Has pharmacogenetics brought us closer to 'personalized medicine' for initial drug treatment of hypertension?

Donna K. Arnett, Steven A. Claas, Amy I. Lynch

Research output: Contribution to journalReview articlepeer-review

27 Citations (SciVal)


Purpose of review: To describe recent advances in antihypertensive pharmacogenetics and discuss challenges related to translating this knowledge into 'personalized medicine' for the initial drug treatment of hypertension. Recent findings: Recent studies included both prospective and retrospective analyses ranging from small clinical investigations of 42 participants to large, multicenter, randomized, outcome-based clinical trials of nearly 40 000 individuals. Treatment with drugs from five classes of antihypertensives was evaluated in these studies. The duration of treatment ranged from week-long follow up for blood pressure response to a decadelong follow up for clinical outcomes. In total, associations with 12 different candidate genes were assessed. These studies present the now familiar mixture of significant and nonsignificant pharmacogenetic findings that are sometimes consistent with, sometimes inconsistent with, previous findings in antihypertensive pharmacogenetics. Summary: Recent research in antihypertensive pharmacogenetics has added to the existing evidence base, and novel genes and variants as well as new methodologies are cause for continued optimism. However, translation of genomic science to clinical settings has not kept pace with growing interest in personalized medicine for hypertension. New research paradigms may be needed to translate pharmacogenetics into clinical tools. Clinical application will also require a trained clinical workforce, validated genetic tests, and payers willing to fund pretreatment testing.

Original languageEnglish
Pages (from-to)333-339
Number of pages7
JournalCurrent Opinion in Cardiology
Issue number4
StatePublished - Jul 2009


  • Antihypertensive pharmacogenetics
  • Genes
  • Hypertension
  • Personalized medicine

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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