Beta‐Adrenergic Receptor Polymorphisms and Cardiac Graft Function in Potential Organ Donors

Prior studies have demonstrated associations between beta‐adrenergic receptor (βAR) polymorphisms and left ventricular dysfunction—an important cause of allograft nonutilization for transplantation. We hypothesized that βAR polymorphisms predispose donor hearts to LV dysfunction after brain death. A...

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Veröffentlicht in:American journal of transplantation 2012-12, Vol.12 (12), p.3377-3386
Hauptverfasser: Khush, K. K., Pawlikowska, L., Menza, R. L., Goldstein, B. A., Hayden, V., Nguyen, J., Kim, H., Poon, A., Sapru, A., Matthay, M. A., Kwok, P. Y., Young, W. L., Baxter‐Lowe, L. A., Zaroff, J. G.
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container_end_page 3386
container_issue 12
container_start_page 3377
container_title American journal of transplantation
container_volume 12
creator Khush, K. K.
Pawlikowska, L.
Menza, R. L.
Goldstein, B. A.
Hayden, V.
Nguyen, J.
Kim, H.
Poon, A.
Sapru, A.
Matthay, M. A.
Kwok, P. Y.
Young, W. L.
Baxter‐Lowe, L. A.
Zaroff, J. G.
description Prior studies have demonstrated associations between beta‐adrenergic receptor (βAR) polymorphisms and left ventricular dysfunction—an important cause of allograft nonutilization for transplantation. We hypothesized that βAR polymorphisms predispose donor hearts to LV dysfunction after brain death. A total of 1043 organ donors managed from 2001–2006 were initially studied. The following βAR single nucleotide polymorphisms were genotyped: β1AR 1165C/G (Arg389Gly), β1AR 145A/G (Ser49Gly), β2AR 46G/A (Gly16Arg) and β2AR 79C/G (Gln27Glu). In multivariable regression analyses, the β2AR46 SNP was significantly associated with LV systolic dysfunction, with each minor allele additively decreasing the odds for LV ejection fraction 10 μg/kg/min of dopamine compared to those with the CC and GG genotypes. However, no significant associations were found between βAR SNPs and cardiac dysfunction in 364 donors managed from 2007–2008, perhaps due to changes in donor management, lack of power in this validation cohort, or the absence of a true association. βAR polymorphisms may be associated with cardiac dysfunction after brain death, but these relationships require further study in independent donor cohorts. A genetics study performed in 1,400 potential organ donors reveals possible associations between beta‐adrenergic receptor polymorphisms and cardiac function after brain death. See editorial by Salomon on page 3173.
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K. ; Pawlikowska, L. ; Menza, R. L. ; Goldstein, B. A. ; Hayden, V. ; Nguyen, J. ; Kim, H. ; Poon, A. ; Sapru, A. ; Matthay, M. A. ; Kwok, P. Y. ; Young, W. L. ; Baxter‐Lowe, L. A. ; Zaroff, J. G.</creator><creatorcontrib>Khush, K. K. ; Pawlikowska, L. ; Menza, R. L. ; Goldstein, B. A. ; Hayden, V. ; Nguyen, J. ; Kim, H. ; Poon, A. ; Sapru, A. ; Matthay, M. A. ; Kwok, P. Y. ; Young, W. L. ; Baxter‐Lowe, L. A. ; Zaroff, J. G.</creatorcontrib><description>Prior studies have demonstrated associations between beta‐adrenergic receptor (βAR) polymorphisms and left ventricular dysfunction—an important cause of allograft nonutilization for transplantation. We hypothesized that βAR polymorphisms predispose donor hearts to LV dysfunction after brain death. A total of 1043 organ donors managed from 2001–2006 were initially studied. The following βAR single nucleotide polymorphisms were genotyped: β1AR 1165C/G (Arg389Gly), β1AR 145A/G (Ser49Gly), β2AR 46G/A (Gly16Arg) and β2AR 79C/G (Gln27Glu). In multivariable regression analyses, the β2AR46 SNP was significantly associated with LV systolic dysfunction, with each minor allele additively decreasing the odds for LV ejection fraction &lt;50%. The β1AR1165 and β2AR46 SNPs were associated with higher dopamine requirement during the donor management period: donors with the GG and AA genotypes had ORs of 2.64 (95% CI 1.52–4.57) and 2.70 (1.07–2.74) respectively for requiring &gt;10 μg/kg/min of dopamine compared to those with the CC and GG genotypes. However, no significant associations were found between βAR SNPs and cardiac dysfunction in 364 donors managed from 2007–2008, perhaps due to changes in donor management, lack of power in this validation cohort, or the absence of a true association. βAR polymorphisms may be associated with cardiac dysfunction after brain death, but these relationships require further study in independent donor cohorts. 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K.</creatorcontrib><creatorcontrib>Pawlikowska, L.</creatorcontrib><creatorcontrib>Menza, R. L.</creatorcontrib><creatorcontrib>Goldstein, B. A.</creatorcontrib><creatorcontrib>Hayden, V.</creatorcontrib><creatorcontrib>Nguyen, J.</creatorcontrib><creatorcontrib>Kim, H.</creatorcontrib><creatorcontrib>Poon, A.</creatorcontrib><creatorcontrib>Sapru, A.</creatorcontrib><creatorcontrib>Matthay, M. A.</creatorcontrib><creatorcontrib>Kwok, P. Y.</creatorcontrib><creatorcontrib>Young, W. L.</creatorcontrib><creatorcontrib>Baxter‐Lowe, L. A.</creatorcontrib><creatorcontrib>Zaroff, J. G.</creatorcontrib><title>Beta‐Adrenergic Receptor Polymorphisms and Cardiac Graft Function in Potential Organ Donors</title><title>American journal of transplantation</title><addtitle>Am J Transplant</addtitle><description>Prior studies have demonstrated associations between beta‐adrenergic receptor (βAR) polymorphisms and left ventricular dysfunction—an important cause of allograft nonutilization for transplantation. We hypothesized that βAR polymorphisms predispose donor hearts to LV dysfunction after brain death. A total of 1043 organ donors managed from 2001–2006 were initially studied. The following βAR single nucleotide polymorphisms were genotyped: β1AR 1165C/G (Arg389Gly), β1AR 145A/G (Ser49Gly), β2AR 46G/A (Gly16Arg) and β2AR 79C/G (Gln27Glu). In multivariable regression analyses, the β2AR46 SNP was significantly associated with LV systolic dysfunction, with each minor allele additively decreasing the odds for LV ejection fraction &lt;50%. The β1AR1165 and β2AR46 SNPs were associated with higher dopamine requirement during the donor management period: donors with the GG and AA genotypes had ORs of 2.64 (95% CI 1.52–4.57) and 2.70 (1.07–2.74) respectively for requiring &gt;10 μg/kg/min of dopamine compared to those with the CC and GG genotypes. However, no significant associations were found between βAR SNPs and cardiac dysfunction in 364 donors managed from 2007–2008, perhaps due to changes in donor management, lack of power in this validation cohort, or the absence of a true association. βAR polymorphisms may be associated with cardiac dysfunction after brain death, but these relationships require further study in independent donor cohorts. A genetics study performed in 1,400 potential organ donors reveals possible associations between beta‐adrenergic receptor polymorphisms and cardiac function after brain death. See editorial by Salomon on page 3173.</description><subject>Adult</subject><subject>Allograft function</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Brain Death</subject><subject>cardiac allograft</subject><subject>cardiac transplant</subject><subject>Clinical death. Palliative care. Organ gift and preservation</subject><subject>cohort study</subject><subject>donor evaluation</subject><subject>donor management</subject><subject>donor outcomes</subject><subject>Female</subject><subject>genetic polymorphism</subject><subject>genotyping</subject><subject>Graft Survival - physiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Polymorphism, Genetic - genetics</subject><subject>Prognosis</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Receptors, Adrenergic, beta-1 - genetics</subject><subject>Receptors, Adrenergic, beta-2 - genetics</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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subjects Adult
Allograft function
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Brain Death
cardiac allograft
cardiac transplant
Clinical death. Palliative care. Organ gift and preservation
cohort study
donor evaluation
donor management
donor outcomes
Female
genetic polymorphism
genotyping
Graft Survival - physiology
Humans
Male
Medical sciences
Middle Aged
Miscellaneous
Polymorphism, Genetic - genetics
Prognosis
Public health. Hygiene
Public health. Hygiene-occupational medicine
Receptors, Adrenergic, beta-1 - genetics
Receptors, Adrenergic, beta-2 - genetics
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tissue Donors
Validation Studies as Topic
Ventricular Dysfunction, Left - genetics
title Beta‐Adrenergic Receptor Polymorphisms and Cardiac Graft Function in Potential Organ Donors
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