TY - JOUR T1 - Genome-wide meta-analysis of SNP and antihypertensive medication interactions on left ventricular traits in African Americans. JF - Mol Genet Genomic Med Y1 - 2019 A1 - Do, Anh N A1 - Zhao, Wei A1 - Baldridge, Abigail S A1 - Raffield, Laura M A1 - Wiggins, Kerri L A1 - Shah, Sanjiv J A1 - Aslibekyan, Stella A1 - Tiwari, Hemant K A1 - Limdi, Nita A1 - Zhi, Degui A1 - Sitlani, Colleen M A1 - Taylor, Kent D A1 - Psaty, Bruce M A1 - Sotoodehnia, Nona A1 - Brody, Jennifer A A1 - Rasmussen-Torvik, Laura J A1 - Lloyd-Jones, Donald A1 - Lange, Leslie A A1 - Wilson, James G A1 - Smith, Jennifer A A1 - Kardia, Sharon L R A1 - Mosley, Thomas H A1 - Vasan, Ramachandran S A1 - Arnett, Donna K A1 - Irvin, Marguerite R KW - African Americans KW - Angiotensin-Converting Enzyme Inhibitors KW - Antihypertensive Agents KW - Calcium Channel Blockers KW - Humans KW - Observational Studies as Topic KW - Pharmacogenomic Variants KW - Polymorphism, Single Nucleotide KW - Sodium Chloride Symporter Inhibitors KW - Ventricular Dysfunction, Left AB -

BACKGROUND: Left ventricular (LV) hypertrophy affects up to 43% of African Americans (AAs). Antihypertensive treatment reduces LV mass (LVM). However, interindividual variation in LV traits in response to antihypertensive treatments exists. We hypothesized that genetic variants may modify the association of antihypertensive treatment class with LV traits measured by echocardiography.

METHODS: We evaluated the main effects of the three most common antihypertensive treatments for AAs as well as the single nucleotide polymorphism (SNP)-by-drug interaction on LVM and relative wall thickness (RWT) in 2,068 participants across five community-based cohorts. Treatments included thiazide diuretics (TDs), angiotensin converting enzyme inhibitors (ACE-Is), and dihydropyridine calcium channel blockers (dCCBs) and were compared in a pairwise manner. We performed fixed effects inverse variance weighted meta-analyses of main effects of drugs and 2.5 million SNP-by-drug interaction estimates.

RESULTS: We observed that dCCBs versus TDs were associated with higher LVM after adjusting for covariates (p = 0.001). We report three SNPs at a single locus on chromosome 20 that modified the association between RWT and treatment when comparing dCCBs to ACE-Is with consistent effects across cohorts (smallest p = 4.7 × 10 , minor allele frequency range 0.09-0.12). This locus has been linked to LV hypertrophy in a previous study. A marginally significant locus in BICD1 (rs326641) was validated in an external population.

CONCLUSIONS: Our study identified one locus having genome-wide significant SNP-by-drug interaction effect on RWT among dCCB users in comparison to ACE-I users. Upon additional validation in future studies, our findings can enhance the precision of medical approaches in hypertension treatment.

VL - 7 IS - 10 ER -