Skip Navigation LinksHome > May 2010 - Volume 42 - Issue 5 > ACE and AGTR1 Polymorphisms and Left Ventricular Hypertrophy...
Medicine & Science in Sports & Exercise:
doi: 10.1249/MSS.0b013e3181c29e79
Basic Sciences

ACE and AGTR1 Polymorphisms and Left Ventricular Hypertrophy in Endurance Athletes

DI MAURO, MICHELE1,2; IZZICUPO, PASCAL3; SANTARELLI, FRANCESCO1; FALONE, STEFANO4; PENNELLI, ALFONSO1; AMICARELLI, FERNANDA4; CALAFIORE, ANTONIO M.2; DI BALDASSARRE, ANGELA3; GALLINA, SABINA1

Collapse Box

Abstract

Objective: This study aimed to evaluate the role of angiotensin type 1 receptor gene (AGTR1) polymorphism (A1166C) in left ventricular hypertrophy (LVH) mediated by the angiotensin-converting enzyme (ACE) in endurance athletes.

Methods: A group of 74 white, healthy male endurance athletes, aged between 25 and 40 yr, were enrolled in this study. All of them participated primarily in isotonic sports, training for at least >10 h·wk−1, for at least 5 yr. The ACE genotype (insertion [I] or deletion [D] alleles) was ascertained by polymerase chain reaction (DD in 35, ID in 36, and II in 3). Group II was excluded from the analysis because of its small size. No difference was found between the two groups as regards age, blood pressure, HR, and echocardiographic data.

Results: The left ventricular mass index (LVMI) was significantly higher in group DD rather than in group ID (P = 0.029). The group DD showed a slightly higher prevalence of subjects with LVH (LVMI > 131 g·m−2; 62.9%) than group ID (44.4%, P = 0.120). No association was found between ACE-DD and LVH (odds ratio (OR) = 2.12, 95% confidence interval = 0.82-5.46). Concerning the role of AGTR1 polymorphism, the highest LVMI was found in 15 athletes with ACE-DD and AGTR1-AC/CC genotypes (150 ± 23 g·m−2); the lowest value of LVMI was found in the case of ACE-ID and AGTR1-AA (127 g·m ± 18 g·m−2), whereas LVMI in subjects with ACE-DD + AGTR1-AA was similar to that in the ACE-ID + AGTR1-AC/CC group (134 ± 18 g·m−2 vs 133 ± 20 g·m−2, P = 0.880). The presence of ACE-DD + AGTR1 + AC/CC was strongly associated with LVH (OR = 4.6, P = 0.029). Moreover, subjects with LVH showed longer left ventricular isovolumetric relaxation time and higher end-systolic wall stress. The latter was strongly correlated to LVMI (r = 0.588), especially in the presence of ACE-DD + AGTR1 + AC/CC (r = 0.728).

Conclusions: LVMI may be greater in the presence of ACE- DD and AGTR1-AC/CC polymorphisms.

©2010The American College of Sports Medicine

Login

Article Tools

Share

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.

Connect With Us