Trp64Arg polymorphism in ADRB3 gene is associated with elite endurance performance
BRITISH JOURNAL OF SPORTS MEDICINE
Authors: Santiago, Catalina; Ruiz, Jonatan R.; Buxens, Amaya; Artieda, Marta; Arteta, David; Gonzalez-Freire, Marta; Rodriguez-Romo, Gabriel; Altmae, Signe; Lao, Jose I.; Gomez-Gallego, Felix; Lucia, Alejandro
Abstract
In this study, allele and genotype frequencies of the ADRB1 Arg389Gly (rs1801253), ADRB2 Gly16Arg (rs1042713) and Gln27Glu (rs1042714), and ADRB3 Trp64Arg (rs4994) variations were compared in the following three groups of Spanish (Caucasian) men: (1) world-class endurance athletes (E; runners and cyclists, n=100), (2) elite power athletes (P; sprinters, jumpers and throwers, n=53) and (3) non-athletic controls (C; n=100). No significant differences were observed in genotype and allele distributions among the study groups except for the ADRB3 Trp64Arg polymorphism in E versus C (27% vs 8% of carriers of the Arg allele in E and C, p<0.001; frequency of the minor Arg (C) allele of 14% vs 4% in E and C, p=0.001). Heterozygosity for the ADRB3 Trp64Arg polymorphism seems to be associated with elite endurance performance, while other variants of the beta-adrenergic receptors' genes do not seem to significantly influence top-level sports performance, at least in athletes of Spanish origin.
Role of beta adrenergic receptor polymorphisms in heart failure: Systematic review and meta-analysis
EUROPEAN JOURNAL OF HEART FAILURE
Authors: Muthumala, Amal; Drenos, Fotios; Elliott, Perry M.; Humphries, Steve E.
Abstract
Heart Failure (HF) is a common disorder associated with substantial morbidity and mortality. beta adrenergic receptors (beta AR) are the primary pathway through which cardiac function is influenced. Chronic beta(1)AR activation is implicated in the pathogenesis of HF and beta AR blockade improves survival in left ventricular systolic dysfunction. Common functional polymorphisms in beta adrenergic receptor genes (ADRB) have been associated with HF phenotypes, and with pharmacogenetic interaction with beta adrenergic receptor blockers (beta blockers). However, these associations have not been consistently replicated. The evidence for ADRB variant involvement in pathogenesis, progression and response to beta blockers in HF is reviewed. In addition, a meta-analysis of three studies analysing the effect of ADRB1 Arg389Gly polymorphism on left ventricular remodelling with the use of beta blockers, demonstrating a 5% improvement in left ventricular ejection fraction in Arg389 homozygotes, is presented. There is now accumulating molecular evidence for a different functional response to beta blockers associated with this polymorphism. In the future, confirmed genotypic associations may enable patients to be identified who are either at greater risk of developing HF, whose HF may rapidly progress, or who are unlikely to benefit from beta blockers, and such patients may benefit from targeted aggressive therapy. (c) 2007 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.