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Published on: March 16, 2017
Beyond eNOS: Genetic influence in NO pathway affecting drug response
Aline Esposito1, Cezar Kayzuka Cotta Filho1, Riccardo Lacchini2
1Universidade de São Paulo, Departamento de Farmacologia, Ribeirão Preto, São Paulo, SP, Brazil.
Genetic variations in nitric oxide (NO) pathways beyond NOS3 influence drug response. Investigating genes like ARG1, ARG2, DDAH1, DDAH2, and VEGF offers insights into personalized pharmacotherapy.
Area of Science:
- Pharmacogenomics
- Nitric Oxide Biology
- Drug Response Variability
Background:
- Nitric Oxide (NO) plays crucial roles in biological functions and mediates drug responses.
- Genetic polymorphisms influencing NO production can significantly impact drug efficacy and safety.
- Current research predominantly focuses on the NOS3 gene, potentially overlooking other key genetic factors.
Purpose of the Study:
- To review literature on genetic polymorphisms in non-NOS3 genes affecting NO levels and drug response.
- To explore the impact of variations in Arginases (ARG1, ARG2), DDAH1, DDAH2, and VEGF on NO-mediated pharmacotherapy.
- To highlight the broader genetic landscape influencing NO-driven drug responses.
Main Methods:
- Systematic literature search on PubMed.
- Inclusion of 17 manuscripts assessing genetic polymorphisms in ARG1, ARG2, DDAH1, DDAH2, and VEGF.
- Analysis of study results concerning NO pathways and pharmacological agents.
Main Results:
- Evidence suggests that genetic polymorphisms in ARG1, ARG2, DDAH1, DDAH2, and VEGF influence NO-mediated drug responses.
- These findings indicate that NO-driven pharmacological effects are modulated by a wider range of genes than previously emphasized.
- The reviewed studies provide a foundation for understanding genetic variability in NO-related drug therapies.
Conclusions:
- Pharmacotherapy involving NO is influenced by genetic factors beyond the NOS3 gene.
- Identifying genetic markers in pathways like Arginase, DDAH, and VEGF can enhance understanding of drug response variability.
- Targeting these genetic variations may lead to safer and more effective NO-related pharmacotherapies.
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