Table 4.
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.