Cor Vasa 2019, 61(6):562-566 | DOI: 10.33678/cor.2019.048

Association of endothelin-1 with oxidative stress and inflammatory response in pre-hypertensives

Niranjan Gopala, Nachimuthu Maithilikarpagaselvib, Anitha Rajendiranb, Abu Raghavan Srinivasanb, Pruthu Gowdac, Veni Subramanyamd
a Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Nagpur, Maharashtra, India
b Department of Biochemistry, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
c Department of Community Medicine, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India
d Central Interdisciplinary Research facility, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India

Introduction: Hypertension represents the major risk factor for cardiovascular diseases. Pre-hypertensives are more likely to progress to hypertension. The mechanism for the progression of pre-hypertension to hypertension remains unclear. Hence the present study was designed to investigate the association of endothelin-1 with oxidative stress and inflammatory response in pre-hypertensives.

Methods: The study was conducted in thirty subjects with pre-hypertension and thirty normotensive subjects. Lipid profile, lipid bound sialic acid (LBSA), malondialdehyde (MDA) and endothelin-1 (ET-1) levels were estimated in the fasting blood samples.

Results: Total cholesterol, triacylglycerol (TAG), very low density lipoprotein cholesterol (VLDL-c) and low density lipoprotein cholesterol (LDL-c) were significantly increased in pre-hypertensives. LBSA (39.58 ± 4.35), ET-1 (13.43 ± 5.1) and MDA (1.78 ± 3.5) were also significantly elevated in pre-hypertensives when compared to normotensive subjects. ET-1 was significantly correlated with LBSA and MDA in pre-hypertensives. Receiver operating curve analysis of ET-1, LBSA and MDA showed cut off values of 7.0, 31.5 and 1.23 respectively for the diagnosis of pre-hypertension.

Conclusion: Elevated ET-1, LBSA and oxidative stress are associated with altered blood pressure in pre-hypertensives and may progress to essential hypertension.

Keywords: Endothelin-1, LDL-c, Lipid bound sialic acid, Malondialdehyde, Pre-hypertension

Received: February 4, 2019; Accepted: March 27, 2019; Published: December 15, 2019  Show citation

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Gopal N, Maithilikarpagaselvi N, Rajendiran A, Raghavan Srinivasan A, Gowda P, Subramanyam V. Association of endothelin-1 with oxidative stress and inflammatory response in pre-hypertensives. Cor Vasa. 2019;61(6):562-566. doi: 10.33678/cor.2019.048.
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References

  1. Martin JF, Martin LN, Cipullo JP. Pharmacologic treatment for prehypertension: to treat or not to treat? Recent Patents Cardiovasc Drug Discov 2009;4:133-141. Go to original source... Go to PubMed...
  2. Kearney PM, Whelton M, Reynolds K, et al. Global burden of hypertension: analysis of worldwide data. Lancet Lond Engl 2005;365:217-223. Go to original source... Go to PubMed...
  3. Bureau M. Hypertension causes half of all stroke deaths in India [Internet]. Medi Bull. 2018 [cited 2018 May 28]. https://medibulletin.com/hypertension-causes-half-of-all-stroke-deaths-in-india/
  4. Dhaun N, Goddard J, Kohan DE, et al. Role of endothelin-1 in clinical hypertension: 20 years on. Hypertension 2008;52:452-459. Go to original source... Go to PubMed...
  5. Lacy F, Kailasam MT, O'Connor DT, et al. Plasma hydrogen peroxide production in human essential hypertension: role of heredity, gender, and ethnicity. Hypertension 2000;36:878-884. Go to original source... Go to PubMed...
  6. Saraswathi R, Sankar D, Ali A, et al. A pilot assessment of oxidative stress byproducts and antioxidant activities among Indian patients with various stages of hypertension. Clin Exp Hypertens 2011;33:437-443. Go to original source... Go to PubMed...
  7. Tanito M, Nakamura H, Kwon Y-W, et al. Enhanced oxidative stress and impaired thioredoxin expression in spontaneously hypertensive rats. Antioxid Redox Signal 2004;6:89-97. Go to original source... Go to PubMed...
  8. Chrysohoou C, Panagiotakos DB, Pitsavos C, et al. The association between pre-hypertension status and oxidative stress markers related to atherosclerotic disease: the ATTICA study. Atherosclerosis 2007;192:169-176. Go to original source... Go to PubMed...
  9. Berneis KK, Krauss RM. Metabolic origins and clinical significance of LDL heterogeneity. J Lipid Res 2002;43:1363-1379. Go to original source... Go to PubMed...
  10. Yanagisawa M, Kurihara H, Kimura S, et al. A novel potent vasoconstrictor peptide produced by vascular endothelial cells. Nature 1988;332:411-415. Go to original source... Go to PubMed...
  11. Taddei S, Virdis A, Ghiadoni L, et al. Endothelial Dysfunction in Hypertension. J Cardiovasc Pharmacol 2001;38:S11. Go to original source... Go to PubMed...
  12. Saito Y, Nakao K, Mukoyama M, Imura H. Increased plasma endothelin level in patients with essential hypertension. N Engl J Med 1990;322:205. Go to original source... Go to PubMed...
  13. Xu M, Lu YP, Hasan AA, Hocher B. Plasma ET-1 Concentrations are Elevated in Patients with Hypertension - Meta-Analysis of Clinical Studies. Kidney Blood Press Res 2017;42:304-313. Go to original source... Go to PubMed...
  14. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 1972;18:499-502. Go to original source...
  15. Aminoff D. Methods for the quantitative estimation of N-acetylneuraminic acid and their application to hydrolysates of sialomucoids. Biochem J 1961;81:384-392. Go to original source... Go to PubMed...
  16. Yagi K. Assay for blood plasma or serum. Methods Enzymol 1984;105:328-331. Go to original source... Go to PubMed...
  17. Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003;289:2560-2572. Go to original source... Go to PubMed...
  18. Greenlund KJ, Croft JB, Mensah GA. Prevalence of Heart Disease and Stroke Risk Factors in Persons With Prehypertension in the United States, 1999-2000. Arch Intern Med 2004;164:2113-2118. Go to original source... Go to PubMed...
  19. Huang Y, Wang S, Cai X, et al. Prehypertension and incidence of cardiovascular disease: a meta-analysis. BMC Med 2013;11:177. Go to original source... Go to PubMed...
  20. Vasan RS, Larson MG, Leip EP, et al. Assessment of frequency of progression to hypertension in non-hypertensive participants in the Framingham Heart Study: a cohort study. Lancet Lond Engl 2001;358:1682-1686. Go to original source... Go to PubMed...
  21. Sathiyapriya V, Selvaraj N, Nandeesha H, et al. Association between protein bound sialic acid and high sensitivity C-reactive protein in prehypertension: a possible indication of underlying cardiovascular risk. Clin Exp Hypertens 2008;30:367-374. Go to original source... Go to PubMed...
  22. Jinghua L, Tie Z, Ping W, Yongtong C. The relationship between serum sialic acid and high-sensitivity C-reactive protein with prehypertension. Med Sci Monit Int Med J Exp Clin Res 2014;20:551-555. Go to original source...
  23. Nakkeeran M, Periasamy S, Inmozhi SR, et al. Increased Levels of Inflammatory Marker hsCRP, MDA and Lipid Profile in Non-obese Hypertension Subjects. Biochem Anal Biochem. 2017;6:1-4.
  24. Leung JWC, Wong WT, Koon HW, et al. Transgenic mice over-expressing ET-1 in the endothelial cells develop systemic hypertension with altered vascular reactivity. PloS One 2011;6:e26994. Go to original source... Go to PubMed...
  25. Weil BR, Westby CM, Greiner JJ, et al. Elevated endothelin-1 vasoconstrictor tone in prehypertensive adults. Can J Cardiol 2012;28:347-353. Go to original source... Go to PubMed...
  26. Iglarz M, Clozel M. Mechanisms of ET-1-induced endothelial dysfunction. J Cardiovasc Pharmacol 2007;50:621-628. Go to original source... Go to PubMed...

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