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J Appl Physiol 87: 1313-1316, 1999;
8750-7587/99 $5.00
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Vol. 87, Issue 4, 1313-1316, October 1999

INVITED REVIEW
Human angiotensin I-converting enzyme gene and endurance performance

Saul Myerson1, Harry Hemingway2, Richard Budget3, John Martin1, Steve Humphries1
Hugh Montgomery1
(With the Technical Assistance of Maj Mutch and Helen McGloin)

1 Centre for Cardiovascular Genetics, University College London and Royal Free Hospital Medical School, Rayne Institute, London WC1E 6JJ; 2 Department of Epidemiology and Public Health Medicine, University College London, London WC1E 6BT2; and 3 British Olympic Medical Centre, Northwick Park Hospital, Middlesex HA1 3UJ, United Kingdom

Human physical performance is strongly influenced by genetic factors. A variation in the structure of the human angiotensin I-converting enzyme (ACE) gene has been reported in which the insertion (I) variant is associated with lower ACE levels than the deletion (D) gene. We have previously reported that the I variant was associated with improved endurance performance in high-altitude mountaineers and British Army recruits. We now examine this genotype distribution in 91 British Olympic-standard runners (79 Caucasians). DNA was extracted from the buccal cells contained in 10 ml of saline mouthwash donated by the subjects, and the I and D variants of the ACE gene were identified by PCR amplification of the polymorphic region. There was an increasing frequency of the I allele with distance run [0.35, 0.53, and 0.62 for <= 200 m (n = 20), 400-3,000 m (n = 37), and >= 5,000 m (n = 34), respectively; P = 0.009 for linear trend]. Among 404 Olympic-standard athletes from 19 other mixed sporting disciplines (in which endurance performance was not necessarily a key factor), the I allele did not differ significantly from that found in control subjects: 0.50 vs. 0.49 (P = 0.526). These results support a positive association of the I allele with elite endurance performance.

exercise; angiontensin I-converting enzyme genotype; polymorphism


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