Pharmacogenomic Genome-Wide Meta-Analysis of Blood Pressure Response to ?-Blockers in Hypertensive African Americans.

ABSTRACT: African Americans suffer a higher prevalence of hypertension compared with other racial/ethnic groups. In this study, we performed a pharmacogenomic genome-wide association study of blood pressure (BP) response to ?-blockers in African Americans with uncomplicated hypertension. Genome-wide meta-analysis was performed in 318 African American hypertensive participants in the 2 Pharmacogenomic Evaluation of Antihypertensive Responses studies: 150 treated with atenolol monotherapy and 168 treated with metoprolol monotherapy. The analysis adjusted for age, sex, baseline BP and principal components for ancestry. Genome-wide significant variants with P<5×10(-8) and suggestive variants with P<5×10(-7) were evaluated in an additional cohort of 141 African Americans treated with the addition of atenolol to hydrochlorothiazide treatment. The validated variants were then meta-analyzed in these 3 groups of African Americans. Two variants discovered in the monotherapy meta-analysis were validated in the add-on therapy. African American participants heterozygous for SLC25A31 rs201279313 deletion versus wild-type genotype had better diastolic BP response to atenolol monotherapy, metoprolol monotherapy, and atenolol add-on therapy: -9.3 versus -4.6, -9.6 versus -4.8, and -9.7 versus -6.4 mm?Hg, respectively (3-group meta-analysis P=2.5×10(-8), ?=-4.42 mm?Hg per variant allele). Similarly, LRRC15 rs11313667 was validated for systolic BP response to ?-blocker therapy with 3-group meta-analysis P=7.2×10(-8) and ?=-3.65 mm?Hg per variant allele. In this first pharmacogenomic genome-wide meta-analysis of BP response to ?-blockers in African Americans, we identified novel variants that may provide valuable information for personalized antihypertensive treatment in this group.

SUBMITTER: Gong Y 

PROVIDER: S-EPMC4752391 | biostudies-literature | 2016 Mar

REPOSITORIES: biostudies-literature