpe.2022.15https://doaj.org/article/000d6d4ef9d84d24ba3abfedd819e2002022-01-01T00:00:00Zhttps://jprevepi.com/PDF/jpe-7-e15.pdfhttps://doaj.org/toc/2476-3934Introduction: Diabetic nephropathy (DN) is the leading cause of chronic kidney disease in diabetes patients. The angiotensin AGT M235T gene polymorphism, which is linked to the renin-angiotensin-aldosterone system (RAAS), has been extensively studied in DN patients, but the results are still conflicting. The current study’s goal is to conduct a meta-analysis to assess the relationship between AGT M235T gene polymorphism and DN susceptibility. Methods: Fourteen case-control studies related to AGT M235T polymorphism and DN were searched using PubMed, Web of Science and Google Scholar databases. Genotype data from the T2DM and T2DN groups were collected from all papers. The pooled odds ratio (OR) and 95 percent confidence interval (95% CI) were calculated employing a random-effects model to assess the relationship. Results: There were no statistically significant link between AGT M235T and DN risk in dominant (P=0.801, OR: 0.95; 95% CI: 0.66-1.38), allelic (P=0.933, OR: 1.01; 95% CI: 0.75-1.37) and recessive (P=0.374, OR: 1.21; 95% CI: 0.80-1.83) genetic models. Further, the stratified analysis based on ethnicity did not reveal significant link between AGT M235T and DN risk in Asian (Dom OR: 1.07; 95% CI: 0.63-1.82) and the Caucasian populations (Dom OR: 0.77; 95% CI: 0.49-1.21). In all three models, there was a high degree of heterogeneity between studies. Publication bias was not seen. Conclusion: Our findings suggest that the AGT gene M235T polymorphism does not contribute to DN risk. However, validation of this association will require multi-center and large population-based studies.Bhuneshwar SahuShashikant SwarnakarHenu Kumar VermaThavanati Parvathi Kumara ReddySmaranika PattnaikBhaskar VKS LakkakulaSociety of Diabetic Nephropathy Preventionarticlechronic kidney diseaseend-stage renal diseasediabetic nephropathymeta-analysisSpecialties of internal medicineRC581-951Infectious and parasitic diseasesRC109-216ENJournal of Preventive Epidemiology, Vol 7, Iss 1, Pp e15-e15 (2022) |
institution |
DOAJ |
collection |
DOAJ |
language |
EN |
topic |
chronic kidney disease end-stage renal disease diabetic nephropathy meta-analysis Specialties of internal medicine RC581-951 Infectious and parasitic diseases RC109-216 |
spellingShingle |
chronic kidney disease end-stage renal disease diabetic nephropathy meta-analysis Specialties of internal medicine RC581-951 Infectious and parasitic diseases RC109-216 Bhuneshwar Sahu Shashikant Swarnakar Henu Kumar Verma Thavanati Parvathi Kumara Reddy Smaranika Pattnaik Bhaskar VKS Lakkakula The M235T polymorphism in the angiotensinogen gene is not a major risk factor for diabetic nephropathy; a meta-analysis |
description |
Introduction: Diabetic nephropathy (DN) is the leading cause of chronic kidney disease in diabetes patients. The angiotensin AGT M235T gene polymorphism, which is linked to the renin-angiotensin-aldosterone system (RAAS), has been extensively studied in DN patients, but the results are still conflicting. The current study’s goal is to conduct a meta-analysis to assess the relationship between AGT M235T gene polymorphism and DN susceptibility. Methods: Fourteen case-control studies related to AGT M235T polymorphism and DN were searched using PubMed, Web of Science and Google Scholar databases. Genotype data from the T2DM and T2DN groups were collected from all papers. The pooled odds ratio (OR) and 95 percent confidence interval (95% CI) were calculated employing a random-effects model to assess the relationship. Results: There were no statistically significant link between AGT M235T and DN risk in dominant (P=0.801, OR: 0.95; 95% CI: 0.66-1.38), allelic (P=0.933, OR: 1.01; 95% CI: 0.75-1.37) and recessive (P=0.374, OR: 1.21; 95% CI: 0.80-1.83) genetic models. Further, the stratified analysis based on ethnicity did not reveal significant link between AGT M235T and DN risk in Asian (Dom OR: 1.07; 95% CI: 0.63-1.82) and the Caucasian populations (Dom OR: 0.77; 95% CI: 0.49-1.21). In all three models, there was a high degree of heterogeneity between studies. Publication bias was not seen. Conclusion: Our findings suggest that the AGT gene M235T polymorphism does not contribute to DN risk. However, validation of this association will require multi-center and large population-based studies. |
format |
article |
author |
Bhuneshwar Sahu Shashikant Swarnakar Henu Kumar Verma Thavanati Parvathi Kumara Reddy Smaranika Pattnaik Bhaskar VKS Lakkakula |
author_facet |
Bhuneshwar Sahu Shashikant Swarnakar Henu Kumar Verma Thavanati Parvathi Kumara Reddy Smaranika Pattnaik Bhaskar VKS Lakkakula |
author_sort |
Bhuneshwar Sahu |
title |
The M235T polymorphism in the angiotensinogen gene is not a major risk factor for diabetic nephropathy; a meta-analysis |
title_short |
The M235T polymorphism in the angiotensinogen gene is not a major risk factor for diabetic nephropathy; a meta-analysis |
title_full |
The M235T polymorphism in the angiotensinogen gene is not a major risk factor for diabetic nephropathy; a meta-analysis |
title_fullStr |
The M235T polymorphism in the angiotensinogen gene is not a major risk factor for diabetic nephropathy; a meta-analysis |
title_full_unstemmed |
The M235T polymorphism in the angiotensinogen gene is not a major risk factor for diabetic nephropathy; a meta-analysis |
title_sort |
m235t polymorphism in the angiotensinogen gene is not a major risk factor for diabetic nephropathy; a meta-analysis |
publisher |
Society of Diabetic Nephropathy Prevention |
publishDate |
2022 |
url |
https://doaj.org/article/000d6d4ef9d84d24ba3abfedd819e200 |
work_keys_str_mv |
AT bhuneshwarsahu them235tpolymorphismintheangiotensinogengeneisnotamajorriskfactorfordiabeticnephropathyametaanalysis AT shashikantswarnakar them235tpolymorphismintheangiotensinogengeneisnotamajorriskfactorfordiabeticnephropathyametaanalysis AT henukumarverma them235tpolymorphismintheangiotensinogengeneisnotamajorriskfactorfordiabeticnephropathyametaanalysis AT thavanatiparvathikumarareddy them235tpolymorphismintheangiotensinogengeneisnotamajorriskfactorfordiabeticnephropathyametaanalysis AT smaranikapattnaik them235tpolymorphismintheangiotensinogengeneisnotamajorriskfactorfordiabeticnephropathyametaanalysis AT bhaskarvkslakkakula them235tpolymorphismintheangiotensinogengeneisnotamajorriskfactorfordiabeticnephropathyametaanalysis AT bhuneshwarsahu m235tpolymorphismintheangiotensinogengeneisnotamajorriskfactorfordiabeticnephropathyametaanalysis AT shashikantswarnakar m235tpolymorphismintheangiotensinogengeneisnotamajorriskfactorfordiabeticnephropathyametaanalysis AT henukumarverma m235tpolymorphismintheangiotensinogengeneisnotamajorriskfactorfordiabeticnephropathyametaanalysis AT thavanatiparvathikumarareddy m235tpolymorphismintheangiotensinogengeneisnotamajorriskfactorfordiabeticnephropathyametaanalysis AT smaranikapattnaik m235tpolymorphismintheangiotensinogengeneisnotamajorriskfactorfordiabeticnephropathyametaanalysis AT bhaskarvkslakkakula m235tpolymorphismintheangiotensinogengeneisnotamajorriskfactorfordiabeticnephropathyametaanalysis |
_version_ |
1718426522137657344 |