SynopsisThe major pathologic β-adrenergic (βAR) subtype in heart failure is the β 1 AR. Our laboratory has thus pursued genetic variation of the β 1 AR gene at the molecular, cellular, physiologic and clinical levels as the potential basis for interindividual variability in the response to β-blocker treatment in heart failure. This chapter will review these findings, with an emphasis on mechanism of action and future directions. Keywords adrenergic; adenylyl cyclase; myocardium; β-blocker; transgenic β 1 AR coding polymorphismsIn the coding block of the intronless β 1 AR gene there are two common nonsynonymous single nucleotide polymorphisms (SNPs) at nucleotides 145 and 1165 [1,2]. While there are papers in the literature suggesting many other SNPs, a careful examination will show that the frequencies of these are often <0.01 (1%), have been found in only a few individuals, or have never been found in the homozygous state. These all indicate that such variants are either spurious or, quite rare and thus unlikely to impact public health. The location within the 7-transmembrane spanning β 1 AR of these two SNPs and the approximate allele frequencies are shown in Fig. 1. Concerning the amino acid position 389 polymorphism, it should be noted that Gly at position 389 was the originally cloned receptor and has often been denoted as the "wild-type." However, Arg is more common in Caucasians, while Arg and Gly are about equally common in African-Americans [3]. So, it seems best not to designate "wild-type" vs. "polymorphism" but to simply state the allele, in the case of the β 1 AR, Ser49 or Gly49, and Arg389 or Gly389.aCorresponding author for proof and reprints: Stephen B. Liggett, MD, Cardiopulmonary Genomics Program, University of Maryland School of Medicine, 20 Penn Street, HSF-II, Room S-114, Baltimore, MD 21201-1075, 410-706-6256, 410-706-6262 (fax), sligg001@umaryland.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
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Author ManuscriptHeart Fail Clin. Author manuscript; available in PMC 2011 January 1. Approach for studying β 1 AR polymorphisms Fig. 2 indicates the approach that was taken for assessing the β 1 AR polymorphisms (and others that we have found in other genes [4][5][6]) in terms of signaling characteristics and clinical effect. As indicated, we initially concentrated on signal transduction in transfected cells so as to understand, in the most reductionist way, the potential differences between polymorphic receptors. In some cases this was followed by creation of myocyte-targeted transgenic mice which provide measurements of cellular and ...