ACE, PAI-1, decorin and Werner helicase genes are not associated with the development of renal disease in European patients with type 1 diabetes.

ABSTRACT

BACKGROUND: Genetic factors are involved in the development of diabetic nephropathy in Type 1 diabetes. We have examined the association of four candidate genes, angiotensin converting enzyme (ACE) insertion/deletion (I/D) polymorphism, plasminogen activator inhibitor-1 (PAI-1) 4G/5G polymorphism, decorin 179/183/185 polymorphism and Werner syndrome helicase C/R polymorphism, with the presence of diabetic nephropathy in Type 1 diabetic patients. METHODS: 175 Type 1 diabetic patients with albuminuria (59 with microalbuminuria and 116 with macroalbuminuria) were compared with 136 Type 1 diabetic patients with normoalbuminuria and duration of disease longer than 15 years (mean+/-SD 25+/-8 years). 200 non-diabetic subjects were also studied as background population. RESULTS: We found no association in the polymorphism of the four genes examined between patients with and without diabetic nephropathy and the control subjects. CONCLUSIONS: The genes studied are unlikely to be involved in the susceptibility to nephropathy in Type 1 diabetic patients.