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A multilocus approach to the antihypertensive pharmacogenetics of hydrochlorothiazide
Abstract
OBJECTIVES: To assess the influence of variations in multiple candidate genes on inter-individual variation in diastolic blood pressure (DBP) response to hydrochlorothiazide. METHODS: A community-based sample of 585 adults with essential hypertension underwent monotherapy with hydrochlorothiazide for 4 weeks. In a nested case-control design, 195 individuals in the highest tertile of DBP response (responders) and 195 individuals in the lowest tertile of DBP response (non-responders) were genotyped for 45 polymorphisms in 19 candidate genes. For those polymorphisms where the set association approach found to be significantly associated with DBP response, logistic regression was performed to estimate the odds ratio (OR) for response associated variation in the identified genotype/haplotype. RESULTS: Two polymorphisms in the sodium channel gamma-subunit promotor gene, and a polymorphism in the endothelial nitric oxide synthase gene, were significantly associated with blood pressure response to hydrochlorothiazide. In the final experiment for the set association model P=0.038. In the logistic regression analyses, compared to subjects with the CT/CT haplotype of the SCNN1G gene, those with the GA/GA haplotype had OR 5.21 of being a DBP responder [95% CI 1.65-16.47]. Compared to subjects with the GT genotype of the ENOSA_rs1799983 polymorphism, those with the GG genotype had an OR 2.19 of being a DBP responder [95% CI 1.27-3.77]. CONCLUSIONS: Two polymorphisms in the sodium channel gamma-subunit promotor gene, and a polymorphism in the endothelial nitric oxide synthase gene, were associated with significant differences in odds of DBP response to hydrochlorothiazide. Follow-up studies are needed to define the functional genetic variations and their mechanisms of pharmacogenetic effects.
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The rs1799983 polymorphism in NOS3 is reported to be associated with significant diastolic blood pressure response to hydrochlorothiazide.
“The rs1799983 polymorphism in NOS3, is reported to be associated also with significant diastolic blood pressure response to hydrochlorothiazide [103]”
From Fenofibrate and metabolic syndrome (2010) · cites this paper as [103]
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Fenofibrate and metabolic syndrome
T. Kraja, A., A. Province, M., J. Straka, R., M. Ordovas, J., B. Borecki, I., & K. Arnett, D. (2010) · Endocrine, Metabolic & Immune Disorders - Drug Targets · doi:10.2174/187153010791213047 · Cited by 40
“The rs1799983 polymorphism in NOS3, is reported to be associated also with significant diastolic blood pressure response to hydrochlorothiazide [103], has been proposed that it may increase the risk of developing diabetic nephropathy [104] and it has been found to be associated to central pulse pressure in the Framing…”
Metadata
- Authors
- Maitland-van der Zee, A.-H., Turner, S. T., Schwartz, G. L., Chapman, A. B., Klungel, O. H., & Boerwinkle, E.
- Affiliations
- Mayo Clinic (US)
- Emory University (US)
- Utrecht University (NL)
- The University of Texas Health Science Center at Houston (US)
- Venue
- Pharmacogenetics and Genomics
- Published
- 2005-05
- Volume
- 15
- Issue
- 5
- Pages
- 287-293
- ISSN
- 1744-6872 (ISSN-L)
- OpenAlex
- W2008458855
- Cited by
- 28
- References
- 1
- Citations by year
- 2023: 1 · 2020: 1 · 2016: 1 · 2015: 1 · 2014: 2 · 2012: 2
- FWCI
- 3.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pharmacogenetics and Genomics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01 HL5330)
- National Center for Research Resources (M01-RR00039, M01-RR00 585, M01RR000585, M01RR000039)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Keywords
- hydrochlorothiazide, essential hypertension, candidate genes, SCNN1G, endothelial nitric oxide synthase, single nucleotide polymorphisms, haplotypes, thiazide diuretics, drug response variability
- MeSH terms
- Antihypertensive Agents, Blood Pressure, Female, Humans, Hydrochlorothiazide, Male, Middle Aged, Polymorphism, Genetic, Sodium Channels, Nitric Oxide Synthase, Cytochrome P-450 CYP11B2
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