Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2007-1-12
pubmed:abstractText
There was increasing evidence suggesting that angiotensin I-converting enzyme may play an important role in the pathogenesis of PD. Our former study has shown that angiotensin I-converting enzyme gene (ACE) may confer a susceptibility for the risk of Parkinson's disease (PD). Meanwhile, recent studies have emphasized that genetic factors may involve in the occurrence of the adverse effects of chronic L-dopa therapy in PD patients. This study was designed to assess whether genetic polymorphism of the ACE could be a predictor of L-dopa-induced adverse effects in PD. There were 251 patients included in this study and their mean age at onset of disease was 63.3+/-11.4 years. The duration of disease and the treatment with L-dopa was 6.3+/-5.1 and 5.0+/-4.3 years, respectively. The frequency of the homozygote ACE-II genotype of the ACE in PD patients with L-dopa-induced psychosis was significantly higher than that in PD patients without the adverse effect (63.3% vs 43.0%; chi(2)=6.347, OR=1.435, 95%CI=1.105-1.864, p=0.012). However, the ACE polymorphism was not associated with the risk to develop dyskinesia or motor fluctuation induced by L-dopa. Furthermore, a logistic regression analysis confirmed that the ACE-II genotype was an independent risk factor for L-dopa-induced psychosis in PD patients (OR=2.542, p=0.012). In conclusion, results of the study showed that ACE-II genotype might confer a primary predictor for the occurrence of psychosis in L-dopa-treated PD.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0022-510X
pubmed:author
pubmed:issnType
Print
pubmed:day
31
pubmed:volume
252
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
130-4
pubmed:meshHeading
pubmed-meshheading:17196621-Adult, pubmed-meshheading:17196621-Aged, pubmed-meshheading:17196621-Aged, 80 and over, pubmed-meshheading:17196621-Antiparkinson Agents, pubmed-meshheading:17196621-Dyskinesia, Drug-Induced, pubmed-meshheading:17196621-Female, pubmed-meshheading:17196621-Genetic Predisposition to Disease, pubmed-meshheading:17196621-Homozygote, pubmed-meshheading:17196621-Humans, pubmed-meshheading:17196621-Levodopa, pubmed-meshheading:17196621-Male, pubmed-meshheading:17196621-Middle Aged, pubmed-meshheading:17196621-Parkinson Disease, pubmed-meshheading:17196621-Peptidyl-Dipeptidase A, pubmed-meshheading:17196621-Polymorphism, Genetic, pubmed-meshheading:17196621-Predictive Value of Tests, pubmed-meshheading:17196621-Psychoses, Substance-Induced, pubmed-meshheading:17196621-Risk Factors
pubmed:year
2007
pubmed:articleTitle
Genetic polymorphism of the angiotensin converting enzyme and L-dopa-induced adverse effects in Parkinson's disease.
pubmed:affiliation
Department of Neurology, Chushang Show-Chwan Hospital, Nantou, 557, Taiwan. jjlinn@tcts.seed.net.tw
pubmed:publicationType
Journal Article