Interaction Between NOS3 and HMOX1 on Antihypertensive Drug Responsiveness in Preeclampsia

Author:

Sandrim Valeria Cristina1ORCID,Luizon Marcelo Rizzatti2ORCID,Pilan Eliane1ORCID,Caldeira-Dias Mayara1ORCID,Coeli-Lacchini Fernanda Borchers3ORCID,Kors Georgia1ORCID,Berndt Iuly1ORCID,Lacchini Riccardo4ORCID,Cavalli Ricardo Carvalho5ORCID

Affiliation:

1. Department of Pharmacology, Instituto de Biociências de Botucatu da Universidade Estadual Paulista, Botucatu, SP, Brazil

2. Department of Genetics, Ecology and Evolution, Instituto de Ciências Biológicas da Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil

3. Department of Internal Medicine, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, São Paulo, SP, Brazil

4. Department of Psychiatric Nursing and Human Sciences, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil

5. Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil

Abstract

Abstract Objective We examined the interaction of polymorphisms in the genes heme oxygenase-1 (HMOX1) and nitric oxide synthase (NOS3) in patients with preeclampsia (PE) as well as the responsiveness to methyldopa and to total antihypertensive therapy. Methods The genes HMOX1 (rs2071746, A/T) and NOS3 (rs1799983, G/T) were genotyped using TaqMan allele discrimination assays (Applied Biosystems, Foster City, CA, USA ), and the levels of enzyme heme oxygenase-1 (HO-1) were measured using enzyme-linked immunosorbent assay (ELISA). Results We found interactions between genotypes of the HMOX-1 and NOS3 genes and responsiveness to methyldopa and that PE genotyped as AT presents lower levels of protein HO-1 compared with AA. Conclusion We found interactions between the HMOX-1 and NOS3 genes and responsiveness to methyldopa and that the HMOX1 polymorphism affects the levels of enzyme HO-1 in responsiveness to methyldopa and to total antihypertensive therapy. These data suggest impact of the combination of these two polymorphisms on antihypertensive responsiveness in PE.

Publisher

Georg Thieme Verlag KG

Subject

Obstetrics and Gynecology

Reference46 articles.

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3. Antepartum and postpartum serum heme oxygenase-1 levels in preeclamptic and normotensive pregnant women;N Vitoratos;In Vivo,2011

4. Decidual expression and maternal serum levels of heme oxygenase 1 are increased in pre-eclampsia;I P Eide;Acta Obstet Gynecol Scand,2008

5. Heme oxygenase-1 is not decreased in preeclamptic placenta and does not negatively regulate placental soluble fms-like tyrosine kinase-1 or soluble endoglin secretion;S Tong;Hypertension,2015

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