Genomic markers associated with successful treatment of hypertension with lisinopril: A pilot study

Int J Clin Pharmacol Ther. 2021 Jul;59(7):506-510. doi: 10.5414/CP203910.

Abstract

Objective: To identify single nucleotide variants (SNVs) associated with lisinopril effectiveness.

Materials and methods: This was an observational study using a candidate gene approach to examine SNVs associated with lisinopril effectiveness. Drug effectiveness was defined as 10% decrease in systolic blood pressure at 1 week follow-up. We used the Illumina GWAS MEGA chip to examine variants in the renin/angiotensin pathway that may be associated with drug effectiveness.

Results: 61 subjects were enrolled, and 33 (54.1%) were responsive to lisinopril therapy. SNVs in AGT (p = 0.0141), REN (p = 0.0192), and ACE2 (p = 0.0002) were found to be associated with successful treatment on lisinopril. Conclusion and relevance: SNVs in the renin and angiotensin pathway are associated with lisinopril effectiveness in a pilot cohort of patients with uncontrolled hypertension.

Publication types

  • Observational Study

MeSH terms

  • Angiotensin-Converting Enzyme Inhibitors / pharmacology
  • Angiotensin-Converting Enzyme Inhibitors / therapeutic use
  • Antihypertensive Agents / pharmacology
  • Antihypertensive Agents / therapeutic use
  • Blood Pressure
  • Genomics
  • Humans
  • Hypertension* / drug therapy
  • Hypertension* / genetics
  • Lisinopril* / pharmacology
  • Lisinopril* / therapeutic use
  • Pilot Projects
  • Renin-Angiotensin System

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Antihypertensive Agents
  • Lisinopril