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J Appl Physiol 95: 1297-1300, 2003. First published May 16, 2003; doi:10.1152/japplphysiol.00322.2003
8750-7587/03 $5.00
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CYP3A5 genotype predicts renal CYP3A activity and blood pressure in healthy adults

Raymond C. Givens,1,2 Yvonne S. Lin,3 Amy L. S. Dowling,3 Kenneth E. Thummel,3 Jatinder K. Lamba,4 Erin G. Schuetz,4 Paul W. Stewart,1 and Paul B. Watkins1

1General Clinical Research Center, University of North Carolina School of Medicine, Chapel Hill 27514; 2Duke University School of Medicine, Durham, North Carolina 27705; 3Department of Pharmaceutics, University of Washington, Seattle, Washington 98195; and 4Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee 38105

Submitted 31 March 2003 ; accepted in final form 15 May 2003

ABSTRACT

A single-nucleotide polymorphism (A6986G) in the cytochrome P-450 3A5 (CYP3A5) gene distinguishes an expressor (*1) and a reduced-expressor (*3) allele and largely predicts CYP3A5 content in liver and intestine. CYP3A5 is the prevailing CYP3A isoform in kidney. We report that, among renal microsomes from 21 organ donors, those from *1/*3 individuals had at least eightfold higher mean kidney microsomal CYP3A5 content and 18-fold higher mean CYP3A catalytic activity than did those from *3/*3 individuals (P = 0.0001 and P = 0.0137, respectively). We also report significant associations between the A6986G polymorphism and systolic blood pressure (P = 0.0007), mean arterial pressure (P = 0.0075), and creatinine clearance (P = 0.0035) among 25 healthy African-American adults. These associations remained significant when sex, age, and body mass index were taken into account. The mean systolic blood pressure of homozygous CYP3A5 expressors (*1/*1) exceeded that of homozygous nonexpressors (*3/*3) by 19.3 mmHg. We speculate whether a high CYP3A5 expressor allele frequency among African-Americans may contribute to a high prevalence of sodium-sensitive hypertension in this population.

cytochrome P-450 3A5; single-nucleotide polymorphism; kidney; sodium sensitivity



Address for reprint requests and other correspondence: P. B. Watkins, 3005 APCF Bldg., Univ. of North Carolina Hospitals, 101 Manning Dr., Chapel Hill, NC 27514 (E-mail: pbwatkins{at}med.unc.edu).




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