Drug-gene interactions between genetic polymorphisms and antihypertensive therapy
| Autor: | Anthonius de Boer, Olaf H. Klungel, Cornelia M. van Duijn, Monique W. M. Verschuren, Abraham A. Kroon, Bruno H. Stricker, H Schelleman, Bruce M. Psaty |
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| Přispěvatelé: | Epidemiology, Internal Medicine, Pediatrics, Dep Farmaceutische wetenschappen, Sub Pharmacotherapy, Theoretical |
| Rok vydání: | 2004 |
| Předmět: |
Candidate gene
medicine.drug_class Adrenergic beta-Antagonists Angiotensin-Converting Enzyme Inhibitors Pharmacology Left ventricular hypertrophy medicine Humans Pharmacology (medical) Allele Antihypertensive drug Diuretics Antihypertensive Agents Clinical Trials as Topic Polymorphism Genetic business.industry medicine.disease Calcium Channel Blockers Angiotensin II Blood pressure Pharmacogenetics Research Design Hypertension Arterial stiffness business Angiotensin II Type 1 Receptor Blockers |
| Zdroj: | Drugs, 64, 1801-1816. Adis |
| ISSN: | 0012-6667 |
| Popis: | Genetic factors may influence the response to antihypertensive medication. A number of studies have investigated genetic polymorphisms as determinants of cardiovascular response to antihypertensive drug therapy. In most candidate gene studies, no such drug-gene interactions were found. However, there is observational evidence that hypertensive patients with the 460 W allele of the alpha-adducin gene have a lower risk of myocardial infarction and stroke when treated with diuretics compared with other antihypertensive therapies. With regard to blood pressure response, interactions were found between genetic polymorphisms for endothelial nitric oxide synthase and diuretics, the alpha-adducin gene and diuretics, the alpha-subunit of G protein and beta-adrenoceptor antagonists, and the ACE gene and angiotensin II type 1 (AT(1)) receptor antagonists. Other studies found an interaction between ACE inhibitors and the ACE insertion/deletion (I/D) polymorphism, which resulted in differences in AT(1) receptor mRNA expression, left ventricular hypertrophy and arterial stiffness between different genetic variants. Also, drug-gene interactions between calcium channel antagonists and ACE I/D polymorphism regarding arterial stiffness have been reported. Unfortunately, the quality of these studies is quite variable. Given the methodological problems, the results from the candidate gene studies are still inconclusive and further research is necessary. |
| Databáze: | OpenAIRE |
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