Title Effect of NR3C2 genetic polymorphisms on the blood pressure response to enalapril treatment
Authors Luo, Jian-Quan
Wang, Lu-Yan
He, Fa-Zhong
Sun, Ning-Ling
Tang, Gen-Fu
Wen, Jia-Gen
Luo, Zhi-Ying
Liu, Zhao-Qian
Zhou, Hong-Hao
Chen, Xiao-Ping
Zhang, Wei
Affiliation Cent S Univ, Pharmacogenet Res Inst, Inst Clin Pharmacol, Hunan Key Lab Pharmacogenet, Changsha 410078, Hunan, Peoples R China.
Peking Univ, Peoples Hosp, Dept Cardiol, Beijing 100044, Peoples R China.
Anhui Med Univ, Sch Hlth Adm, Hefei 230032, Peoples R China.
Keywords antihypertensive response
enalapril
NR3C2
single nucleotide polymorphism
SNP
CORONARY-ARTERY-DISEASE
MINERALOCORTICOID RECEPTOR MUTATIONS
CONVERTING ENZYME-INHIBITORS
PSEUDOHYPOALDOSTERONISM TYPE-1
MYOCARDIAL-INFARCTION
HYPERTENSION
ASSOCIATION
PERINDOPRIL
EXPRESSION
THERAPY
Issue Date 2014
Publisher pharmacogenomics
Citation PHARMACOGENOMICS.2014,15,(2),201-208.
Abstract Aim: The mineralocorticoid receptor (MR; also known as NR3C2) plays important roles in the modulation of blood pressure. The effect of NR3C2 polymorphisms on antihypertensive response to enalapril was investigated. Patients & methods: Two hundred and seventy nine essential hypertension patients treated with enalapril were genotyped for two NR3C2 tagSNPs, rs5522 and rs2070950, by Sequenom MassArray technology. Results: The reductions in diastolic blood pressure (DBP) were significantly greater in AA homozygotes compared with AG+GG genotype carriers for the rs5522 polymorphism (p = 0.009), and the reductions in DBP were greater in GG homozygotes compared with GC+CC genotype carriers for the rs2070950 polymorphism, with marginal significance (p = 0.065). Stepwise multiple regression analysis indicated that significant predictors of DBP reduction were baseline DBP (p < 0.001), waist:hip ratio (p = 0.001) and rs5522 genotype (p = 0.003). Conclusion:NR3C2 rs5522 affects blood pressure response to enalapril treatment and may serve as a useful pharmacogenomic marker of antihypertensive response to enalapril in essential hypertension patients. Original submitted 8 August 2013; Revision submitted 29 August 2013; Published online 23 September 2013
URI http://hdl.handle.net/20.500.11897/390060
ISSN 1462-2416
DOI 10.2217/pgs.13.173
Indexed SCI(E)
Appears in Collections: 人民医院

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