Association between angiotensin II type 1 receptor gene polymorphisms and ischemic stroke: a meta-analysis

Cerebrovasc Dis. 2011;32(5):431-8. doi: 10.1159/000330655. Epub 2011 Oct 8.

Abstract

Background: Angiotensin II type 1 receptor (AT1R) gene A1166C polymorphisms have been inconsistently associated with ischemic stroke risk. We examined these associations by performing a meta-analysis.

Materials and methods: We performed a search of articles published from January 2000 to October 2010 using the following keywords: {(angiotensin II type 1 receptor) or (AT1R) or (AGT1R)} and {(stroke) or (cerebral infarction) or (cerebral embolism)}. Eleven studies testing the association between AT1R gene A1166C polymorphisms and ischemic stroke risk were included. The analyses were performed using the Review Manger 5.0.25 software package.

Results: The combined data showed no association between the AT1R 1166 AC/CC and ischemic stroke risk (odds ratio (OR) = 1.08, 95% confidence interval (CI) 0.87-1.34, p = 0.49). In the subgroup analyses, the association was also not significant among the White populations (OR = 1.10, 95% CI 0.88-1.38, p = 0.39) or the Asian populations (OR = 0.99, 95% CI 0.56-1.77, p = 0.98).

Limitations: Heterogeneity and publication bias existed in this meta-analysis, which might have affected the analysis result.

Conclusion: The present meta-analysis suggests that the AT1R gene A1166C polymorphisms are not associated with susceptibility to ischemic stroke.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Genetic Predisposition to Disease / genetics
  • Genotype
  • Humans
  • Male
  • Middle Aged
  • Polymorphism, Genetic / genetics*
  • Receptor, Angiotensin, Type 1 / genetics*
  • Retrospective Studies
  • Risk Factors
  • Stroke / genetics*

Substances

  • Receptor, Angiotensin, Type 1