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Pharmacodynamic Impact of Carboxylesterase 1 Gene Variants in Patients with Congestive Heart Failure Treated with Angiotensin-Converting Enzyme Inhibitors.


ABSTRACT:

Background

Variation in the carboxylesterase 1 gene (CES1) may contribute to the efficacy of ACEIs. Accordingly, we examined the impact of CES1 variants on plasma angiotensin II (ATII)/angiotensin I (ATI) ratio in patients with congestive heart failure (CHF) that underwent ACEI dose titrations. Five of these variants have previously been associated with drug response or increased CES1 expression, i.e., CES1 copy number variation, the variant of the duplicated CES1 gene with high transcriptional activity, rs71647871, rs2244613, and rs3815583. Additionally, nine variants, representatives of CES1Var, and three other CES1 variants were examined.

Methods

Patients with CHF, and clinical indication for ACEIs were categorized according to their CES1 genotype. Differences in mean pla

SUBMITTER: Nelveg-Kristensen KE 

PROVIDER: S-EPMC5035013 | biostudies-literature | 2016

REPOSITORIES: biostudies-literature