Artículos de revistas
Increased Arterial Stiffness In Resistant Hypertension Is Associated With Inflammatory Biomarkers
Registro en:
Increased Arterial Stiffness In Resistant Hypertension Is Associated With Inflammatory Biomarkers. Informa Healthcare, v. 24, p. 7-13 FEB-2015.
0803-7051
WOS:000348187700002
10.3109/08037051.2014.940710
Autor
Barbaro
Natalia Ruggeri; Fontana
Vanessa; Modolo
Rodrigo; De Faria
Ana Paula; Sabbatini
Andrea Rodrigues; Fonseca
Francisco Helfenstein; Anhe
Gabriel F.; Moreno
Heitor
Institución
Resumen
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) Background. Increased levels of inflammatory biomarkers such as interleukin-6 (IL-6), 10 (IL-10), 1 beta (IL-1 beta), tumor necrosis factor-alpha (TNF-alpha) high-sensitivity C-reactive protein (hs-CRP) are associated with arterial stiffness in hypertension. Indeed, resistant hypertension (RHTN) leads to unfavorable prognosis attributed to poor blood pressure (BP) control and target organ damage. This study evaluated the potential impact of inflammatory biomarkers on arterial stiffness in RHTN. Methods. In this cross-sectional study, 32 RHTN, 20 mild hypertensive (HTN) and 20 normotensive (NT) patients were subjected to office BP and arterial stiffness measurements assessed by pulse wave velocity (PWV). Inflammatory biomarkers were measured in plasma samples. Results. PWV was increased in RHTN compared with HTN and NT (p < 0.05). TNF-alpha levels were significantly higher in RHTN and HTN than NT patients. No differences in IL-6 levels were observed. RHTN patients had a higher frequency of subjects with increased levels of IL-10 and IL-1 beta compared with HTN and NT patients. Finally, IL-1 beta was independently associated with PWV (p < 0.001; R-2 = 0.5; beta = 0.077). Conclusion. RHTN subjects have higher levels of infl ammatory cytokines (TNF-alpha, IL-1 beta and IL-10) as well as increased arterial stiffness, and detectable IL-1 beta levels are associated arterial stiffness. These findings suggest that inflammation plays a possible role in the pathophysiology of RHTN. 24 1
7 13 Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)