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Gln27→Gluβ2‐Adrenergic Receptor Polymorphism in Heart Failure Patients: Differential Clinical and Oxidative Response to Carvedilol
Authors:Rodrigo Troncoso  Francisco Moraga  Mario Chiong  Juan Roldán  Roberto Bravo  Rodrigo Valenzuela  Guillermo Díaz‐Araya  Andrea Del Campo  Carlos Sanhueza  Andrea Rodriguez  José Luis Vukasovic  Rosemarie Mellado  Douglas Greig  Pablo F Castro  Sergio Lavandero
Institution:1. FONDAP Center for Molecular Studies of the Cell, Faculty of Chemical and Pharmaceutical Sciences;2. Faculty of Medicine, University of Chile;3. Faculty of Chemistry;4. Clinical Hospital, P. Catholic University of Chile, Santiago, Chile
Abstract:Abstract: We investigated the clinical response of chronic heart failure patients with β2‐adrenergic receptor Gln27→Glu polymorphism treated for 6 months with carvedilol, a α/β‐antagonist with antioxidant properties. The 6‐min. walk test, the left ventricular ejection fraction, heart rate, plasma norepinephrine and malondialdehyde, a stress oxidative marker, concentrations were evaluated at baseline and after treatment for 6 months with carvedilol in 33 stable chronic heart failure patients with the Gln27→Gluβ2‐adrenergic receptor polymorphism. Carvedilol significantly increased the left ventricular ejection fraction, while decreasing the heart rate and malondialdehyde plasma concentrations in chronic heart failure patients with the Glu27β2‐adrenergic receptor allele. There were however, no significant changes in patients with the Gln27β2‐adrenergic receptor variant.
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