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Experimental Physiology 92.5 pp 881-886
DOI: 10.1113/expphysiol.2007.038711
© The Physiological Society 2007
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Human, Environmental & Exercise

The ACE deletion allele is associated with Israeli elite endurance athletes

Offer Amir1, Ruthie Amir2, Chen Yamin1, Eric Attias1, Nir Eynon1, Moran Sagiv1, Michael Sagiv1 and Yoav Meckel1

1 Department of Cardiology, Lady Davis Carmel Medical Center, Haifa, Israel 2 Department of Genetics and Molecular Biology, the Zinman College of Physical Education and Sport Sciences at the Wingate Institiute, Netantya, Israel

An Alu insertion (I)/deletion (D) polymorphism in the angiotensin I converting enzyme (ACE) gene has been associated with ACE activity. Opposing effects on elite athletic performance have been proposed for the I and D alleles; while the D allele favours improved endurance ability, the I allele promotes more power-orientated events. We tested this hypothesis by determining the frequency of ACE ID alleles amongst 121 Israeli top-level athletes classified by their sporting discipline (marathon runners or sprinters). Genotyping for ACE ID was performed using polymerase chain reaction on DNA from leucocytes. The ACE genotype and allele frequencies were compared with those of 247 healthy individuals. Allele and genotype frequencies differed significantly between the groups. The frequency of the D allele was 0.77 in the marathon runners, 0.66 in the control subjects (P = 0.01) and 0.57 in the sprinters (P = 0.002). The ACE DD genotype was more prevalent among the endurance athletes (0.62) than among the control subjects (0.43, P = 0.004) and the power athletes (0.34, P = 0.004). In the group of elite athletes, the odds ratio of ACE DD genotype being an endurance athlete was 3.26 (95% confidence interval 1.49–7.11), and of ACE II genotype was 0.41 (95% confidence interval 0.14–1.19). We conclude that in Israeli elite marathon runners the frequency of the ACE D allele and ACE DD genotype seems to be higher than in sprinters, suggesting a positive association between the D allele and the likelihood of being an elite endurance athlete in some ethnic groups.

(Received 29 May 2007; accepted after revision 5 July 2007; first published online 13 July 2007)
Corresponding author O. Amir: Heart Failure Service, Lin Medical Center, Department of Cardiology, Lady Davis Carmel Medical Center, Michal 7 Street, Haifa, Israel. Email: ruthieam{at}012.net.il




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C. Yamin, O. Amir, M. Sagiv, E. Attias, Y. Meckel, N. Eynon, M. Sagiv, and R. E. Amir
ACE ID genotype affects blood creatine kinase response to eccentric exercise
J Appl Physiol, December 1, 2007; 103(6): 2057 - 2061.
[Abstract] [Full Text] [PDF]




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