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Angiotensin-converting enzyme gene polymorphisms in patients with pulmonary sarcoidosis: impact on disease severity.

AbstractAngiotensin converting enzyme (ACE) is a metallopeptidase with a key function in the regulation of blood pressure and volume. The ACE1 gene, on chromosome 17, contains a insertion/deletion (I/D) polymorphism in intron 16. The D allele of this polymorphism is linked with raised serum ACE (sACE) levels. Sarcoidosis is a systemic disease of granulomatous inflammation that primarily affects the lung and lymph system. It is often accompanied by elevated sACE related to ACE production from granuloma cells. The ACE I/D polymorphism has been tested for association or linkage with the risk of sarcoidosis. Though published results are conflicting, there seems to be suggestive evidence of a minor pro-inflammatory influence of the ACE D allele in sarcoidosis. At present, a more accurate interpretation of sACE levels in diagnosis and monitoring of sarcoidosis seems to be the main value of ACE I/D genotyping.
AuthorsManfred Schürmann (Affiliation: Institute of Human Genetics, University of Lübeck, Ratzeburger Allee 160, Lübeck, Germany. schuerma at medinf.mu-luebeck.de)
JournalAmerican journal of pharmacogenomics : genomics-related research in drug development and clinical practice (Am J Pharmacogenomics) Vol. 3 Issue 4 Pg. 233-43 ( 2003) ISSN: 1175-2203 New Zealand
PMID12930157 (Publication Type: Journal Article, Review)
Chemical References
  • Peptidyl-Dipeptidase A
Topics
  • Animals
  • Humans
  • Inflammation (enzymology, genetics)
  • Peptidyl-Dipeptidase A (blood, genetics, physiology)
  • Polymorphism, Genetic (genetics)
  • Sarcoidosis, Pulmonary (blood, enzymology, genetics)
  • Severity of Illness Index