Oxidative stress in white coat hypertension; role of paraoxonase

Oxidative stress in sustained hypertension was shown with several biochemical parameters. Oxidized low-density lipoprotein (oxLDL) plays an important role during the atherosclerosis process and paraoxonase (PON1) can significantly inhibit lipid peroxidation. Serum PON1 activity, oxLDL and malondiald...

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Veröffentlicht in:Journal of human hypertension 2004-07, Vol.18 (7), p.523-528
Hauptverfasser: Uzun, H, Karter, Y, Aydin, S, Çurgunlu, A, Şimşek, G, Yücel, R, Vehiyd, S, Ertürk, N, Kutlu, A, Benian, A, Yaldiran, A, Öztürk, E, Erdine, S
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container_end_page 528
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container_title Journal of human hypertension
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creator Uzun, H
Karter, Y
Aydin, S
Çurgunlu, A
Şimşek, G
Yücel, R
Vehiyd, S
Ertürk, N
Kutlu, A
Benian, A
Yaldiran, A
Öztürk, E
Erdine, S
description Oxidative stress in sustained hypertension was shown with several biochemical parameters. Oxidized low-density lipoprotein (oxLDL) plays an important role during the atherosclerosis process and paraoxonase (PON1) can significantly inhibit lipid peroxidation. Serum PON1 activity, oxLDL and malondialdehyde (MDA) concentrations and their relationship with serum lipid parameters and systolic and diastolic blood pressures (SBP and DBP) were determined in subjects with white coat hypertension (WCH), sustained hypertension (HT) and normotension (NT). The study group consisted of a total of 86 subjects, 30 with WCH (14 male, 16 female subjects), 30 with HT (13 male, 17 female subjects) and 26 with NT (12 male, 14 female subjects). Both white coat hypertensive and hypertensive subjects had significantly higher levels of MDA than normotensives ( P
doi_str_mv 10.1038/sj.jhh.1001697
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Oxidized low-density lipoprotein (oxLDL) plays an important role during the atherosclerosis process and paraoxonase (PON1) can significantly inhibit lipid peroxidation. Serum PON1 activity, oxLDL and malondialdehyde (MDA) concentrations and their relationship with serum lipid parameters and systolic and diastolic blood pressures (SBP and DBP) were determined in subjects with white coat hypertension (WCH), sustained hypertension (HT) and normotension (NT). The study group consisted of a total of 86 subjects, 30 with WCH (14 male, 16 female subjects), 30 with HT (13 male, 17 female subjects) and 26 with NT (12 male, 14 female subjects). Both white coat hypertensive and hypertensive subjects had significantly higher levels of MDA than normotensives ( P &lt;0.026 and P &lt;0.001, respectively). The oxLDL level of the HT group was significantly higher than the NT group ( P &lt;0.023). The WCH group had an oxLDL level similar to both hypertensive and normotensive groups. HT and WCH groups had significantly lower PON1 levels than the normotensive group ( P &lt;0.001). oxLDL correlated with MDA positively ( P =0.008), and PON1 negatively ( P =0.008). A negative correlation between MDA and PON1 ( P =0.014) was detected. MDA correlated positively with both SBP and DBP ( P =0.001), while PON1 correlated with both of them negatively ( P =0.01 and P =0.008, respectively). OxLDL correlated with diastolic blood pressure positively ( P =0.008). Our data demonstrate that oxidative stress increase in WCH is associated with a decrease in PON1 activity. The reduction in PON1 activity may be one of the factors leading to an increase in oxidative status in WCH.</description><identifier>ISSN: 0950-9240</identifier><identifier>EISSN: 1476-5527</identifier><identifier>DOI: 10.1038/sj.jhh.1001697</identifier><identifier>PMID: 14985779</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adult ; Arterial hypertension. Arterial hypotension ; Arteriosclerosis ; Aryldialkylphosphatase - blood ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure ; Blood Pressure Determination - adverse effects ; Cardiology. 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Oxidized low-density lipoprotein (oxLDL) plays an important role during the atherosclerosis process and paraoxonase (PON1) can significantly inhibit lipid peroxidation. Serum PON1 activity, oxLDL and malondialdehyde (MDA) concentrations and their relationship with serum lipid parameters and systolic and diastolic blood pressures (SBP and DBP) were determined in subjects with white coat hypertension (WCH), sustained hypertension (HT) and normotension (NT). The study group consisted of a total of 86 subjects, 30 with WCH (14 male, 16 female subjects), 30 with HT (13 male, 17 female subjects) and 26 with NT (12 male, 14 female subjects). Both white coat hypertensive and hypertensive subjects had significantly higher levels of MDA than normotensives ( P &lt;0.026 and P &lt;0.001, respectively). The oxLDL level of the HT group was significantly higher than the NT group ( P &lt;0.023). The WCH group had an oxLDL level similar to both hypertensive and normotensive groups. HT and WCH groups had significantly lower PON1 levels than the normotensive group ( P &lt;0.001). oxLDL correlated with MDA positively ( P =0.008), and PON1 negatively ( P =0.008). A negative correlation between MDA and PON1 ( P =0.014) was detected. MDA correlated positively with both SBP and DBP ( P =0.001), while PON1 correlated with both of them negatively ( P =0.01 and P =0.008, respectively). OxLDL correlated with diastolic blood pressure positively ( P =0.008). Our data demonstrate that oxidative stress increase in WCH is associated with a decrease in PON1 activity. The reduction in PON1 activity may be one of the factors leading to an increase in oxidative status in WCH.</description><subject>Adult</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Arteriosclerosis</subject><subject>Aryldialkylphosphatase - blood</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Pressure</subject><subject>Blood Pressure Determination - adverse effects</subject><subject>Cardiology. 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Arterial hypotension</topic><topic>Arteriosclerosis</topic><topic>Aryldialkylphosphatase - blood</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure</topic><topic>Blood Pressure Determination - adverse effects</topic><topic>Cardiology. 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role of paraoxonase</atitle><jtitle>Journal of human hypertension</jtitle><stitle>J Hum Hypertens</stitle><addtitle>J Hum Hypertens</addtitle><date>2004-07-01</date><risdate>2004</risdate><volume>18</volume><issue>7</issue><spage>523</spage><epage>528</epage><pages>523-528</pages><issn>0950-9240</issn><eissn>1476-5527</eissn><abstract>Oxidative stress in sustained hypertension was shown with several biochemical parameters. Oxidized low-density lipoprotein (oxLDL) plays an important role during the atherosclerosis process and paraoxonase (PON1) can significantly inhibit lipid peroxidation. Serum PON1 activity, oxLDL and malondialdehyde (MDA) concentrations and their relationship with serum lipid parameters and systolic and diastolic blood pressures (SBP and DBP) were determined in subjects with white coat hypertension (WCH), sustained hypertension (HT) and normotension (NT). The study group consisted of a total of 86 subjects, 30 with WCH (14 male, 16 female subjects), 30 with HT (13 male, 17 female subjects) and 26 with NT (12 male, 14 female subjects). Both white coat hypertensive and hypertensive subjects had significantly higher levels of MDA than normotensives ( P &lt;0.026 and P &lt;0.001, respectively). The oxLDL level of the HT group was significantly higher than the NT group ( P &lt;0.023). The WCH group had an oxLDL level similar to both hypertensive and normotensive groups. HT and WCH groups had significantly lower PON1 levels than the normotensive group ( P &lt;0.001). oxLDL correlated with MDA positively ( P =0.008), and PON1 negatively ( P =0.008). A negative correlation between MDA and PON1 ( P =0.014) was detected. MDA correlated positively with both SBP and DBP ( P =0.001), while PON1 correlated with both of them negatively ( P =0.01 and P =0.008, respectively). OxLDL correlated with diastolic blood pressure positively ( P =0.008). Our data demonstrate that oxidative stress increase in WCH is associated with a decrease in PON1 activity. The reduction in PON1 activity may be one of the factors leading to an increase in oxidative status in WCH.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>14985779</pmid><doi>10.1038/sj.jhh.1001697</doi><tpages>6</tpages></addata></record>
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subjects Adult
Arterial hypertension. Arterial hypotension
Arteriosclerosis
Aryldialkylphosphatase - blood
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure
Blood Pressure Determination - adverse effects
Cardiology. Vascular system
Case-Control Studies
Control
Diastole
Epidemiology
Female
Genetic aspects
Genetic polymorphisms
Health Administration
Humans
Hypertension
Hypertension - blood
Hypertension - etiology
Hypertension - physiopathology
Lipid peroxidation
Lipoproteins, LDL - blood
Male
Malondialdehyde
Malondialdehyde - blood
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Office Visits
original-article
Oxidative Stress
Paraoxonase
Physiological aspects
Public Health
Risk factors
Systole
title Oxidative stress in white coat hypertension; role of paraoxonase
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