title: Beta2-adrenergic receptor polymorphisms in African American children with status asthmaticus.
abstract: BACKGROUND
  The beta2-adrenergic receptor plays a central role in the bronchodilator response to beta2-agonists in patients with asthma. Genetic polymorphisms within the gene coding for this receptor influence responsiveness of the receptor. A number of these polymorphisms differ in frequency in the African American and white populations.
  
  
  OBJECTIVE
  To determine the frequency of specific beta2-adrenergic receptor polymorphisms in African American children with status asthmaticus and to examine whether a specific genotype is associated with the clinical response to therapy.
  
  
  METHODS
  Cohort of African American children diagnosed with status asthmaticus.
  
  
  METHODS
  Tertiary care children's hospital.
  
  
  METHODS
  A total of 31 African American children with status asthmaticus.
  
  
  METHODS
  Blood samples were obtained from children at admission. Genotypes were determined by polymerase chain reaction amplification and restriction enzyme digestion.
  
  
  METHODS
  The requirement for admission to the pediatric intensive care unit, need for mechanical ventilation, institution of various therapies, and length of stay.
  
  
  RESULTS
  The genotypes of the polymorphic sites at amino acid positions 16 and 27 in the beta2-adrenergic receptor were determined. There were no significant differences between the various genotypes in the percentage of children requiring pediatric intensive care unit admission, mechanical ventilation, terbutaline treatment, or length of stay. However, in children heterozygous for Glu at position 27 of the beta2-adrenergic receptor, the percentage of patients requiring aminophylline treatment, in addition to beta2-agonist therapy, was significantly higher than that seen in patients homozygous for Gln at that position (5/10 [50%] vs. 1/21 [5%], respectively; p = .002).
  
  
  CONCLUSIONS
  African American children with status asthmaticus who have the Gln/Glu genotype at amino acid position 27 of the beta2-adrenergic receptor may benefit from aminophylline treatment in addition to beta2-agonist therapy.
authors.affiliation: St. Jude Children's Research Hospital, University of Tennessee Health Science Center, Memphis, TN, USA
authors.forename: Lama
authors.initials: L
authors.lastname: Elbahlawan
authors.forename: Saeed
authors.initials: S
authors.lastname: Binaei
authors.forename: Michael L
authors.initials: ML
authors.lastname: Christensen
authors.forename: Qing
authors.initials: Q
authors.lastname: Zhang
authors.forename: Michael W
authors.initials: MW
authors.lastname: Quasney
authors.forename: Mary K
authors.initials: MK
authors.lastname: Dahmer
mesh_terms: D000293:Adolescent; D058666:Adrenergic beta-2 Receptor Agonists; D000318:Adrenergic beta-Agonists / Q000008:administration & dosage / Q000494:pharmacology*; D001741:Black or African American / Q000235:genetics*; D000628:Aminophylline / Q000008:administration & dosage / Q000494:pharmacology; D002648:Child; D002675:Child, Preschool; D004359:Drug Therapy, Combination; D005260:Female; D005787:Gene Frequency; D006239:Haplotypes; D006801:Humans; D008297:Male; D010641:Phenotype; D010726:Phosphodiesterase Inhibitors / Q000008:administration & dosage / Q000494:pharmacology; D020641:Polymorphism, Single Nucleotide; D018343:Receptors, Adrenergic, beta-2 / Q000235:genetics*; D013224:Status Asthmaticus / Q000188:drug therapy* / Q000208:ethnology / Q000235:genetics*; D013714:Tennessee / Q000453:epidemiology
chemical_list: D058666:Adrenergic beta-2 Receptor Agonists; D000318:Adrenergic beta-Agonists; D010726:Phosphodiesterase Inhibitors; D018343:Receptors, Adrenergic, beta-2; D000628:Aminophylline