Aldosterone synthase gene polymorphism and renal histopathologic changes in kidney transplant patients receiving a calcineurin inhibitor

作者：Ruiz Palacios Patricia C; Rodriguez Castellanos Francisco E; Mancilla Urrea Eduardo; Del Carmen Avila Casado Maria; Inofuentes Rivero Monica X; Rodriguez Illana Francisco; Fragoso Jose M; Vargas Alarcon Gilberto^*

来源：Journal of the Renin-Angiotensin-Aldosterone System, 2014, 15(3): 301-306.

DOI：10.1177/1470320312470579

• Calcineurin inhibitor
• aldosterone synthase
• gene polymorphism
• genetic susceptibility
• nephrotoxicity

Introduction: Aldosterone participates in the pathogenesis of calcineurin inhibitor nephrotoxicity (CIN), producing renal vasoconstriction and transforming growth factor beta (TGF ss) expression. The objective of this study was to assess aldosterone polymorphisms and relationships to plasma aldosterone levels and the development of renal histological lesions in kidney transplant patients.
Material and methods: Patients with kidney graft biopsy were divided according to the presence or absence of CIN. We determined aldosterone synthase (AS) -344 T/C and int 2 W/C gene polymorphisms and plasma aldosterone levels. Histological, biochemical and clinical variables were measured.
Results: Calcineurin inhibitor (CI) levels were significantly higher in patients with the int 2 WW genotype than in patients with WC or CC genotypes. There was a greater degree of interstitial fibrosis in patients with int 2 CC genotype. No relationship was found between the different polymorphisms and a higher degree and/or frequency of CIN. There was also no relationship with plasma aldosterone levels.
Conclusion: The frequency of the different polymorphisms studied was not related to plasma aldosterone levels or the development of CIN; however, the int 2 CC genotype was related to a greater degree of interstitial fibrosis, whereas the WW genotype was related to higher CI serum levels.

• 出版日期2014-9