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
- 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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References
- 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...
- 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...
- 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/
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- Yagi K. Assay for blood plasma or serum. Methods Enzymol 1984;105:328-331.
Go to original source...
Go to PubMed...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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...
- 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.
- 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...
- 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...
- 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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