Why the study?
To evaluate how polymorphisms of major genes involved in arterial hypertension pathogenesis relate to target organ damage.
Specific genetic polymorphisms (AGTR2, GNB3, NOS3, CYP11B2) are significantly associated with target organ damage such as left ventricular hypertrophy, diastolic dysfunction, and increased vascular stiffness in patients with arterial hypertension.
Objective : to assess the relationship of polymorphism of the main genes involved in the pathogenesis of arterial hypertension (AH) with indicators reflecting the state of target organs in the group of patients with arterial hypertension. Material and methods : we examined 100 patients with arterial hypertension who underwent standard diagnostic procedures, as well as molecular genetic research. Results : in patients with arterial hypertension statistically significant associations of AGTR2, GNB3, and NOS3 gene polymorphism with left ventricular hypertrophy, CYP11B2 and NOS3 gene polymorphism with left ventricular diastolic dysfunction, and NOS3 gene polymorphism with increased vascular wall stiffness were found (p < 0.05). Conclusions : the results of the study indicate that patients with arterial hypertension are a genetically heterogeneous group in terms of the relationship of specific gene polymorphism with indicators that characterize the state of target organs. The use of genetic approaches is promising for early screening of patients with arterial hypertension, belonging to the high-risk group, in order to ensure timely and effective organoprotection.
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Drobotya et al. (2020) studied this question.
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