Journal
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY
Volume 71, Issue 8, Pages 949-957Publisher
SPRINGER HEIDELBERG
DOI: 10.1007/s00228-015-1872-5
Keywords
Enalapril; Haplotypes; Hypertension; Polymorphisms; VEGFA
Categories
Funding
- Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq)
- Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)
Ask authors/readers for more resources
Purpose Vascular endothelial growth factor (VEGF) is a potent angiogenic factor that affects blood pressure by promoting vasodilation mediated by nitric oxide. Angiotensin-converting enzyme inhibitors (ACEi) up-regulate the VEGF expression; thus, genetic polymorphisms in the VEGFA gene could affect the antihypertensive responses to these drugs. Methods Hypertensive patients (n = 102) were prospectively treated only with the ACEi enalapril for 60 days. We compared the effect of VEGFA polymorphisms on changes in blood pressure after enalapril treatment. In addition, multiple linear regression analysis was carried out to assess the effect of covariates on blood pressure. Genotypes for g.-2578C > A (rs699947), g.-1154G > A (rs1570360), and g.-634G > C (rs2010963) VEGFA polymorphisms were determined, and haplotype frequencies were estimated. Results Individuals carrying the CA and AA genotypes for the g.-2578C > A polymorphism and the AGG haplotype showed more intense decrease in blood pressure in response to enalapril 20 mg/day. A multiple linear regression analysis showed that the AA genotype for the g.-2578C > A polymorphism and the AGG haplotype are associated with more intense decrease in blood pressure in response to enalapril 20 mg/day, while the CC genotype for the g.-2578C > A polymorphism and the CGG haplotype are associated with the opposite effect. Conclusions These findings suggest that polymorphisms in VEGFA gene may affect the antihypertensive responses to enalapril.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available