Objective:Although the angiotensinogen (AGT) gene T174M polymorphism
has been implicated in the pathogenesis of diabetic nephropathy (DN), study
results have been inconsistent. The present meta-analysis was conducted to
determine the correlation of AGT T174M polymorphism with
DN.Methods:We retrospectively extracted relevant studies from Embase as well as PubMed
databases. Additionally, a fixed- or random-effects model was employed for
calculation of pooled odds ratio (OR) along with 95% confidence interval
(CI).Results:In total, we identified six studies (1179 cases and 927 controls) regarding
the AGT gene T174M polymorphism. The pooled ORs for the
association between the AGT T174M polymorphism and DN risk
were not statistically significant under all genetic models (M vs T: OR =
1.22, 95% CI = 0.84–1.75; MM vs TT: OR = 1.94, 95% CI = 0.93–4.04; MT vs TT:
OR = 1.11, 95% CI = 0.76–1.63; the dominant model: OR =1.19, 95% CI =
0.80–1.77; the recessive model: OR = 1.94, 95% CI = 0.93–4.03). Subgroup
analyses based on the type of race showed the M allele of the
AGT T174M polymorphism increased DN risk in Asians, but
not in Caucasians.Conclusions:Our study indicated that the T174M polymorphism in the AGT
gene was associated with DN in Asians.