Therapeutic regimen for hypertension
AssigneeGeneticure Inc.
InventorsEric Snyder, Ryan Sprissler, Scott C. Snyder
Life of this patent
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Abstract
The invention relates to improved methods, devices, and kits for identifying and implementing an appropriate treatment regimen for subjects suffering from hypertension.
Claims10
A method for treating an individual patient having hypertension, the method comprising administering to the individual patient a first line therapy antihypertensive drug selected from the group consisting of a diuretic drug, a vasodilator drug, and a beta blocker drug, wherein the vasodilator drug is an ACE inhibitor drug or an angiotensin II receptor blocker drug, and the diuretic drug is a thiazide diuretic drug, a loop diuretic drug, or an amiloride potassium sparing drug;
- the method of administering comprising the steps of:
- determining the individual patient's genotype and corresponding peptide sequences for each of the following polymorphic nucleotide and polypeptide sequences:
- rs1159744;
- rs2107614;
- rs4961;
- rs1529927;
- rs3892097;
- rs1801253;
- rs1801252;
- rs12750834;
- rs5186;
- rs1799752;
- rs699;
- rs2228576;
- rs1042714;
- rs1042713;
- ADRB1 (β1AR) polypeptide with serine at position 49;
- ADRB1 (β1AR) polypeptide with arginine at position 389;
- ADRB2 (β2AR) polypeptide with glycine at position 16;
- ADRB2 (β2AR) polypeptide with glutamic acid at position 27;
- angiotensin polypeptide with threonine at position 268;
- Na+ channel (SCNN1A) polypeptide with threonine at position 663;
- and sodium chloride co-transporter (SLC12A3) polypeptide with alanine at position 264;
- and
- administering to the individual patient a first line therapy antihypertensive drug according one of the following procedures a, b, c, d, e, or f:
- a) administering the beta-blocker drug as the first line therapy antihypertensive drug and not administering the diuretic drug or the vasodilator drug, wherein the individual patient's genotype and peptide sequences have been determined to be homozygous for:
- 1) an ADRB1 (β1AR) polypeptide with serine at position 49;
- 2) an ADRB1 nucleic acid with adenine at the variable position of rs1801252;
- 3) an ADRB1 (β1AR) polypeptide with arginine at position 389;
- 4) an ADRB1 nucleic acid with cytosine at variable position of rs1801253;
- 5) an ADRB2 (β2AR) polypeptide with glycine at position 16;
- 6) an ADRB2 nucleic acid with guanine at the variable position of rs1042713;
- 7) an ADRB2 (β2AR) polypeptide with glutamic acid at position 27;
- or
- 8) an ADRB2 nucleic acid with guanine at the variable position of rs1042714;
- and not homozygous for:
- i) adenine at the variable position of rs3892097;
- ii) thymine at the variable position of rs4961;
- iii) thymine at the variable position of rs1529927;
- iv) a cytosine at the variable position of rs1159744;
- and,
- v) a cytosine at the variable position of rs2107614,
- b) administering atenolol or carvedilol as the first line therapy antihypertensive drug wherein the patient's genotype has been determined to be homozygous for:
- 1) adenine at the variable position of rs3892097;
- and not homozygous for:
- i) thymine at the variable position of rs4961;
- ii) thymine at the variable position of rs1529927;
- iii) a cytosine at the variable position of rs1159744;
- and,
- iv) a cytosine at the variable position of rs2107614,
- c) administering an ACE inhibitor drug as the first line therapy antihypertensive drug and not administering the diuretic drug or the beta blocker drug, wherein the individual patient's genotype and polypeptide sequences have been determined to be homozygous for:
- 1) an angiotensin polypeptide with a threonine at position 268;
- 2) an angiotensin nucleic acid with cytosine at the variable position of rs699;
- or
- 3) a nucleic acid with a deletion in rs1799752;
- and not homozygous for:
- i) thymine at the variable position of rs4961;
- ii) thymine at the variable position of rs1529927;
- iii) a cytosine at the variable position of rs1159744;
- and,
- iv) a cytosine at the variable position of rs2107614,
- d) administering an angiotensin II receptor inhibitor blocker drug as the first line therapy antihypertensive drug and not administering the diuretic drug, beta blocker drug or ACE inhibitor drug, wherein the individual patient's genotype has been determined to be homozygous for:
- 1) cytosine at the variable position of rs5186;
- or
- 2) cytosine at the variable position of rs12750834;
- and not homozygous for:
- i) thymine at the variable position of rs4961;
- ii) thymine at the variable position of rs1529927;
- iii) a cytosine at the variable position of rs1159744;
- and
- iv) a cytosine at the variable position of rs2107614;
- e) administering the diuretic drug as the first line therapy antihypertensive drug and not administering the vasodilator drug or the beta blocker drug, wherein the individual patient's genotype and peptide sequences have been determined to be homozygous for:
- 1) a Na+ channel (SCNN1A) polypeptide with threonine at position 663;
- 2) an adenine at the variable position of rs2228576;
- 3) an adducin polypeptide with tryptophan at position 460;
- 4) a thymine at the variable position of rs4961;
- 5) a sodium (Na+) chloride (Cl−) co-transporter (SLC12A3) polypeptide with an alanine at position 264;
- 6) a cytosine at the variable position of rs1529927;
- 7) a cytosine at the variable nucleotide position of rs1159744;
- 8) a cytosine at the variable position of rs2107614;
- or
- 9) any combination thereof;
- or
- f) administering a loop diuretic drug as the first line therapy antihypertensive drug and not administering the vasodilator drug, or the beta blocker drug, wherein the individual patient's nucleotide and peptide sequences has been determined to not be homozygous for the polymorphic nucleotide and peptide sequence variants at procedures a) 1-8, b) 1, c) 1-3, and d) 1-2 and heterozygous for the polymorphic nucleotide and peptide sequence variants at procedures e) 1-6.
Dependencies are inferred from the claim text.