Haplotypes of the adrenergic system predict the blood pressure response to β-blockers in women with essential hypertension

Abstract

Aims: To analyze the association of haplotypes of the adrenergic system with essential hypertension and with the blood pressure response to β-blockers. Materials & methods: In 1112 never-treated essential hypertension patients and 203 normotensive controls, tightly linked SNPs of β-adrenergic receptors (ADRB1 – Ser49Gly and Arg389Gly; ADRB2 – Cys19Arg, Gly16Arg and Gln27Glu) and the G-protein β3-subunit (GNB3 – A3882C, G5249A and C825T) were genotyped. Association of haplotypes with essential hypertension and with the blood pressure response to atenolol 50 mg twice daily in a subgroup of essential hypertension patients (n = 340) was evaluated (Haploview 3.2). Results: No SNPs or haplotypes were associated with essential hypertension. In females only, GNB3 SNPs and haplotypes were associated with the blood pressure response (p < 0.05). Conclusion: Our study confirmed the sex-specific association of GNB3 with the blood pressure response to atenolol with no substantial advantage of the analysis of haplotypes over SNPs.