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ACEI and ARB associated variants

From SNPedia

ACE inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) are typically recommended as first-line therapy for the vast majority of hypertensive patients (with the exception of Africans/African-Americans). SNPs may affect both how well these drugs work as well as the odds of experiencing an adverse effect. The following table is based on a 2017 review of such variants ([PMID 28741243OA-icon.png]):

CYP21A2 SNPs
rsID Gene Variant REF/ALT Effect of ALT i-id (23andMe) On chip?
rs1799752 ACE Alu I/D, intron 16 D/I DD show greater BP drop on ACEI (enalapril or lisinopril) than DI or II; II show greater drop on ARB (irbesartan) than DI or DD
rs1799998 CYP11B2 T/C Preliminary studies: TT shows greater BP drop on irbesartan; CC shows greater drop on candesartan 23andMe v4, Ancestry v2, 23andMe v5, Ancestry v2c, 23andMe v3, FTDNA2, HumanOmni1Quad, Illumina Human 1M, Ancestry v2d
rs1799853 CYP2C9 CYP2C9*2; C430T C/T CYP2C9*2 carriers respond better to irbesartan than non-carriers 23andMe v4, 23andMe v5, Ancestry v2c, 23andMe v3, HumanOmni1Quad, 23andMe v1, 23andMe v2, Ancestry v2d
rs699 AGT M235T T/C Mixed results re both efficacy and safety 23andMe v4, Ancestry v2, 23andMe v5, Ancestry v2c, 23andMe v3, FTDNA2, HumanOmni1Quad, 23andMe v1, 23andMe v2, Illumina Human 1M, Ancestry v2d
rs4329 ACE G/A ACEI therapy may be more effective in (A;A) individuals compared to (A;G) and (G;G) 23andMe v4, Ancestry v2, 23andMe v5, Ancestry v2c, 23andMe v3, Affy GenomeWide 6, FTDNA2, HumanOmni1Quad, 23andMe v1, 23andMe v2, Illumina Human 1M, Ancestry v2d
rs4149056 SLCO1B1 T521C; Val174Ala T/C C allele carriers more likely to have enalapril-induced cough 23andMe v4, Ancestry v2, 23andMe v5, Ancestry v2c, 23andMe v3, Affy GenomeWide 6, HumanOmni1Quad, 23andMe v1, 23andMe v2, Illumina Human 1M, Ancestry v2d
rs8016905 BDKRB2 intron 2 variant G/A (A;G) heterozygotes ~2x more likely to experience ACEI-induced cough than (A;A) or (G;G) genotypes FamilyTreeDNA, 23andMe v4, Ancestry v2, 23andMe v5, Ancestry v2c, 23andMe v3, Affy GenomeWide 6, FTDNA2, HumanOmni1Quad, 23andMe v1, 23andMe v2, Illumina Human 1M, Ancestry v2d
rs495828 ABO G/T GG individuals likely to show greater BP drop on ACEI drugs than GT & TT 23andMe v4, Ancestry v2, 23andMe v5, Ancestry v2c, 23andMe v3, 23andMe v2, Illumina Human 1M, Ancestry v2d
rs500766 PRKCQ C/T T carriers are at lower risk of ACEI-associated angioedema NatGeo2, FamilyTreeDNA, 23andMe v4, Ancestry v2, 23andMe v5, Ancestry v2c, 23andMe v3, Affy GenomeWide 6, FTDNA2, HumanOmni1Quad, 23andMe v1, 23andMe v2, Illumina Human 1M, Ancestry v2d
rs2724635 ETV6 T/C CC individuals at 2-3x higher risk for ACEI-associated angioedema NatGeo2, 23andMe v4, 23andMe v3, Affy GenomeWide 6, 23andMe v1, 23andMe v2, Illumina Human 1M
rs989692 MME C/T TT individuals at higher risk than CC or CT for ACEI-associated angioedema in African-Americans 23andMe v4, Ancestry v2, Ancestry v2c, 23andMe v3, FTDNA2, HumanOmni1Quad, 23andMe v1, 23andMe v2, Illumina Human 1M, Ancestry v2d
rs3788853 XPNPEP2 C2399A G/T Men who carry a T allele are at ~2x higher risk for ACEI-induced angioedema (but not women) 23andMe v4, Ancestry v2, 23andMe v5, Ancestry v2c, 23andMe v3, Affy GenomeWide 6, HumanOmni1Quad, 23andMe v2, Ancestry v2d
rs12750834 REN C-5312T G/A GG individuals show a greater drop in BP on ARBs (valsartan) compared to A carriers 23andMe v5