Angiotensin-converting enzyme I/D polymorphism and diabetic peripheral neuropathy in type 2 diabetes mellitus: A meta-analysis

Background: Several molecular epidemiological studies have been conducted to examine the association between angiotensin-converting enzyme ( ACE ) I/D polymorphism and diabetic peripheral neuropathy (DPN) risk. However, the conclusions remained controversial. We therefore performed this meta-analysi...

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Main Authors: Yao Li, Nanwei Tong
Format: Article
Language:English
Published: SAGE Publications 2015-12-01
Series:Journal of the Renin-Angiotensin-Aldosterone System
Online Access:https://doi.org/10.1177/1470320314539828
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author Yao Li
Nanwei Tong
author_facet Yao Li
Nanwei Tong
author_sort Yao Li
collection DOAJ
description Background: Several molecular epidemiological studies have been conducted to examine the association between angiotensin-converting enzyme ( ACE ) I/D polymorphism and diabetic peripheral neuropathy (DPN) risk. However, the conclusions remained controversial. We therefore performed this meta-analysis. Methods: PubMed and EMBASE were searched to identify case-control studies investigating the associations of ACE I/D polymorphism with risk of DPN. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to assess the strength of association between ACE I/D polymorphism and risk of DPN. Results: A total of seven case-control studies including 1316 cases and 1617 controls were included. ACE I/D polymorphism was associated with a significantly increased risk of DPN (OR=1.46, 95%CI 1.11–1.92, p =0.006, I 2 =48%). This result remained statistically significant when the adjusted ORs were combined (OR=1.84, 95%CI 1.14–2.99, p =0.01, I 2 =53%). In the subgroup of ethnicity, a significantly elevated risk was observed in Caucasians (OR=1.32, 95%CI 1.10–1.59, p =0.003, I 2 =43%). Conclusions: Our meta-analysis confirmed that ACE I/D polymorphism was associated with the risk of DPN.
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spelling doaj.art-127b02a12978433e8b8aab08c7cc3cb42024-03-02T11:47:40ZengSAGE PublicationsJournal of the Renin-Angiotensin-Aldosterone System1470-32031752-89762015-12-011610.1177/1470320314539828Angiotensin-converting enzyme I/D polymorphism and diabetic peripheral neuropathy in type 2 diabetes mellitus: A meta-analysisYao LiNanwei TongBackground: Several molecular epidemiological studies have been conducted to examine the association between angiotensin-converting enzyme ( ACE ) I/D polymorphism and diabetic peripheral neuropathy (DPN) risk. However, the conclusions remained controversial. We therefore performed this meta-analysis. Methods: PubMed and EMBASE were searched to identify case-control studies investigating the associations of ACE I/D polymorphism with risk of DPN. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to assess the strength of association between ACE I/D polymorphism and risk of DPN. Results: A total of seven case-control studies including 1316 cases and 1617 controls were included. ACE I/D polymorphism was associated with a significantly increased risk of DPN (OR=1.46, 95%CI 1.11–1.92, p =0.006, I 2 =48%). This result remained statistically significant when the adjusted ORs were combined (OR=1.84, 95%CI 1.14–2.99, p =0.01, I 2 =53%). In the subgroup of ethnicity, a significantly elevated risk was observed in Caucasians (OR=1.32, 95%CI 1.10–1.59, p =0.003, I 2 =43%). Conclusions: Our meta-analysis confirmed that ACE I/D polymorphism was associated with the risk of DPN.https://doi.org/10.1177/1470320314539828
spellingShingle Yao Li
Nanwei Tong
Angiotensin-converting enzyme I/D polymorphism and diabetic peripheral neuropathy in type 2 diabetes mellitus: A meta-analysis
Journal of the Renin-Angiotensin-Aldosterone System
title Angiotensin-converting enzyme I/D polymorphism and diabetic peripheral neuropathy in type 2 diabetes mellitus: A meta-analysis
title_full Angiotensin-converting enzyme I/D polymorphism and diabetic peripheral neuropathy in type 2 diabetes mellitus: A meta-analysis
title_fullStr Angiotensin-converting enzyme I/D polymorphism and diabetic peripheral neuropathy in type 2 diabetes mellitus: A meta-analysis
title_full_unstemmed Angiotensin-converting enzyme I/D polymorphism and diabetic peripheral neuropathy in type 2 diabetes mellitus: A meta-analysis
title_short Angiotensin-converting enzyme I/D polymorphism and diabetic peripheral neuropathy in type 2 diabetes mellitus: A meta-analysis
title_sort angiotensin converting enzyme i d polymorphism and diabetic peripheral neuropathy in type 2 diabetes mellitus a meta analysis
url https://doi.org/10.1177/1470320314539828
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