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Genomic Association Analysis of Common Variants Influencing Antihypertensive Response to Hydrochlorothiazide

Turner, Stephen T. ; Boerwinkle, Eric ; O'Connell, Jeffrey R. ; Bailey, Kent R. ; Gong, Yan ; Chapman, Arlene B. ; McDonough, Caitrin W. ; Beitelshees, Amber L. ; Schwartz, Gary L. and Gums, John G. , et al. (2013) In Hypertension 62(2). p.391-397
Abstract
To identify novel genes influencing blood pressure response to thiazide diuretic therapy for hypertension, we conducted genome-wide association meta-analyses of approximate to 1.1 million single-nucleotide polymorphisms in a combined sample of 424 European Americans with primary hypertension treated with hydrochlorothiazide from the Pharmacogenomic Evaluation of Antihypertensive Responses study (n=228) and the Genetic Epidemiology of Responses to Antihypertensive study (n=196). Polymorphisms associated with blood pressure response at P<10(-5) were tested for replication of the associations in independent samples of hydrochlorothiazide-treated European hypertensives. The rs16960228 polymorphism in protein kinase C, replicated for... (More)
To identify novel genes influencing blood pressure response to thiazide diuretic therapy for hypertension, we conducted genome-wide association meta-analyses of approximate to 1.1 million single-nucleotide polymorphisms in a combined sample of 424 European Americans with primary hypertension treated with hydrochlorothiazide from the Pharmacogenomic Evaluation of Antihypertensive Responses study (n=228) and the Genetic Epidemiology of Responses to Antihypertensive study (n=196). Polymorphisms associated with blood pressure response at P<10(-5) were tested for replication of the associations in independent samples of hydrochlorothiazide-treated European hypertensives. The rs16960228 polymorphism in protein kinase C, replicated for same-direction association with diastolic blood pressure response in the Nordic Diltiazem study (n=420) and the Genetics of Drug Responsiveness in Essential Hypertension study (n=206), and the combined 4-study meta-analysis P value achieved genome-wide significance (P=3.3x10(-8)). Systolic or diastolic blood pressure responses were consistently greater in carriers of the rs16960228 A allele than in GG homozygotes (>4/4 mm Hg) across study samples. The rs2273359 polymorphism in the GNAS-EDN3 region also replicated for same-direction association with systolic blood pressure response in the Nordic Diltiazem study, and the combined 3-study meta-analysis P value approached genome-wide significance (P=5.5x10(-8)). The findings document clinically important effects of genetic variation at novel loci on blood pressure response to a thiazide diuretic, which may be a basis for individualization of antihypertensive drug therapy and identification of new drug targets. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
antihypertensive agents, genomics, hydrochlorothiazide, hypertension, pharmacogenomics, protein kinase C
in
Hypertension
volume
62
issue
2
pages
391 - 397
publisher
Lippincott Williams & Wilkins
external identifiers
  • wos:000321962300031
  • scopus:84880932080
  • pmid:23753411
ISSN
1524-4563
DOI
10.1161/HYPERTENSIONAHA.111.00436
language
English
LU publication?
yes
id
f17e053b-5357-43b7-8f5d-95a2cfbffd14 (old id 3973299)
date added to LUP
2016-04-01 10:43:39
date last changed
2024-01-06 23:45:44
@article{f17e053b-5357-43b7-8f5d-95a2cfbffd14,
  abstract     = {{To identify novel genes influencing blood pressure response to thiazide diuretic therapy for hypertension, we conducted genome-wide association meta-analyses of approximate to 1.1 million single-nucleotide polymorphisms in a combined sample of 424 European Americans with primary hypertension treated with hydrochlorothiazide from the Pharmacogenomic Evaluation of Antihypertensive Responses study (n=228) and the Genetic Epidemiology of Responses to Antihypertensive study (n=196). Polymorphisms associated with blood pressure response at P&lt;10(-5) were tested for replication of the associations in independent samples of hydrochlorothiazide-treated European hypertensives. The rs16960228 polymorphism in protein kinase C, replicated for same-direction association with diastolic blood pressure response in the Nordic Diltiazem study (n=420) and the Genetics of Drug Responsiveness in Essential Hypertension study (n=206), and the combined 4-study meta-analysis P value achieved genome-wide significance (P=3.3x10(-8)). Systolic or diastolic blood pressure responses were consistently greater in carriers of the rs16960228 A allele than in GG homozygotes (&gt;4/4 mm Hg) across study samples. The rs2273359 polymorphism in the GNAS-EDN3 region also replicated for same-direction association with systolic blood pressure response in the Nordic Diltiazem study, and the combined 3-study meta-analysis P value approached genome-wide significance (P=5.5x10(-8)). The findings document clinically important effects of genetic variation at novel loci on blood pressure response to a thiazide diuretic, which may be a basis for individualization of antihypertensive drug therapy and identification of new drug targets.}},
  author       = {{Turner, Stephen T. and Boerwinkle, Eric and O'Connell, Jeffrey R. and Bailey, Kent R. and Gong, Yan and Chapman, Arlene B. and McDonough, Caitrin W. and Beitelshees, Amber L. and Schwartz, Gary L. and Gums, John G. and Padmanabhan, Sandosh and Hiltunen, Timo P. and Citterio, Lorena and Donner, Kati M. and Hedner, Thomas and Lanzani, Chiara and Melander, Olle and Saarela, Janna and Ripatti, Samuli and Wahlstrand, Bjoern and Manunta, Paolo and Kontula, Kimmo and Dominiczak, Anna F. and Cooper-DeHoff, Rhonda M. and Johnson, Julie A.}},
  issn         = {{1524-4563}},
  keywords     = {{antihypertensive agents; genomics; hydrochlorothiazide; hypertension; pharmacogenomics; protein kinase C}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{391--397}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Hypertension}},
  title        = {{Genomic Association Analysis of Common Variants Influencing Antihypertensive Response to Hydrochlorothiazide}},
  url          = {{https://lup.lub.lu.se/search/files/2085285/4195022.pdf}},
  doi          = {{10.1161/HYPERTENSIONAHA.111.00436}},
  volume       = {{62}},
  year         = {{2013}},
}