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β_1肾上腺素受体基因型多态性对比索洛尔治疗高血压的影响

Effect of β_1-adrenoreceptor gene polymorphism on bisoprolol treatment for patients with hypertension
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摘要 目的研究β1肾上腺素能受体(β1-AR)基因多态性对比索洛尔降压疗效的影响。方法 200例高血压病患者给予相同剂量比索洛尔降压治疗,同时用聚合酶链反应限制片长多态性法检测其基因型,比较不同基因型高血压患者治疗效果。结果治疗后基因型为49SG/389AA的患者静息心率、舒张压、收缩压、平均动脉压水平明显高于其他3组,差异有统计学意义(P<0.05)。基因型为49SS/389GA的患者上述指标明显低于其他3组,差异有统计学意义(P<0.05)。经过多因素非条件Logistic回归分析显示,肾上腺素受体基因型49SG/389GA是影响比索洛尔治疗高血压临床效果的危险因素。结论β1-AR基因多态性位点Ser49Gly、Gly389Arg与比索洛尔降压疗效相关。 Objective To determine the effect of β1-adrenoreceptor (β1-AR) gene polymorphism on bisoprolol treatment for pa-tients with hypertension. Methods A total of 200 patients with essential hypertension were given bisoprolol by the same dose. β1-AR genotypes with the polymerase chain reaction restriction fragment length polymorphism were used to compare the ef- ficacy with different genotypes. Results The resting heart rate, systolic pressure and diastolic pressure and mean arterial pres-sure ofgenotype 49SG/389AA were significantly higher than those in the other 3 groups, with significant difference (P 〈 0.05). The above indicators in genotype 49SS/389GA were significantly lower than those in the other 3 groups, with significant dif-ference (P 〈 0.05). Conclusion β1-AR gene Ser49Gly and G1y389Arg polymorphism are related to bisoprolol treatment for patients with hypertension.
出处 《中南药学》 CAS 2013年第12期896-899,共4页 Central South Pharmacy
关键词 高血压 比索洛尔 肾上腺素受体 基因多态性 hypertension bisoprolol β1-adrenoreceptor gene polymorphism
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