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Integrated metabolomics analysis reveals mechanistic insights into variability in blood pressure response to thiazide diuretics and beta blockers
- Source :
- Clinical and Translational Science, Vol 17, Iss 5, Pp n/a-n/a (2024)
- Publication Year :
- 2024
- Publisher :
- Wiley, 2024.
-
Abstract
- Abstract Hypertensive patients with a higher proportion of genetic West African ancestry (%GWAA) have better blood pressure (BP) response to thiazide diuretics (TDs) and worse response to β‐blockers (BBs) than those with lower %GWAA, associated with their lower plasma renin activity (PRA). TDs and BBs are suggested to reduce BP in the long term through vasodilation via incompletely understood mechanisms. This study aimed at identifying pathways underlying ancestral differences in PRA, which might reflect pathways underlying BP‐lowering mechanisms of TDs and BBs. Among hypertensive participants enrolled in the Pharmacogenomics Evaluation of Antihypertensive Responses (PEAR) and PEAR‐2 trials, we previously identified 8 metabolites associated with baseline PRA and 4 metabolic clusters (including 39 metabolites) that are different between those with GWAA
- Subjects :
- Therapeutics. Pharmacology
RM1-950
Public aspects of medicine
RA1-1270
Subjects
Details
- Language :
- English
- ISSN :
- 17528062 and 17528054
- Volume :
- 17
- Issue :
- 5
- Database :
- Directory of Open Access Journals
- Journal :
- Clinical and Translational Science
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.5862478c7ec74a70ac4bbdf364a4f014
- Document Type :
- article
- Full Text :
- https://doi.org/10.1111/cts.13816