Interacción entre los polimorfismos del receptor ß1 y ß2 adrenérgico como predictor de riesgo de insuficiencia cardiaca crónica

Background: ß adrenergic receptors (AR) are highly polymorphic and important regulators of cardiovascular homeostasis. Among these, ß1 and ß2 AR regulate cardiac contractility and frequency and are important pharmacological targets. Aim: To evaluate genotype and gene-gene interaction between ß1-AR A...

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Autores principales: Moraga,Francisco, Troncoso,Rodrigo, Mellado,Rosemarie, Díaz-Araya,Guillermo, Vukasovic,José Luis, Greig,Douglas, Pérez,Osvaldo, García,Lorena, Roldán,Juan, Ocaranza,María Paz, Jalil,Jorge, Chiong,Mario, Castro,Pablo
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2008
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001100002
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spelling oai:scielo:S0034-988720080011000022009-03-23Interacción entre los polimorfismos del receptor ß1 y ß2 adrenérgico como predictor de riesgo de insuficiencia cardiaca crónicaMoraga,FranciscoTroncoso,RodrigoMellado,RosemarieDíaz-Araya,GuillermoVukasovic,José LuisGreig,DouglasPérez,OsvaldoGarcía,LorenaRoldán,JuanOcaranza,María PazJalil,JorgeChiong,MarioCastro,Pablo Catecholamines Heart failure Polymorphism, genetic Receptors, adrenergic Background: ß adrenergic receptors (AR) are highly polymorphic and important regulators of cardiovascular homeostasis. Among these, ß1 and ß2 AR regulate cardiac contractility and frequency and are important pharmacological targets. Aim: To evaluate genotype and gene-gene interaction between ß1-AR Arg389Gly and ß2-AR ArglSGly GlnZ7Gly and Thrl 64Ile polymorphisms, as risk factors for HF. Material and methods: Eighty chronic HF patients and eighty-eight controls matched by age and sex were genotyped for ß1 -AR Arg389Gly ß2-AR ArgWGly, GlnZ7Glu and Thr164Ile polymorphisms. Results: The presence of ß2-AR Glu afiele was a risk predictor for HF (odds ratio (OR) =2.81; 95% confidence intervals (CI) =1.49-5.31). Interactions that increased the risk for HF were found in patients carrying at least one of the ß2-AR Glu and ß2-AR Gly allele (OR =3.81; 95% CI =1.50-0.70) and ß2-AR Glu and ß1 -AR Gly allele combination (OR =5.51; 95% CI =2.19-13.86). Furthermore, the frequency of ß2-AR Glu allele was higher among patients with a history ofacute myocardial infarction (with infarction: 0.534, without: 0.313, p =0.01). Conclusions: ß2-AR Glu allele could be a risk predictor for HF. This risk could be enhanced by the additional presence of ß2-AR GlyW or ß1-AR Arg389 alleles. The frequency of ß2-AR Gln27 Glu allele was higher among patients with a history of myocardial infarction.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.136 n.11 20082008-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001100002es10.4067/S0034-98872008001100002
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Catecholamines
Heart failure
Polymorphism, genetic
Receptors, adrenergic
spellingShingle Catecholamines
Heart failure
Polymorphism, genetic
Receptors, adrenergic
Moraga,Francisco
Troncoso,Rodrigo
Mellado,Rosemarie
Díaz-Araya,Guillermo
Vukasovic,José Luis
Greig,Douglas
Pérez,Osvaldo
García,Lorena
Roldán,Juan
Ocaranza,María Paz
Jalil,Jorge
Chiong,Mario
Castro,Pablo
Interacción entre los polimorfismos del receptor ß1 y ß2 adrenérgico como predictor de riesgo de insuficiencia cardiaca crónica
description Background: ß adrenergic receptors (AR) are highly polymorphic and important regulators of cardiovascular homeostasis. Among these, ß1 and ß2 AR regulate cardiac contractility and frequency and are important pharmacological targets. Aim: To evaluate genotype and gene-gene interaction between ß1-AR Arg389Gly and ß2-AR ArglSGly GlnZ7Gly and Thrl 64Ile polymorphisms, as risk factors for HF. Material and methods: Eighty chronic HF patients and eighty-eight controls matched by age and sex were genotyped for ß1 -AR Arg389Gly ß2-AR ArgWGly, GlnZ7Glu and Thr164Ile polymorphisms. Results: The presence of ß2-AR Glu afiele was a risk predictor for HF (odds ratio (OR) =2.81; 95% confidence intervals (CI) =1.49-5.31). Interactions that increased the risk for HF were found in patients carrying at least one of the ß2-AR Glu and ß2-AR Gly allele (OR =3.81; 95% CI =1.50-0.70) and ß2-AR Glu and ß1 -AR Gly allele combination (OR =5.51; 95% CI =2.19-13.86). Furthermore, the frequency of ß2-AR Glu allele was higher among patients with a history ofacute myocardial infarction (with infarction: 0.534, without: 0.313, p =0.01). Conclusions: ß2-AR Glu allele could be a risk predictor for HF. This risk could be enhanced by the additional presence of ß2-AR GlyW or ß1-AR Arg389 alleles. The frequency of ß2-AR Gln27 Glu allele was higher among patients with a history of myocardial infarction.
author Moraga,Francisco
Troncoso,Rodrigo
Mellado,Rosemarie
Díaz-Araya,Guillermo
Vukasovic,José Luis
Greig,Douglas
Pérez,Osvaldo
García,Lorena
Roldán,Juan
Ocaranza,María Paz
Jalil,Jorge
Chiong,Mario
Castro,Pablo
author_facet Moraga,Francisco
Troncoso,Rodrigo
Mellado,Rosemarie
Díaz-Araya,Guillermo
Vukasovic,José Luis
Greig,Douglas
Pérez,Osvaldo
García,Lorena
Roldán,Juan
Ocaranza,María Paz
Jalil,Jorge
Chiong,Mario
Castro,Pablo
author_sort Moraga,Francisco
title Interacción entre los polimorfismos del receptor ß1 y ß2 adrenérgico como predictor de riesgo de insuficiencia cardiaca crónica
title_short Interacción entre los polimorfismos del receptor ß1 y ß2 adrenérgico como predictor de riesgo de insuficiencia cardiaca crónica
title_full Interacción entre los polimorfismos del receptor ß1 y ß2 adrenérgico como predictor de riesgo de insuficiencia cardiaca crónica
title_fullStr Interacción entre los polimorfismos del receptor ß1 y ß2 adrenérgico como predictor de riesgo de insuficiencia cardiaca crónica
title_full_unstemmed Interacción entre los polimorfismos del receptor ß1 y ß2 adrenérgico como predictor de riesgo de insuficiencia cardiaca crónica
title_sort interacción entre los polimorfismos del receptor ß1 y ß2 adrenérgico como predictor de riesgo de insuficiencia cardiaca crónica
publisher Sociedad Médica de Santiago
publishDate 2008
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001100002
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