“…Schwartz et al 7 reported a relationship between a single nucleotide polymorphism (SNP) at codon 389 in the b-adrenergic receptor gene and a greater response to betaxolol 0.25% (Betoptic; Alcon Laboratories, Fort Worth, TX); this response is related to a SNP at nucleotide 1165 where a substitution G/C results in an arginine/glycine (Arg/Gly) substitution at codon 389, changing the G protein structure near the binding domain, in normal healthy volunteers. Sakurai et al 8,9 reported an association between SNPs and a positive or negative response to latanoprost in healthy Japanese volunteers; SNPs rs3753380 and rs3766355 in the promoter and intron 1 regions of the prostaglandin F2a receptor (PTGFR) gene downregulated expression of the gene after a short course of latanoprost treatment (1 week), resulting in a diminished therapeutic effect.The Latanoprost Study Group (LSG) determined a nonresponse rate of 18%, which was defined arbitrarily as an IOP reduction of less than 15% of the basal IOP after 2 weeks of treatment with latanoprost. 10 The rates of response to latanoprost vary among populations, from 4.1% in an Italian population 11 to 13.5% in American populations.…”