The polymorphisms of beta-adrenergic receptors genes and a risk of atrial fibrillation development in patients with a heart failure

Authors

  • Sergiy Pyvovar Government Institution “L. T. Malaya Therapy National Institute of the National Academy of Medical Sciences of Ukraine” Maloi L. ave., 2 a, Kharkiv, Ukraine, 61039, Ukraine https://orcid.org/0000-0003-3446-2767
  • Iurii Rudyk Government Institution “L. T. Malaya Therapy National Institute of the National Academy of Medical Sciences of Ukraine” Maloi L. ave., 2 a, Kharkiv, Ukraine, 61039, Ukraine https://orcid.org/0000-0002-3363-868X
  • Tatyana Lozyk Government Institution “L. T. Malaya Therapy National Institute of the National Academy of Medical Sciences of Ukraine” Maloi L. ave., 2 a, Kharkiv, Ukraine, 61039, Ukraine https://orcid.org/0000-0001-8188-1898
  • Valentina Galchinskaya Government Institution “L. T. Malaya Therapy National Institute of the National Academy of Medical Sciences of Ukraine” Maloi L. ave., 2 a, Kharkiv, Ukraine, 61039, Ukraine https://orcid.org/0000-0002-0024-131X
  • Tatiana Bondar Government Institution “L. T. Malaya Therapy National Institute of the National Academy of Medical Sciences of Ukraine” Maloi L. ave., 2 a, Kharkiv, Ukraine, 61039, Ukraine https://orcid.org/0000-0002-2501-317X

DOI:

https://doi.org/10.15587/2519-4798.2019.183384

Keywords:

atrial fibrillation, 1-adrenergic receptors, 2-adrenergic receptors, G-protein, heart failure, polymorphism, gene, risk

Abstract

Objective: to study the relationship of gene polymorphisms of the b-adrenoreception system with the risk of atrial fibrillation in patients with heart failure.

Material and methods. 286 patients with heart failure on the background of post-infarction cardiosclerosis were included. Of these, 25 (8.7 %) patients had the atrial fibrillation. The genotyping was performed using 4 polymorphisms (Gly389Arg of the b1-adrenoreceptors gene, Ser49Gly of the b1-adrenoreceptors gene, Gln27Glu of the b2-adrenoreceptors gene and Ser275 of the b3-subunit of G-protein gene) using the polymerase chain reaction. The genetic and epidemiological analysis was carried out using the SNPStats program.

Results. Patients with heart failure with the G / C genotype of Gly389Arg polymorphism of the b1-adrenoreceptors gene have a lower risk of developing atrial fibrillation (OR=0.14 (0.03–0.61), p=0.0043, co-dominant model of heredity).

The data on a decrease in the risk of atrial fibrillation in patients with heart failure and with the G/C genotype Gly389Arg polymorphism of the b1-adrenoreceptors gene are also confirmed in the overdominant (OR=0.15 (0.03–0.64), p=0.0012), as well as in the dominant (OR=0.23 (0.08-0.69), p=0.0029) and the log-additive (OR=0.40 (0.17-0.94), p=0.019) models.

Findings. The results allow us to conclude that congenital genetic differences in the pathways of b-adrenoreception can be associated with the development of atrial fibrillation in patients with heart failure

Author Biographies

Sergiy Pyvovar, Government Institution “L. T. Malaya Therapy National Institute of the National Academy of Medical Sciences of Ukraine” Maloi L. ave., 2 a, Kharkiv, Ukraine, 61039

PhD, Senior Researcher

Department of Clinical Pharmacology and Pharmacogenetics non Infective Diseases

Iurii Rudyk, Government Institution “L. T. Malaya Therapy National Institute of the National Academy of Medical Sciences of Ukraine” Maloi L. ave., 2 a, Kharkiv, Ukraine, 61039

MD, Senior Researcher, Head of Department

Department of Clinical Pharmacology and Pharmacogenetics non Infective Diseases

Tatyana Lozyk, Government Institution “L. T. Malaya Therapy National Institute of the National Academy of Medical Sciences of Ukraine” Maloi L. ave., 2 a, Kharkiv, Ukraine, 61039

Researcher

Department of Clinical Pharmacology and Pharmacogenetics non Infective Diseases

Valentina Galchinskaya, Government Institution “L. T. Malaya Therapy National Institute of the National Academy of Medical Sciences of Ukraine” Maloi L. ave., 2 a, Kharkiv, Ukraine, 61039

PhD, Senior Researcher, Head of Laboratory

Laboratory of Immuno-Biochemical and Molecular-Genetics Researches

Tatiana Bondar, Government Institution “L. T. Malaya Therapy National Institute of the National Academy of Medical Sciences of Ukraine” Maloi L. ave., 2 a, Kharkiv, Ukraine, 61039

PhD, Senior Researcher

Laboratory of Biochemical and Immunoenzyme Methods of Research with Morphology

References

  1. Henkel, D. M., Redfield, M. M., Weston, S. A., Gerber, Y., Roger, V. L. (2008). Death in heart failure: а community реrspective. Death in Heart Failure. Circulation: Heart Failure, 1 (2), 91–97. doi: http://doi.org/10.1161/circheartfailure.107.743146
  2. Ponikowski, P., Voors, A. A., Anker, S. D., Bueno, H., Cleland, J. G. F., Coats, A. J. S. et. al. (2016). 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal, 37 (27), 2129–2200. doi: http://doi.org/10.1093/eurheartj/ehw128
  3. You, J. J., Singer, D. E., Howard, P. A., Lane, D. A., Eckman, M. H., Fang, M. C. et. al. (2012). Antithrombotic therapy for atrial fibrillation: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest, 141 (2), e531S–e575S. doi: http://doi.org/10.1378/chest.11-2304
  4. Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B. Et. al. (2016). 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. European Heart Journal, 37 (38), 2893–2962. doi: http://doi.org/10.1093/eurheartj/ehw210
  5. Babenko, A. Yu., Kostareva, A.A., Grineva, Ye. N., Savitskaya, D. A., Solntsev, V. N. (2014). The contribution of common single nucleotide polymorphisms of the β1-adrenergic receptor gene to cardiovascular alteration in patients with thyrotoxicosis. Clinical and experimental thyroidology, 10 (2), 22–31.
  6. Bielecka-Dabrowa, A., Sakowicz, A., Pietrucha, T., Misztal, M., Chruściel, P., Rysz, J., Banach, M. (2017). The profile of selected single nucleotide polymorphisms in patients with hypertension and heart failure with preserved and mid-range ejection fraction. Scientific Reports, 7 (1). doi: http://doi.org/10.1038/s41598-017-09564-9
  7. Metaxa, S., Missouris, C., Mavrogianni, D., Miliou, A., Oikonomou, E., Toli, E. et. al. (2018). Polymorphism Gln27Glu of β2 Adrenergic Receptors in Patients with Ischaemic Cardiomyopath. Current Vascular Pharmacology, 16 (6), 618–623. doi: http://doi.org/10.2174/1570161115666170919180959
  8. Sheppard, R., Hsich, E., Damp, J., Elkayam, U., Kealey, A., Ramani, G. et. al. (2016). GNB3 C825T Polymorphism and Myocardial Recovery in Peripartum Cardiomyopathy. Circulation: Heart Failure, 9 (3). doi: http://doi.org/10.1161/circheartfailure.115.002683
  9. Olesen, M. S., Nielsen, M. W., Haunsø, S., Svendsen, J. H. (2013). Atrial fibrillation: the role of common and rare genetic variants. European Journal of Human Genetics, 22 (3), 297–306. doi: http://doi.org/10.1038/ejhg.2013.139
  10. Dayem Ullah, A. Z., Lemoine, N. R., Chelala, C. (2012). SNPnexus: a web server for functional annotation of novel and publicly known genetic variants (2012 update). Nucleic Acids Research, 40 (W1), W65–W70. doi: http://doi.org/10.1093/nar/gks364
  11. Xu, Z., Taylor, J. A. (2009). SNPinfo: integrating GWAS and candidate gene information into functional SNP selection for genetic association studies. Nucleic Acids Research, 37 (suppl_2), W600–W605. doi: http://doi.org/10.1093/nar/gkp290
  12. Sole, X., Guino, E., Valls, J., Iniesta, R., Moreno, V. (2006). SNPStats: a web tool for the analysis of association studies. Bioinformatics, 22 (15), 1928–1929. doi: http://doi.org/10.1093/bioinformatics/btl268
  13. Chugh, S. S., Havmoeller, R., Narayanan, K., Singh, D., Rienstra, M., Benjamin, E. J. et. al. (2014). Worldwide Epidemiology of Atrial Fibrillation. Circulation, 129 (8), 837–847. doi: http://doi.org/10.1161/circulationaha.113.005119
  14. Шульман, В. А., Никулина, С. Ю., Исаченко, О. О., Аксютина, Н. В., Романенко, С. Н., Максимов, В. Н. и др. (2006). Генетические аспекты фибрилляции предсердий. Вестник аритмологии, 46, 57–60.
  15. Gould, L., Ramana Reddy, C. V., Becker, W. H. (1978). The sick sinus syndrome. A study of 50 cases. Journal of Electrocardiology, 11 (1), 11–14. doi: http://doi.org/10.1016/s0022-0736(78)80023-5
  16. Brugada, R., Tapscott, T., Czernuszewicz, G. Z., Marian, A. J., Iglesias, A., Mont, L. et. al. (1997). Identification of a Genetic Locus for Familial Atrial Fibrillation. New England Journal of Medicine, 336 (13), 905–911. doi: http://doi.org/10.1056/nejm199703273361302
  17. Fox, C. S., Parise, H., D’Agostino, R. B. et. al. (2004). Parental atrial fibrillation as a risk factor for atrial fibrillation in offspring. JAMA, 291, 2851–2855. doi: http://doi.org/10.1001/jama.291.23.2851
  18. Girona, J., Domingo, A., Albert, D., Casaldàliga, J., Mont, L., Brugada, J., Brugada, R. (1997). Fibrilación auricular familiar. Revista Española de Cardiología, 50 (8), 548–551. doi: http://doi.org/10.1016/s0300-8932(97)73262-7
  19. Jones, A. (2002). The Gly389Arg beta-1 adrenoceptor polymorphism and cardiovascular disease: time for a rethink in the funding of genetic studies? European Heart Journal, 23 (14), 1071–1074. doi: http://doi.org/10.1053/euhj.2001.3150
  20. Fu, C., Wang, H., Wang, S., Shi, Y., Zhou, X., Sun, K. et. al. (2008). Association of beta (1)-adrenergic receptor gene polymorphisms with left ventricular hypertrophy in human essential hypertension. Clinical Biochemistry, 41 (10-11), 773–778. doi: http://doi.org/10.1016/j.clinbiochem.2008.02.002
  21. Nascimento, B. C. do, Pereira, S. B., Ribeiro, G. S., Mesquita, E. T. (2012). Beta1 – adrenergic receptor polymorphisms associated with atrial fibrillation in systolic heart failure. Arquivos Brasileiros de Cardiologia, 98 (5), 384–389. doi: http://doi.org/10.1590/s0066-782x2012005000037
  22. Komissarova, S. M., Nyazova, S. S., Chakova, N. N., Krasko, O. V. (2015). Polymorphic variants of genes coding sympathoadrenal system influence on phenotype of patients with hypertrophic cardiomyopathy. Russian Journal of Cardiology, 6 (122), 75–80. doi: http://doi.org/10.15829/1560-4071-2015-6-75-80
  23. Aquilante, C. L., Yarandi, H. N., Cavallari, L. H., Andrisin, T. E., Terra, S. G., Lewis, J. F. et. al. (2008). β-Adrenergic receptor gene polymorphisms and hemodynamic response to dobutamine during dobutamine stress echocardiography. The Pharmacogenomics Journal, 8 (6), 408–415. doi: http://doi.org/10.1038/sj.tpj.6500490
  24. Levin, M. C., Marullo, S., Muntaner, O., Andersson, B., Magnusson, Y. (2002). The Myocardium-protective Gly-49 Variant of the β1-Adrenergic Receptor Exhibits Constitutive Activity and Increased Desensitization and Down-regulation. Journal of Biological Chemistry, 277 (34), 30429–30435. doi: http://doi.org/10.1074/jbc.m200681200
  25. Rathz, D. A., Brown, K. M., Kramer, L. A., Liggett, S. B. (2002). Amino Acid 49 Polymorphisms of the Human β 1 -Adrenergic Receptor Affect Agonist-Promoted Trafficking. Journal of Cardiovascular Pharmacology, 39 (2), 155–160. doi: http://doi.org/10.1097/00005344-200202000-00001
  26. Ranade, K., Jorgenson, E., Sheu, W. H.-H., Pei, D., Hsiung, C. A., Chiang, F. et. al. (2002). A Polymorphism in the β1 Adrenergic Receptor Is Associated with Resting Heart Rate. The American Journal of Human Genetics, 70 (4), 935–942. doi: http://doi.org/10.1086/339621
  27. Borjesson, M., Magnusson, Y., Hjalmarson, A. et. al. (2000). A novel polymorphism in the gene coding for the beta1-adrenergic receptor associated with survival in patients with heart failure. European Heart Journal, 21 (22), 1853–1858. doi: http://doi.org/10.1053/euhj.1999.1994
  28. Wagoner, L. E., Craft, L. L., Zengel, P., McGuire, N., Rathzb, D. A., Dorn, G. W., Liggett, S. B. (2002). Polymorphisms of the β1-adrenergic receptor predict exercise capacity in heart failure. American Heart Journal, 144 (5), 840–846. doi: http://doi.org/10.1067/mhj.2002.125325
  29. Nikulina, C. Yu., Shul'man, V. A., Kuznetsova, O. O. et. al. (2008). Clinical and genetic peculiarities of atrial fibrillation. Racional Pharmacotherapy in Cardiology, 4 (2), 13–18.
  30. Parvez, B., Chopra, N., Rowan, S., Vaglio, J. C., Muhammad, R., Roden, D. M., Darbar, D. (2012). A Common β1-Adrenergic Receptor Polymorphism Predicts Favorable Response to Rate-Control Therapy in Atrial Fibrillation. Journal of the American College of Cardiology, 59 (1), 49–56. doi: http://doi.org/10.1016/j.jacc.2011.08.061
  31. Panebra, A., Wang, W. C., Malone, M. M., Pitter, D. R. G., Weiss, S. T., Hawkins, G. A., Liggett, S. B. (2010). Common ADRB2 Haplotypes Derived from 26 Polymorphic Sites Direct β2-Adrenergic Receptor Expression and Regulation Phenotypes. PLoS ONE, 5 (7), e11819. doi: http://doi.org/10.1371/journal.pone.0011819
  32. Brodde, O.-E. (2008). β-1 and β-2 adrenoceptor polymorphisms: Functional importance, impact on cardiovascular diseases and drug responses. Pharmacology & Therapeutics, 117 (1), 1–29. doi: http://doi.org/10.1016/j.pharmthera.2007.07.002
  33. Biolo, A., Salvaro, R., Clausell, N., Silvello, D., Santos, K. G., Rohde, L. E. (2010). Impact of β-2 Thr164Ile and combined β-adrenergic receptor polymorphisms on prognosis in a cohort of heart failure outpatients. Brazilian Journal of Medical and Biological Research, 43 (6), 565–571. doi: http://doi.org/10.1590/s0100-879x2010007500052
  34. Taira, C., Carranza, A., Mayer, M., Di Verniero, C., Opezzo, J., Hocht, C. (2008). Therapeutic Implications of Beta-Adrenergic Receptor Pharmacodynamic Properties. Current Clinical Pharmacology, 3 (3), 174–184. doi: http://doi.org/10.2174/157488408785747719
  35. Covolo, L., Gelatti, U., Metra, M., Nodari, S., Picciche, A., Pezzali, N. et. al. (2004). Role of ?1- and ?2-adrenoceptor polymorphisms in heart failure: a case-control study. European Heart Journal, 25 (17), 1534–1541. doi: http://doi.org/10.1016/j.ehj.2004.06.015
  36. Matkovich, S. J., Van Booven, D. J., Hindes, A., Kang, M. Y., Druley, T. E., Vallania, F. L. M. et. al. (2010). Cardiac signaling genes exhibit unexpected sequence diversity in sporadic cardiomyopathy, revealing HSPB7 polymorphisms associated with disease. Journal of Clinical Investigation, 120 (1), 280–289. doi: http://doi.org/10.1172/jci39085
  37. Naga Prasad, S. V., Nienaber, J., Rockman, H. A. (2001). β-Adrenergic axis and heart disease. Trends in Genetics, 17 (10), S44–S49. doi: http://doi.org/10.1016/s0168-9525(01)02487-8
  38. Xiao, R. P. (2001). Beta-adrenergic signaling in the heart: dual coupling of the beta2-adrenergic receptor to G(s) and G(i) proteins. Science Signaling, 2001 (104), re15–re15. doi: http://doi.org/10.1126/stke.2001.104.re15
  39. McNamara, D. M., Taylor, A. L., Tam, S. W., Worcel, M., Yancy, C. W., Hanley-Yanez, K. et. al. (2014). G-Protein Beta-3 Subunit Genotype Predicts Enhanced Benefit of Fixed-Dose Isosorbide Dinitrate and Hydralazine. JACC: Heart Failure, 2 (6), 551–557. doi: http://doi.org/10.1016/j.jchf.2014.04.016
  40. Chemello, D., Rohde, L. E., Santos, K. G., Silvello, D., Goldraich, L., Pimentel, M. et. al. (2010). Genetic polymorphisms of the adrenergic system and implantable cardioverter-defibrillator therapies in patients with heart failure. Europace, 12 (5), 686–691. doi: http://doi.org/10.1093/europace/euq040
  41. Schmitz, B., De Maria, R., Gatsios, D., Chrysanthakopoulou, T., Landolina, M., Gasparini, M. et. al. (2014).dentification of genetic markers for treatment success in heart failure patients: insight from cardiac resynchronization therapy. Circulation: Cardiovascular Genetics, 7 (6), 760–770. doi: http://doi.org/10.1161/circgenetics.113.000384
  42. Ponasenko, A. V., Kutikhin, A. G., Khutornaya, M. V., Rutkovskaya, N. V., Kondyukova, N. V., Odarenko, Y. N. et. al. (2017). Polymorphisms within innate immune response, calcium metabolism and lipid metabolism are predictors of infective endocarditis. Russian Journal of Infection and Immunity, 7 (2), 130–140. doi: http://doi.org/10.15789/2220-7619-2017-2-130-140
  43. Georgiyevskiy, A. B. (2011) The background of the Hardy – Weinberg law. Studies in the history of biology, 3 (1), 63–75.
  44. Somchenko, V. V., Ruban, A. A. (2018). Analysis of internal and external migration movements of Ukraine. Economy and society, 16, 959–964.

Published

2019-12-11

How to Cite

Pyvovar, S., Rudyk, I., Lozyk, T., Galchinskaya, V., & Bondar, T. (2019). The polymorphisms of beta-adrenergic receptors genes and a risk of atrial fibrillation development in patients with a heart failure. ScienceRise: Medical Science, (6 (33), 11–19. https://doi.org/10.15587/2519-4798.2019.183384

Issue

Section

Medical Science