Lack of association between ACE I/D, NOS3 VNTR polymorphisms and drug toxicity of tacrolimus treated post-renal transplantation patients

Introduction: Tacrolimus is the most commonly used calcineurin inhibitor for renal transplant individuals. Genetic factors play a major role in allografts by affecting blood pressure regulation, vascular proliferation and inflammatory responses. Objectives: The aim of this study was to evaluate a po...

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Autores principales: Kathulapali Krishna, Sanjana Satheesh, Gnanasambandan Ramanathan, Solomon F. D. Paul, Jayakumar Matcha, Ramprasad Elumalai
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Publicado: Society of Diabetic Nephropathy Prevention 2020
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Acceso en línea:https://doaj.org/article/c2aee2b67d304a198b3bb1d2667301e5
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spelling oai:doaj.org-article:c2aee2b67d304a198b3bb1d2667301e52021-11-17T08:13:31ZLack of association between ACE I/D, NOS3 VNTR polymorphisms and drug toxicity of tacrolimus treated post-renal transplantation patients2345-420210.34172/npj.2020.19https://doaj.org/article/c2aee2b67d304a198b3bb1d2667301e52020-05-01T00:00:00Zhttps://jnephropharmacology.com/PDF/npj-4304https://doaj.org/toc/2345-4202Introduction: Tacrolimus is the most commonly used calcineurin inhibitor for renal transplant individuals. Genetic factors play a major role in allografts by affecting blood pressure regulation, vascular proliferation and inflammatory responses. Objectives: The aim of this study was to evaluate a possible role of the ACE I/D and NOS3 VNTR polymorphisms in kidney transplantation patients treated with tacrolimus in the south Indian population. Patients and Methods: This study included 50 kidney transplant individuals and 100 unrelated healthy individuals from the general population as control. The genotyping was performed by polymerase chain reaction and electrophoresis. Genotypes were compared among cases and controls applying χ2 test. The difference in C/D ratios was compared using Mann–Whitney U test or Kruskal-Wallis test. Results: The ACE ID polymorphisms in different models [genetic (P=0.723), dominant (P=0.148) and recessive (P=0.652)] or allele model (P=0.455) did not differ significantly between the groups. Similarly, there was no significant difference for the NOS3 VNTR genotypes in genetic model (bb vs ba P=0.118; bb vs aa P=0.446), dominant model (bb vs ba+aa P=0.099) and allelic model (b vs a P=0.103). No significant difference was observed for ACE ID and NOS3 VNTR genotypes between the toxicity and non-toxicity groups. Furthermore, no significant association was observed for daily dose and concentration dose ratio for the studied polymorphisms. Conclusion: The present study revealed no significant association between cases and controls as well as toxicity and non-toxicity groups. Furthermore, there was no association between genotypes and daily dose and dose concentration.Kathulapali KrishnaSanjana SatheeshGnanasambandan RamanathanSolomon F. D. PaulJayakumar MatchaRamprasad ElumalaiSociety of Diabetic Nephropathy Prevention articletacrolimusace i/dnos3 vntrtransplantationpolymorphismsend-stage renal diseasecalcineurin inhibitorsTherapeutics. PharmacologyRM1-950Diseases of the genitourinary system. UrologyRC870-923ENJournal of Nephropharmacology, Vol 9, Iss 2, Pp e19-e19 (2020)
institution DOAJ
collection DOAJ
language EN
topic tacrolimus
ace i/d
nos3 vntr
transplantation
polymorphisms
end-stage renal disease
calcineurin inhibitors
Therapeutics. Pharmacology
RM1-950
Diseases of the genitourinary system. Urology
RC870-923
spellingShingle tacrolimus
ace i/d
nos3 vntr
transplantation
polymorphisms
end-stage renal disease
calcineurin inhibitors
Therapeutics. Pharmacology
RM1-950
Diseases of the genitourinary system. Urology
RC870-923
Kathulapali Krishna
Sanjana Satheesh
Gnanasambandan Ramanathan
Solomon F. D. Paul
Jayakumar Matcha
Ramprasad Elumalai
Lack of association between ACE I/D, NOS3 VNTR polymorphisms and drug toxicity of tacrolimus treated post-renal transplantation patients
description Introduction: Tacrolimus is the most commonly used calcineurin inhibitor for renal transplant individuals. Genetic factors play a major role in allografts by affecting blood pressure regulation, vascular proliferation and inflammatory responses. Objectives: The aim of this study was to evaluate a possible role of the ACE I/D and NOS3 VNTR polymorphisms in kidney transplantation patients treated with tacrolimus in the south Indian population. Patients and Methods: This study included 50 kidney transplant individuals and 100 unrelated healthy individuals from the general population as control. The genotyping was performed by polymerase chain reaction and electrophoresis. Genotypes were compared among cases and controls applying χ2 test. The difference in C/D ratios was compared using Mann–Whitney U test or Kruskal-Wallis test. Results: The ACE ID polymorphisms in different models [genetic (P=0.723), dominant (P=0.148) and recessive (P=0.652)] or allele model (P=0.455) did not differ significantly between the groups. Similarly, there was no significant difference for the NOS3 VNTR genotypes in genetic model (bb vs ba P=0.118; bb vs aa P=0.446), dominant model (bb vs ba+aa P=0.099) and allelic model (b vs a P=0.103). No significant difference was observed for ACE ID and NOS3 VNTR genotypes between the toxicity and non-toxicity groups. Furthermore, no significant association was observed for daily dose and concentration dose ratio for the studied polymorphisms. Conclusion: The present study revealed no significant association between cases and controls as well as toxicity and non-toxicity groups. Furthermore, there was no association between genotypes and daily dose and dose concentration.
format article
author Kathulapali Krishna
Sanjana Satheesh
Gnanasambandan Ramanathan
Solomon F. D. Paul
Jayakumar Matcha
Ramprasad Elumalai
author_facet Kathulapali Krishna
Sanjana Satheesh
Gnanasambandan Ramanathan
Solomon F. D. Paul
Jayakumar Matcha
Ramprasad Elumalai
author_sort Kathulapali Krishna
title Lack of association between ACE I/D, NOS3 VNTR polymorphisms and drug toxicity of tacrolimus treated post-renal transplantation patients
title_short Lack of association between ACE I/D, NOS3 VNTR polymorphisms and drug toxicity of tacrolimus treated post-renal transplantation patients
title_full Lack of association between ACE I/D, NOS3 VNTR polymorphisms and drug toxicity of tacrolimus treated post-renal transplantation patients
title_fullStr Lack of association between ACE I/D, NOS3 VNTR polymorphisms and drug toxicity of tacrolimus treated post-renal transplantation patients
title_full_unstemmed Lack of association between ACE I/D, NOS3 VNTR polymorphisms and drug toxicity of tacrolimus treated post-renal transplantation patients
title_sort lack of association between ace i/d, nos3 vntr polymorphisms and drug toxicity of tacrolimus treated post-renal transplantation patients
publisher Society of Diabetic Nephropathy Prevention
publishDate 2020
url https://doaj.org/article/c2aee2b67d304a198b3bb1d2667301e5
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