Coronary artery disease (CAD) arises as a complex-trait disease that includes myocardial infarction (MI) and coronary atherosclerosis; the role of genetic and environmental risk factors promotes the development of the disorder. The classic risk factors include family history, body mass index, smoking habits, hypertension, diabetes mellitus and serum lipid levels. In addition, genetic factors also play important roles in the pathogenesis of CAD. It has been estimated that approximately 50% of the variability of the major risk factors for CAD is determined by genetics. 1 Over the past few years, the role of the renin-angiotensin-aldosterone system (RAAS) in the development of MI has generated much interest across the world. The investigations were expanded to implicate that the RAAS in a variety of physiologic processes may play a significant role in the initiation and progression of atherosclerosis. 2 To date, more and more studies show that the angiotensinogen (AGT, the components of RAAS) gene M235T polymorphism is closely associated with MI among different populations. The AGT M235T single nucleotide polymorphism (SNP) is a methionine (Met) to threonine (Thr) amino acid substitution at codon 235, designated the M and T alleles, respectively. However, published results have been inconsistent. 3,4 To help clarify the inconsistent findings, with the publication of several more recent studies we conducted this meta-analysis of the M235T polymorphism in the AGT gene and risk of MI. This meta-analysis includes 21 studies with a total of 5887 MI cases and 6164 controls.
Materials and methods
Literature and search strategyAll studies published before December 2011 on MI and the AGT M235T polymorphism were sought by computerbased searches of Google Scholar, PubMed, CochraneThe M235T polymorphism in the angiotensinogen gene and myocardial infarction risk: A meta-analysis Yu-Jing Wang 1 and Yan Pan 2 Abstract Objective: The angiotensinogen (AGT) gene M235T polymorphism has been reported to be associated with myocardial infarction (MI), but previous studies have been inconsistent. The present study aimed at assessing the association of M235T polymorphism in the AGT gene with MI using a meta-analysis. Methods: We retrieved literature in Google Scholar, PubMed, Cochrane Library and the China National Knowledge Infrastructure database (January 1990-December 2011 for the relevant studies on the AGT polymorphism M235T and risk of MI. Statistical analyses were carried out using Stata 10.0 for combining all the relevant studies. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to assess the strength of the association. Begg's test was used to measure publication bias. Results: A total of 21 case-control studies containing 5887 patients and 6164 controls were enrolled into this meta-analysis. Overall, significant association was found between the AGT gene M235T polymorphism and risk of MI in the subgroup analysis for TT vs MT in Asians (OR 1.47, 95% CI: 1.01-2.12; p = 0.04). No associations were detected between AG...