Abstract

Background Circulating angiotensin-2 levels (A2) protect the circulation against sudden falls in blood pressure. A2 is generated by the enzymatic action of angiotensin converting enzyme (ACE) on angiotensin-1. The ACE genes have 2 allellic forms, with the presence ‘I’ or absence ‘D’ of a 287 base pair intron of the gene. The deletion ‘DD’ genotype is associated with high A2 generation & higher serum ACE levels, while the insertion ‘I I’ with lower serum ACE levels & ACE activity.

Highlights

  • Circulating angiotensin-2 levels (A2) protect the circulation against sudden falls in blood pressure

  • Aim To examine whether these 2 inherited polymorphisms have a different profile in patients with past anaphylaxis we compared this with control groups which included the measurement of serum angiotensin converting enzyme (ACE) levels

  • No statistical differences were found between ‘Atopics’ & Healthy controls (HC), but significant differences in the genotype frequency were seen between subjects with anaphylaxis and HC

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Summary

Introduction

Circulating angiotensin-2 levels (A2) protect the circulation against sudden falls in blood pressure. Angiotensin converting enzyme-gene polymorphisms in normal subjects, atopic individuals and those with anaphylaxis to venom, food and drugs The deletion ‘DD’ genotype is associated with high A2 generation & higher serum ACE levels, while the insertion ‘I I’ with lower serum ACE levels & ACE activity.

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