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Meta-analysis of genome-wide association studies on the intolerance of angiotensin-converting enzyme inhibitors

Mahmoudpour, SH; Veluchamy, A; Siddiqui, MK; Asselbergs, FW; Souverein, PC; de Keyser, CE; Hofman, A; ... Palmer, CNA; + view all (2017) Meta-analysis of genome-wide association studies on the intolerance of angiotensin-converting enzyme inhibitors. Pharmacogenetics and Genomics , 27 (3) pp. 112-119. 10.1097/FPC.0000000000000264. Green open access

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Abstract

Objectives—To identify SNPs associated with switching from an ACE-inhibitor to an angiotensin receptor blocker (ARB). Methods—Two cohorts of patients starting ACE-inhibitors were identified within the Rotterdam Study in the Netherlands and the GoDARTS study in Scotland. Cases were intolerant subjects who switched from an ACE-inhibitor to an ARB, controls were subjects who used ACE-inhibitors continuously for at least 2 years and did not switch. GWAS using an additive model was run in these sets and results were meta-analysed using GWAMA. Results—972 cases out of 5 161 ACE-inhibitor starters were identified. 8 SNPs within 4 genes reached the GWAS significance level (P<5×10-8) in the meta-analysis (RBFOX3, GABRG2, SH2B1 and MBOAT1). The strongest associated SNP was located in an intron of RBFOX3, which contains a RNA binding protein (rs2061538: MAF=0.16, OR=1.52[95%CI: 1.32-1.76], p=6.2x10-9). Conclusions—These results indicate that genetic variation in abovementioned genes may increase the risk of ACE-inhibitors induced adverse reactions.

Type: Article
Title: Meta-analysis of genome-wide association studies on the intolerance of angiotensin-converting enzyme inhibitors
Open access status: An open access version is available from UCL Discovery
DOI: 10.1097/FPC.0000000000000264
Publisher version: http://doi.org/10.1097/FPC.0000000000000264
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: ACE inhibitors; ACE-inhibitor intolerance; adverse drug reaction; cough; angioedema; Genome Wide Association Study
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics
URI: https://discovery.ucl.ac.uk/id/eprint/1570836
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