Ethnic differences in the association between angiotensin-converting enzyme gene insertion/deletion polymorphism and peripheral vascular disease: A meta-analysis

Background: Several studies have investigated the association of angiotensin-converting enzyme (ACE) gene insertion/deletion (I/D) polymorphism with peripheral vascular disease (PVD); however, the results remain controversial. Therefore, we conducted the current meta-analysis to evaluate this relati...

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Main Authors: Chao Han, Xi-Kun Han, Fang-Chao Liu, Jian-Feng Huang
Format: Article
Language:English
Published: Wiley 2017-12-01
Series:Chronic Diseases and Translational Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2095882X17300105
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author Chao Han
Xi-Kun Han
Fang-Chao Liu
Jian-Feng Huang
author_facet Chao Han
Xi-Kun Han
Fang-Chao Liu
Jian-Feng Huang
author_sort Chao Han
collection DOAJ
description Background: Several studies have investigated the association of angiotensin-converting enzyme (ACE) gene insertion/deletion (I/D) polymorphism with peripheral vascular disease (PVD); however, the results remain controversial. Therefore, we conducted the current meta-analysis to evaluate this relationship in the general population of different ethnicities. Methods: We searched PubMed, Embase, Web of Science, Wanfang Database, and CNKI to identify eligible studies. Random-effect models were applied to estimate the pooled odds ratio (OR) with a 95% confidence interval (CI), regardless of between-study heterogeneity. Results: A total of 13 studies with 1966 cases and 6129 controls were included in this meta-analysis. The pooled ORs for the association between ACE I/D polymorphism and PVD risk were not statistically significant in the overall population under all genetic models. In further ethnicity-stratified analyses, we found a statistically significant association of ACE I/D polymorphism with PVD susceptibility in Asians under most models. However, the association among Caucasians did not reach statistical significance. Conclusion: ACE I/D polymorphism might be associated with susceptibility to PVD in the Asian population, but there was no clear evidence indicating a similar significant relationship among Caucasians.
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spelling doaj.art-21c3504d31424ed78121ea17f2835d362022-12-22T02:28:58ZengWileyChronic Diseases and Translational Medicine2095-882X2017-12-013423024110.1016/j.cdtm.2017.07.002Ethnic differences in the association between angiotensin-converting enzyme gene insertion/deletion polymorphism and peripheral vascular disease: A meta-analysisChao HanXi-Kun HanFang-Chao LiuJian-Feng HuangBackground: Several studies have investigated the association of angiotensin-converting enzyme (ACE) gene insertion/deletion (I/D) polymorphism with peripheral vascular disease (PVD); however, the results remain controversial. Therefore, we conducted the current meta-analysis to evaluate this relationship in the general population of different ethnicities. Methods: We searched PubMed, Embase, Web of Science, Wanfang Database, and CNKI to identify eligible studies. Random-effect models were applied to estimate the pooled odds ratio (OR) with a 95% confidence interval (CI), regardless of between-study heterogeneity. Results: A total of 13 studies with 1966 cases and 6129 controls were included in this meta-analysis. The pooled ORs for the association between ACE I/D polymorphism and PVD risk were not statistically significant in the overall population under all genetic models. In further ethnicity-stratified analyses, we found a statistically significant association of ACE I/D polymorphism with PVD susceptibility in Asians under most models. However, the association among Caucasians did not reach statistical significance. Conclusion: ACE I/D polymorphism might be associated with susceptibility to PVD in the Asian population, but there was no clear evidence indicating a similar significant relationship among Caucasians.http://www.sciencedirect.com/science/article/pii/S2095882X17300105Peripheral vascular diseaseAngiotensin-converting enzymeInsertion/deletion polymorphismMeta-analysis
spellingShingle Chao Han
Xi-Kun Han
Fang-Chao Liu
Jian-Feng Huang
Ethnic differences in the association between angiotensin-converting enzyme gene insertion/deletion polymorphism and peripheral vascular disease: A meta-analysis
Chronic Diseases and Translational Medicine
Peripheral vascular disease
Angiotensin-converting enzyme
Insertion/deletion polymorphism
Meta-analysis
title Ethnic differences in the association between angiotensin-converting enzyme gene insertion/deletion polymorphism and peripheral vascular disease: A meta-analysis
title_full Ethnic differences in the association between angiotensin-converting enzyme gene insertion/deletion polymorphism and peripheral vascular disease: A meta-analysis
title_fullStr Ethnic differences in the association between angiotensin-converting enzyme gene insertion/deletion polymorphism and peripheral vascular disease: A meta-analysis
title_full_unstemmed Ethnic differences in the association between angiotensin-converting enzyme gene insertion/deletion polymorphism and peripheral vascular disease: A meta-analysis
title_short Ethnic differences in the association between angiotensin-converting enzyme gene insertion/deletion polymorphism and peripheral vascular disease: A meta-analysis
title_sort ethnic differences in the association between angiotensin converting enzyme gene insertion deletion polymorphism and peripheral vascular disease a meta analysis
topic Peripheral vascular disease
Angiotensin-converting enzyme
Insertion/deletion polymorphism
Meta-analysis
url http://www.sciencedirect.com/science/article/pii/S2095882X17300105
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