TABLE 6

Common β1-AR coding SNPs and in vitro/in vivo drug responses

Amino Acid Change Nucleotide Change Drug Response Studied Genetic Association Noted Reference
Ser49Gly 145 A→G Increased basal and agonist-stimulated AC Yes Levin et al., 2002
Ser49Gly 145 A→G Increased agonist-promoted down-regulation Yes Levin et al., 2002; Rathz et al., 2002
Ser49Gly or Gly389Arg 145 A→G 1165 G→C Potency/efficacy of NE cardiostimulant effects in right atrium of patients with CAD with/without β1AR blockade No Molenaar et al., 2002
Gly389Arg 1165G→C Arg389 increased basal and agonist-stimulated AC, increased agonist-promoted binding Yes Mason et al., 1999
Gly389Arg 1165G→C Catecholamine-induced lipolysis (adipocytes) No Ryden et al., 2001
Gly389Arg 1165G→C Inotropic potency of NE (myocardial tissue) Yes Sandilands et al., 2003
Gly389Arg 1165G→C Hemodynamic response to NE No Snapir et al., 2003a
Gly389Arg 1165G→C BP or heart rate with/without β1AR blockade No O'Shaughnessy et al., 2000
Gly389Arg 1165G→C Arg389 larger decrease in resting systolic and mean arterial BP when treated with β-blocker (atenolol) Yes Sofowora et al., 2003
Ser49Gly, Gly389Arg, and haplotype pair 145 A→G 1165 G→C Metoprolol treatment: Arg389 homozygotes greater reduction in DBP, haplotype pair (Ser49Arg389/Ser49Arg389) significant predictor of decrease in DBP Yes Johnson et al., 2003
  • CAD, coronary artery disease; DBP, diastolic blood pressure.