Table 2 GRK4 variants in hypertensive and normotensive subjects

From: G protein-coupled receptor kinases in hypertension: physiology, pathogenesis, and therapeutic targets

GRK4 Variant

Ethnic Group

Single or Multilocus Analyses

Clinical Findings

A142V (rs1024323)

Japanese

Single-locus

Correlates with low-renin hypertension [99]

 

Japanese

Two-locus

The combination of GRK4 A142V and CYP11B2 predicts low-renin essential hypertension [99]

 

Japanese

Multi-locus

The combination of GRK4 A142V, R65L, and A486V predicts salt-sensitive hypertension [99]

 

African- American

Single-locus

Correlates with blood pressure response to metoprolol among hypertensive male subjects [111]

 

Black subjects

Single-locus

Predicts blood pressure response to dietary modification in Black subjects with mild-to-moderate hypertension [169]

 

American

Single-locus

Correlates with increased risk for adverse cardiovascular outcomes [164]

 

Japanese

Single-locus

Correlates with hypertension; Carriers of hGRK4 142V have a greater decrease in SBP in response to ARBs [165]

 

Chinese

Single-locus

Hypertensive subjects with GRK4 A142V are more likely to be non-dippers [166]

A486V (rs1801058)

Italian

Single-locus

Associates with mild hypertension [102]

 

Euro-Australian

Single-locus

Correlates with hypertension [101]

 

Chinese

Single-locus

Associates with mild hypertension [100]

 

Chinese

Single-locus

Correlates with hypertension [171]

 

African American

Single-locus

Negatively correlates with hypertension in nonobese subjects [112]

 

European

Single-locus

Correlates with salt sensitivity of blood pressure [107]

 

African Brazilian

Two-locus

NOS3-GRK4 interaction is related to DBP levels [98]

 

American

Single-locus

Correlates with increased risk for adverse cardiovascular outcomes [164]

 

Japanese

Single-locus

Correlates with hypertension; Carriers of hGRK4 486V were less to achieve the blood pressure goal in response to an ARB [165]

 

Korean

Single-locus

A high sodium intake increases the obesity risk in children with GRK4 A486V regardless of sex [116]

 

Korean

Multi-locus

A high sodium intake increases the obesity risk in boys with the combination of GRK4 A486V, ACE, and SLC12A3 variants [116]

 

Korean

Two-locus

The combination of GRK4 A486V and CYP11B2 variants increases the obesity risk in girls when sodium intake is increased [116]

 

Chinese

Single-locus

Hypertensive subjects with GRK4 A486V are more likely to be non-dippers [166]

R65L (rs2960306)

Ghanaian

Two-locus

The combination of GRK4 R65L and ACE predicts the hypertensive phenotype [108]

 

American

Single-locus

Associates with stress-induced reduction in urinary sodium excretion in Black normotensive adolescents [117]

 

Black subject

Single-locus

Predicts positive blood pressure response to dietary modification in Black subjects with mild-to-moderate hypertension [169]

 

American

Single-locus

Correlates with increased risk for adverse cardiovascular outcomes [164]

 

Swiss

Two-locus

Patients with GRK4 65L and 142V need more antihypertensive treatment to reach the same MAP than homozygous carriers of only 1 variant or heterozygous/wild-type carriers of R65L, A142V, and A486V alleles [168]

 

Korean

Single-locus

The GRK4 65L TT genotype is inversely correlated with hypertension risk [103]

 

Chinese

Single-locus

Hypertensive subjects with GRK4 R65L are more likely to be non-dippers [166]

Other GRK4 variants

   

 rs2488815

Chinese

Single-locus

Associates with the decreased eGFR [172]

 rs1419044

American

Single-locus

Correlates with bevacizumab-induced hypertension [173]

 rs1557213

Chinese

Single-locus

Contributes to the risk of hypertension [105]

 rs1644731

Chinese

Two-locus

GRK4 rs1644731 and RDH8 rs1801058 are associated with hypertension [104]

  1. ACE angiotensin-converting enzyme, ARBs angiotensin receptor blockers, DBP diastolic blood pressure, eGFR estimated glomerular filtration rate, GRK4 G protein-coupled receptor kinase 4, MBP mean arterial blood pressure, NOS3 nitric oxide synthase 3, RDH8 retinol dehydrogenase 8, SBP systolic blood pressure, SLC12A3 solute carrier family 12 member 3