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. Author manuscript; available in PMC: 2015 Jan 22.
Published in final edited form as: JACC Heart Fail. 2014 Oct 22;2(6):561–572. doi: 10.1016/j.jchf.2014.06.010

Table 4.

Summary of signaling molecule polymorphism effects by drug or device class, irrespective of races

Drug or class Polymorphism (effects on response in HF)
Standard β-blockers GRK5 Gln41Leu (↓ by Leu carriers);18ADRB2 Gln27Glu
(carvedilol ↑ in Glu genotypes)57,58ACE Del/intron16/Ins (↑ in Del
homozygotes)47
Bucindolol (β-blocker/sympatholytic) ADRB1 Arg389Gly (↑in Arg homozygotes,25 ↓ in {389Gly +
ADRA2C 322-325Del} genotypes;54EDN1 Lys198Asn (gene dose-
related ↓ in Asn genotypes);42ECE1 Thr341Ile (↓ in Ile genotypes)
Angiotensin-converting enzyme
inhibitors
ACE Del/intron16/Ins (↑ in Del homozygotes)59
Angiotensin AT-1 receptor blockers ↑ biomarker (NT-proBNP) response in AGTR1 1166C genotypes60
Mineralocorticoid receptor blockers No effects reported
Hydralazine/isosorbide dinitrate NOS3 Glu298Asp (↑ in Glu homozygotes);30CYP11B2 T-344C (↑
in −344T homozygotes);32GNB3 825T(↑ in TT homozygotes)28
Cardiac resynchronization therapy ADRB2 Gln27Glu (↑ in Glu homozygotes);61NR3C2 Ile180Val(↑ in
Ile homozygotes)62
ICD appropriate discharge for VT/VF SCN5A Ser1103Tyr (↑ events in Tyr carriers)43

HF = heart failure; ICD = implantable cardioverter defibrillator; NT-proBNP = N-terminal pro-brain natriuretic peptide; VF = ventricular fibrillation; VT = ventricular tachycardia.