スギモト ケン   Ken Sugimoto
  杉本 研
   所属   川崎医科大学  医学部 臨床医学 総合老年医学
   職種   教授
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Genetic influences of beta-adrenoceptor polymorphisms on arterial functional changes and cardiac remodeling in hypertensive patients.
掲載誌名 正式名:Hypertension research : official journal of the Japanese Society of Hypertension
略  称:Hypertens Res
ISSNコード:09169636/09169636
掲載区分国外
巻・号・頁 29(11),pp.875-881
著者・共著者 Yuan Ming, Ohishi Mitsuru, Ito Norihisa, Sugimoto Ken, Takagi Takashi, Terai Minako, Katsuya Tomohiro, Rakugi Hiromi, Wu Zonggui, Ogihara Toshio
発行年月 2006/11
概要 Three subtypes of beta-adrenoceptor, beta1, beta2 and beta3, are involved in the sympathetic nervous system, which plays an important role in the development of hypertension and hypertensive complications. These complications can include left ventricular hypertrophy and arterial stiffness, which are reported risk factors for cardiovascular diseases. We designed clinical trials to clarify the association between hypertensive complications and beta-adrenoceptor single nucleotide polymorphisms in essential hypertension. Using Taqman PCR methods, we detected five polymorphisms of three beta-adrenoceptors: Ser49Gly and Arg389Gly for the beta1-adrenoceptor; Gly16Arg and Glu27Gln for the beta2-adrenoceptor; and Trp64Arg for the beta3-adrenoceptor. We included 300 subjects and measured pulse wave velocity, vasodilator response to hyperemia, left ventricular hypertrophy (by electrocardiogram and echocardiography), and cardiac enlargement (by chest X-ray). We found that pulse wave velocity and nitroglycerin-induced hyperemia were both closely associated with the Ser49Gly polymorphism (p<0.05), and Glu27Gln was found by both electrocardiogram and echocardiography to be significantly associated with left ventricular hypertrophy (p<0.05). These data suggested that two polymorphisms of different beta-adrenoreceptor subtypes are the genetic influences on the development of arterial stiffness and left ventricular hypertrophy in essential hypertension.
DOI 10.1291/hypres.29.875
PMID 17345787