CYP3A5 rs776746 polymorphism and its association with blood pressure in patients with stage 3 chronic kidney disease

Bui Thi Huyen Thuong, Vo Thanh Hung, Nguyen Nhu Nghia

Main Article Content

Abstract

The rs776746 polymorphism of the CYP3A5 gene is a functional variant that affects enzyme expression and may be associated with blood pressure regulation. This cross-sectional analytical study was conducted at Thong Nhat Dong Nai General Hospital from April to December 2025 to describe genotype distribution and evaluate the association between rs776746 and blood pressure in patients with stage 3 chronic kidney disease. Among 65 patients, the frequencies of AA, AG, and GG genotypes were 15.4%, 47.7%, and 36.9%, respectively, with a G allele frequency of 60.8%. Diastolic blood pressure was significantly higher in the GG group compared with the AA/AG group. After adjustment for potential confounders, the AA/AG genotypes were associated with a 5.10 mmHg lower diastolic blood pressure compared with the GG genotype (95% CI: -8.61 to -1.58; p = 0.005). No significant association was observed between rs776746 and systolic blood pressure. These findings suggest that the rs776746 polymorphism of the CYP3A5 gene may be associated with diastolic blood pressure in patients with stage 3 chronic kidney disease.

Article Details

References

1. Liyanage T, Toyama T, Hockham C, et al. Prevalence of chronic kidney disease in Asia: a systematic review and analysis. BMJ global health. 2022;7(1)doi:10.1136/bmjgh-2021-007525
2. Gansevoort RT, Correa-Rotter R, Hemmelgarn BR, et al. Chronic kidney disease and cardiovascular risk: epidemiology, mechanisms, and prevention. Lancet. 2013;382(9889):339-52. doi:10.1016/s0140-6736(13)60595-4
3. Pugh D, Gallacher PJ, Dhaun N. Management of Hypertension in Chronic Kidney Disease. Drugs. 2019;79(4):365-379. doi:10.1007/s40265-019-1064-1
4. Givens RC, Lin YS, Dowling AL, et al. CYP3A5 genotype predicts renal CYP3A activity and blood pressure in healthy adults. Journal of applied physiology. 2003;95(3):1297-300. doi:10.1152/japplphysiol.00322.2003
5. Hoàng Xuân Sử, Hà Thanh Bình, Nguyễn Văn Khôi, và cs. Khảo sát mối liên quan liều, nồng độ tacrolimus, mức lọc cầu thận với đa hình kiểu gen CYP3A5 ở người bệnh ghép thận. Tạp chí Y Dược lâm sàng 108. 2023;18(1)doi:10.52389/ydls.v18i1.1629
6. Knights KM, Rowland A, Miners JO. Renal drug metabolism in humans: the potential for drug-endobiotic interactions involving cytochrome P450 (CYP) and UDP-glucuronosyltransferase (UGT). British journal of clinical pharmacology. 2013;76(4):587-602. doi:10.1111/bcp.12086
7. Zhang L, Miyaki K, Wang W, et al. CYP3A5 polymorphism and sensitivity of blood pressure to dietary salt in Japanese men. Journal of human hypertension. 2010;24(5):345-50. doi:10.1038/jhh.2009.74
8. Eap CB, Bochud M, Elston RC, et al. CYP3A5 and ABCB1 genes influence blood pressure and response to treatment, and their effect is modified by salt. Hypertension. 2007;49(5):1007-14. doi:10.1161/hypertensionaha.106.084236
9. Ho H, Pinto A, Hall SD, et al. Association between the CYP3A5 genotype and blood pressure. Hypertension. 2005;45(2):294-8. doi:10.1161/01.Hyp.0000151361.31736.96
10. Eknoyan G, Lameire N, Eckardt K, et al. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney int. 2013;3(1):5-14.
11. Lee FY, Islahudin F, Ali Nasiruddin AY, et al. Effects of CYP3A5 Polymorphism on Rapid Progression of Chronic Kidney Disease: A Prospective, Multicentre Study. Journal of Personalized Medicine. 2021;11(4):252. doi:10.7326/0003-4819-158-11-201306040-00007
12. Phân hội Tăng huyết áp, Hội Tim mạch Việt Nam. Đồng thuận quan điểm của một số chuyên gia của Phân hội Tăng huyết áp VSH/VNHA 2024 về chiến lược thực hành lâm sàng quản lý tăng huyết áp tại Việt Nam. 2024.
13. Rodriguez-Antona C, Savieo JL, Lauschke VM, et al. PharmVar GeneFocus: CYP3A5. Clinical pharmacology and therapeutics. 2022;112(6):1159-1171. doi:10.1002/cpt.2563
14. Nhung VP, Ton ND, Ha NH. Study of CYP3A5 genetic polymorphism in Vietnamese Kinh ethnic group. Academia Journal of Biology. 2020;42(1). doi:10.15625/0866-7160/v42n1.13790
15. Fromm MF, Schmidt BM, Pahl A, et al. CYP3A5 genotype is associated with elevated blood pressure. Pharmacogenetics and genomics. 2005;15(10):737-41. doi:10.1097/01.fpc.0000175599.49764.98