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Medicine (Baltimore) ; 101(5): e28703, 2022 Feb 04.
Artigo em Inglês | MEDLINE | ID: mdl-35119014

RESUMO

ABSTRACT: Genetic variation is known to affect response to calcium channel blockers (CCBs) among different populations. This study aimed to determine the genetic variations associated with poor response to this class of antihypertensive drugs among Filipinos.One hundred eighty one hypertensive participants on CCBs therapy were included in an unmatched case-control study. Genomic deoxyribonucleic acid were extracted and genotyped for selected genetic variants. Regression analysis was used to determine the association of genetic and clinical variables with poor response to medication.The variant rs1458038 near fibroblast growth factor 5 gene showed significant association with poor blood pressure-lowering response based on additive effect (CT genotype: adjusted OR 3.41, P = .001; TT genotype: adjusted OR 6.72, P < .001).These findings suggest that blood pressure response to calcium channels blockers among Filipinos with hypertension is associated with gene variant rs1458038 near fibroblast growth factor 5 gene. Further studies are recommended to validate such relationship of the variant to the CCB response.


Assuntos
Anti-Hipertensivos , Bloqueadores dos Canais de Cálcio , Fator 5 de Crescimento de Fibroblastos/genética , Hipertensão , Anti-Hipertensivos/uso terapêutico , Pressão Sanguínea/efeitos dos fármacos , Bloqueadores dos Canais de Cálcio/uso terapêutico , Estudos de Casos e Controles , Humanos , Hipertensão/tratamento farmacológico , Hipertensão/genética , Filipinas
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