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Article ; Online: Beta 2 Adrenergic Receptor Genetic Polymorphisms in Bronchial Asthma: Relationship to Disease Risk, Severity, and Treatment Response.

Mohamed-Hussein, Aliaë A R / Sayed, Suzan S / Eldien, Heba M Saad / Assar, Azza M / Yehia, Fatma E

Lung

2018  Volume 196, Issue 6, Page(s) 673–680

Abstract: Background: The β: Objective: The purpose of the study was to determine the association between β: Subjects and methods: 58 asthmatic patients and 38 healthy subjects were included. The β: Results: The allelic frequencies for the Arg16Gly ... ...

Abstract Background: The β
Objective: The purpose of the study was to determine the association between β
Subjects and methods: 58 asthmatic patients and 38 healthy subjects were included. The β
Results: The allelic frequencies for the Arg16Gly polymorphism were 15.5%, 48.3%, and 36.2% for the homozygous A wild, heterozygous, and homozygous G mutant alleles in asthmatics (P < 0.01) and 5.3%, 47.4%, and 47.4% in healthy subjects (P < 0.01). For the Gln27Glu polymorphism, the allelic frequencies for the homozygous C wild, heterozygous and homozygous G mutant alleles were 51.7%, 41.4%, and 6.9% in asthmatics (P < 0.01) and 44.7%, 39.5%, and 15.8% in healthy subjects (P < 0.01). The heterozygous Arg16Gly and Gln27Glu were found in most of severe asthma cases (7/13, 53.8% each). While homozygous wild and mutant seemed to be protective and associated with mild disease in both alleles. Finally, 75% of Arg16Gly heterozygous group were good responders (P < 0.01), 81% of homozygous G mutant were bad responders. For Gln27Glu polymorphism, 60% of C wild group were good responders and 75% of G mutant group were bad responders.
Conclusions: The findings suggest that the Arg16Gly and Gln27Glu polymorphisms in the β2-AR gene are associated with asthma severity and response to therapy and might be used in personalized treatment for these patients in the future. This work is registered in ClinicalTrial.gov with ID: NCT03118869.
MeSH term(s) Adolescent ; Adult ; Asthma/drug therapy ; Asthma/genetics ; Case-Control Studies ; Female ; Gene Frequency ; Heterozygote ; Homozygote ; Humans ; Male ; Middle Aged ; Polymorphism, Single Nucleotide ; Receptors, Adrenergic, beta-2/genetics ; Risk Factors ; Severity of Illness Index ; Treatment Outcome ; Young Adult
Chemical Substances Receptors, Adrenergic, beta-2
Language English
Publishing date 2018-09-03
Publishing country United States
Document type Journal Article
ZDB-ID 6165-7
ISSN 1432-1750 ; 0341-2040
ISSN (online) 1432-1750
ISSN 0341-2040
DOI 10.1007/s00408-018-0153-3
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