Abstract |
Recent evidence suggests that the prodownregulatory Gly16 allele of the beta-2 adrenergic receptor (beta-2 AR) is associated with essential hypertension in African Caribbeans. To further investigate the effect of the glycine (Gly)16 and arginine (Arg)16 beta-2 AR variants on hemodynamics, we investigated the agonist-mediated in vivo vasodilation in normotensive Austrian Caucasians and analyzed the results with respect to the Gly16/Arg16 polymorphism. Fifty-seven normotensive men, 20 to 32 years of age with body mass index of 18.7 to 29.9 kg/m2, were genotyped for the Arg16/Gly16 beta-2 AR alleles. All 15 Gly16/Gly16 subjects, all 12 Arg16/Arg/16 subjects, and 27 of 30 heterozygous subjects underwent hemodynamic measurements while supine after an overnight fast. The observers were unaware of the subjects' genotypes. The subjects received a graded infusion of the selective beta-2 AR agonist salbutamol (0.07, 0.14, and 0.21 microgram/kg per minute, respectively), each dose over 8 minutes. Stroke volume and blood pressure were determined continuously by means of impedance cardiography and oscillometry, respectively. The last 4 minutes of each infusion were evaluated statistically. Basal mean blood pressure was higher in the Gly16/Gly16 subjects compared with Arg16/Arg16 subjects (mean+/-SD: 81.6+/-6.14 versus 75.2+/-4.93 mm Hg, P<0.01). Homozygous Gly16 subjects showed a significantly decreased vasodilation during the first dose of salbutamol infusion compared with Arg16/Arg16 subjects (Deltatotal peripheral resistance index -17.9+/-14.4 versus -30. 6+/-8.3%, P<0.01) despite increased sympathetic counterregulation in the Arg16/Arg16 group (Deltaheart rate +16.9+/-7.0% versus +8.6+/-7. 0%, P<0.01; Deltacardiac index +39.5+/-18.5% versus 21.4+/-18.8%, P<0.05). Our results provide additional evidence that the Gly16/Arg16 alleles of the beta-2 AR are intimately related to blood pressure regulation and deserve further studies in the pathogenesis of essential hypertension.
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Authors | G Gratze, J Fortin, R Labugger, A Binder, P Kotanko, B Timmermann, F C Luft, M R Hoehe, F Skrabal |
Journal | Hypertension (Dallas, Tex. : 1979)
(Hypertension)
Vol. 33
Issue 6
Pg. 1425-30
(Jun 1999)
ISSN: 0194-911X [Print] United States |
PMID | 10373227
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Adrenergic beta-Agonists
- Receptors, Adrenergic, beta-2
- Arginine
- Albuterol
- Glycine
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Topics |
- Adrenergic beta-Agonists
(administration & dosage, pharmacology)
- Adult
- Albuterol
(administration & dosage, pharmacology)
- Alleles
- Arginine
- Austria
- Blood Pressure
(drug effects)
- Body Mass Index
- Genetic Variation
- Genotype
- Glycine
- Hemodynamics
(drug effects, physiology)
- Heterozygote
- Humans
- Infusions, Intravenous
- Male
- Polymorphism, Genetic
- Receptors, Adrenergic, beta-2
(genetics)
- Stroke Volume
(drug effects)
- Supine Position
- Vasodilation
(drug effects, genetics, physiology)
- White People
(genetics)
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