https://doi.org/10.4081/monaldi.2022.2314

Clinical course of COPD in patients with Arg16Gly (rs1042713) polymorphism of ADRB2 gene

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Vol. 93 No. 2 (2023)
Submitted: May 7, 2022
Accepted: September 2, 2022
Published: September 13, 2022
COPD, ADRB2 gene, polymorphism, exacerbation, antibiotics, glucocorticoids
Abstract Views: 970
PDF: 337
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Authors

Kostiantyn Dmytriiev
kostya011993@gmail.com
https://orcid.org/0000-0003-2269-6291
Vinnytsia National Pirogov Memorial Medical University, Vinnytsia, Ukraine.
Yuriy Mostovoy
Vinnytsia National Pirogov Memorial Medical University, Vinnytsia, Ukraine.
Nataliia Slepchenko
Vinnytsia National Pirogov Memorial Medical University, Vinnytsia, Ukraine.
Yuliia Smereka
Vinnytsia National Pirogov Memorial Medical University, Vinnytsia, Ukraine.

The ADBR2 gene has been studied for its possible relationship with the development and clinical course of chronic obstructive pulmonary disease (COPD), including response to beta-2 agonists, with existing data being contentious on the subject. So, the purpose of this study was to look into the potential impact of the arginine-16-glycine (Arg16Gly) polymorphism on the clinical course and drug utilization in COPD patients. Data show that patients with Arg16Arg have a lower number of hospital admissions for exacerbations (p=0.048), but only in the total number of exacerbations, including those treated out-patients (p=0.086). Each glycine (Gly) copy was associated with a higher number of exacerbations (OR: 0.25; 95% CI: 0.00-055; p=0.048). The number of exacerbations after LABA/LAMA treatment was similar across groups, indicating that all ADRB2 variants responded well to the treatment. Furthermore, there were no statistically significant differences in mMRC and CAT values across all study visits. Interestingly, groups differed in their use of antibiotics (AB) at all visits, with Arg16Arg being associated with the least amount of AB use. There was also a link discovered between clycine copies and increased use of glucocorticoids. As a result, Arg16Gly is involved in the clinical course of COPD as well as the utilization of drug groups. Based on the findings, we can speculate that the cross-talk between the ADRB2 gene and the corticosteroid receptor is altered in patients with the Gly16Gly genotype.

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How to Cite

Dmytriiev, Kostiantyn, Yuriy Mostovoy, Nataliia Slepchenko, and Yuliia Smereka. 2022. “Clinical Course of COPD in Patients With Arg16Gly (rs1042713) Polymorphism of <em>ADRB2< em> Gene”. Monaldi Archives for Chest Disease 93 (2). https://doi.org/10.4081/monaldi.2022.2314.
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