PMID- 35745791 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 1999-4923 (Print) IS - 1999-4923 (Electronic) IS - 1999-4923 (Linking) VI - 14 IP - 6 DP - 2022 Jun 8 TI - Associations of GNAS and RGS Gene Polymorphisms with the Risk of Ritodrine-Induced Adverse Events in Korean Women with Preterm Labor: A Cohort Study. LID - 10.3390/pharmaceutics14061220 [doi] LID - 1220 AB - Ritodrine, a beta2-adrenergic receptor agonist, is among most commonly prescribed tocolytic agents. This study aimed to evaluate the associations of single nucleotide polymorphisms in GNAS, RGS2, and RGS5 with the risk of ritodrine-induced adverse events (AEs) and develop a risk scoring system to identify high-risk patients. This is the prospective cohort study conducted at the Ewha Woman's University Mokdong Hospital between January 2010 and October 2016. Pregnant women were included if they were treated with ritodrine for preterm labor with regular uterine contractions (at least 3 every 10 min) and cervical dilation. A total of 6, 3, and 5 single nucleotide polymorphisms (SNPs) of GNAS, RGS2, and RGS5 genes were genotyped and compared in patients with and without ritodrine-induced AEs. A total of 163 patients were included in this study. After adjusting confounders, GNAS rs3730168 (per-allele odds ratio (OR): 2.1; 95% confidence interval (95% CI): 1.0-4.3) and RGS2 rs1152746 (per-allele OR: 2.6, 95% CI: 1.1-6.5) were significantly associated with ritodrine-induced AEs. According to the constructed risk scoring models, patients with 0, 1, 2, 3, 4, and 5 points showed 0%, 13%, 19%, 31%, 46%, and 100% risks of AEs. This study suggested that GNAS and RGS2 polymorphisms could affect the risk of AEs in patients treated with ritodrine. FAU - Jang, Eun-Jeong AU - Jang EJ AD - College of Pharmacy and Graduate School of Pharmaceutical Sciences, Ewha Womans University, Seoul 03760, Korea. FAU - Kim, Young-Ju AU - Kim YJ AUID- ORCID: 0000-0002-3153-3008 AD - Department of Obstetrics and Gynecology, Ewha Womans University School of Medicine, Seoul 07985, Korea. FAU - Hwang, Han-Sung AU - Hwang HS AUID- ORCID: 0000-0003-0622-0701 AD - Department of Obstetrics and Gynecology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul 05030, Korea. FAU - Yee, Jeong AU - Yee J AD - College of Pharmacy and Graduate School of Pharmaceutical Sciences, Ewha Womans University, Seoul 03760, Korea. FAU - Gwak, Hye-Sun AU - Gwak HS AUID- ORCID: 0000-0003-0278-2563 AD - College of Pharmacy and Graduate School of Pharmaceutical Sciences, Ewha Womans University, Seoul 03760, Korea. LA - eng GR - NRF-2010-0022544/National Research Foundation of Korea/ GR - HI14C0306/Korea Health Industry Development Institute/Republic of Korea PT - Journal Article DEP - 20220608 PL - Switzerland TA - Pharmaceutics JT - Pharmaceutics JID - 101534003 PMC - PMC9227008 OTO - NOTNLM OT - GNAS OT - RGS2 OT - RGS5 OT - adverse events OT - polymorphisms OT - ritodrine COIS- The authors declare no conflict of interest. EDAT- 2022/06/25 06:00 MHDA- 2022/06/25 06:01 PMCR- 2022/06/08 CRDT- 2022/06/24 01:38 PHST- 2022/05/06 00:00 [received] PHST- 2022/06/02 00:00 [revised] PHST- 2022/06/07 00:00 [accepted] PHST- 2022/06/24 01:38 [entrez] PHST- 2022/06/25 06:00 [pubmed] PHST- 2022/06/25 06:01 [medline] PHST- 2022/06/08 00:00 [pmc-release] AID - pharmaceutics14061220 [pii] AID - pharmaceutics-14-01220 [pii] AID - 10.3390/pharmaceutics14061220 [doi] PST - epublish SO - Pharmaceutics. 2022 Jun 8;14(6):1220. doi: 10.3390/pharmaceutics14061220.