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November 4, 2010Pharmacogenetics and Genomics

Identification of genetic factors associated with susceptibility to angiotensin-converting enzyme inhibitors-induced cough

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Key result

Genetic polymorphisms in MME (OR 1.795), BDKRB2 (OR 1.609), PTGER3 (OR 0.565), and ACE genes are significantly associated with susceptibility to ACE inhibitor-induced cough.

Why the study?

Are specific genetic polymorphisms associated with susceptibility to ACEi-induced cough in hypertensive patients?

Population

Hypertensive patients treated with angiotensin-converting enzyme inhibitors (ACEi)

Comparison

Presence of specific genetic polymorphisms vs Absence of these genetic polymorphisms

Design

Other

Authors

AGAntonio GriloHospital Universitario de ValmeMSMaría P. Sáez-RosasHospital Universitario de ValmeJSJuan Santos-MoranoHospital Universitario de Valme

Discussion

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Implication

May support risk stratification for ACEi cough; leaves open prospective validation before clinical genetic testing.

Study Design

Type

Observational

Structured PICO

Are specific genetic polymorphisms associated with susceptibility to ACEi-induced cough in hypertensive patients?

P
Population
Hypertensive patients evaluated for genetic susceptibility to ACE inhibitor-induced cough.
E
Exposure
Presence of specific genetic polymorphisms (39 polymorphisms and haplotypes in genes encoding key proteins related to ACEi activity)
C
Comparator
Absence of these genetic polymorphisms
O
Outcome
Occurrence of ACEi-induced coughsafety

Main Result

Odds Ratio: 1.795

p-value: p=0.002

Specific genetic polymorphisms in MME, BDKRB2, PTGER3, and ACE genes, as well as epistatic interactions, significantly modify the risk of developing ACEi-induced cough.

Cite This Study

Grilo et al. (2010) conducted an observational in ACE inhibitor-induced cough in hypertension. Genetic polymorphisms (MME, BDKRB2, PTGER3, ACE) was evaluated on ACEi-induced cough (OR 1.795, p=0.002). Genetic polymorphisms in MME (OR 1.795), BDKRB2 (OR 1.609), PTGER3 (OR 0.565), and ACE genes are significantly associated with susceptibility to ACE inhibitor-induced cough.

synapsesocial.com/papers/6a9a74c12b9869bfd24e2c79https://doi.org/10.1097/fpc.0b013e328341041c

Topics

Hypertension management
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Bradykinin B<sub>2</sub>Receptor Gene Polymorphism Is Associated With Angiotensin-Converting Enzyme Inhibitor–Related Cough2000 · 102 citations
  2. 2Cough and Angioneurotic Edema Associated with Angiotensin-Converting Enzyme Inhibitor Therapy1992 · 916 citations
  3. 3ACE Inhibitor—Versus Angiotensin II Blocker–Induced Cough and Angioedema1998 · 103 citations
  4. 4Novel Mode of Action of Angiotensin I Converting Enzyme Inhibitors2002 · 107 citations