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Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu

Genetic variations significantly influence drug response through pharmacokinetics, receptor interactions, and biologic milieu modifications. Pharmacokinetic alterations impact drug metabolism and clearance, affecting efficacy and toxicity. Variants in drug-metabolizing enzymes, such as CYP2C9 and CYP2C19, alter drug activation and elimination. For example, CYP2C9 loss-of-function variants require lower warfarin doses to prevent excessive bleeding, while CYP2C19 variants reduce clopidogrel...
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Genetic polymorphisms in drug targets have emerged as critical determinants of interindividual variability in drug response and toxicity. Pharmacogenomic investigations increasingly focus on identifying these variations to personalize and optimize therapeutic interventions. A drug target may be a receptor, enzyme, or signaling protein involved in pharmacologic responses or disease-related pathways. While early pharmacogenetic studies focused primarily on drug metabolism, current research...
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Updated: Jun 19, 2026

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
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GNB3 C825T polymorphism and elevated blood pressure.

J Y Lee1, S U Kim, J-K Cho

  • 1Pohang University of Science and Technology, Humanities and Social Sciences, Pohang, Republic of Korea.

International Journal of Sports Medicine
|November 4, 2009
PubMed
Summary

Body fatness and cardio/respiratory fitness (CRF) influence the GNB3 C825T gene polymorphism

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Area of Science:

  • Genetics
  • Cardiovascular Health
  • Metabolic Health

Background:

  • The GNB3 C825T gene polymorphism (rs5443) shows inconsistent associations with blood pressure in Asian populations.
  • Understanding genetic influences on blood pressure requires considering factors like fitness and body composition.

Purpose of the Study:

  • To investigate the association between the GNB3 genotype, resting blood pressure, and body fatness across different levels of cardio/respiratory fitness (CRF).
  • To explore potential modifying effects of body fatness and CRF on the GNB3 genotype's influence on blood pressure in Korean women.

Main Methods:

  • Study included 727 Korean women aged 31-60 years.
  • GNB3 genotype (rs5443), resting blood pressure, body fatness, and CRF were assessed.
  • Subgroup analyses were performed, particularly in the obese group, and regression analyses were conducted.

Main Results:

  • In obese individuals, the TT genotype was associated with significantly higher body weight and BMI compared to CC and CT genotypes.
  • TT and CT genotypes tended to show higher CRF values than the CC genotype.
  • The association between GNB3 genotype and resting blood pressure was significant after adjusting for age and menopause, but lost significance after adjusting for body fatness.

Conclusions:

  • Body fatness and CRF may modify the genetic susceptibility associated with the GNB3 genotype and elevated resting blood pressure.
  • These findings highlight the complex interplay between genetics, lifestyle factors, and cardiovascular health in middle-aged Korean women.