The relationship between aortic stiffness and serum hyaluronidase levels in patients with diabetes mellitus and hypertension

Abstract The aim of this study was to investigate the association of serum hyaluronidase and nitric oxide (NO) levels with arterial stiffness in patients with hypertension (HT) and diabetes mellitus (DM). A total of 101 patients with diagnosis of DM and HT were enrolled in this study. The patients w...

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Veröffentlicht in:Blood pressure 2015-02, Vol.24 (1), p.35-40
Hauptverfasser: Karadag, Bilgehan, Ikitimur, Baris, Firinciogullari, Habbas, Cakmak, Huseyin Altug, Cosansu, Kahraman, Yuksel, Husniye
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container_end_page 40
container_issue 1
container_start_page 35
container_title Blood pressure
container_volume 24
creator Karadag, Bilgehan
Ikitimur, Baris
Firinciogullari, Habbas
Cakmak, Huseyin Altug
Cosansu, Kahraman
Yuksel, Husniye
description Abstract The aim of this study was to investigate the association of serum hyaluronidase and nitric oxide (NO) levels with arterial stiffness in patients with hypertension (HT) and diabetes mellitus (DM). A total of 101 patients with diagnosis of DM and HT were enrolled in this study. The patients were divided into three groups as follows: only hypertensive (I), only diabetic (II) and both diabetic and hypertensive (III). Serum hyaluronidase levels were negatively correlated with aortic strain (AS) and aortic distensibility (AOD) in all groups, whereas a significant positive correlation was noted between serum hyaluronidase levels and aortic strain index (ASI) (all p-values < 0.05). There was a significant negative correlation between serum hyaluronidase and NO levels in all patients (p < 0.001). When the correlation between serum hyaluronidase and serum NO levels was investigated in the individual patient groups, a negative correlation was found in groups I, II and III (p = 0.017, p < 0.001 and p < 0.001, respectively). A significant relationship between plasma hyaluronidase level and parameters of aortic stiffness was found in patients with HT and/or DM. We suggest that the pathophysiological mechanisms responsible for the development of arterial stiffness in subjects with impaired endothelial function may involve pathological changes in the HA metabolism.
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subjects Aged
aortic stiffness
diabetes
Diabetes Complications - blood
Diabetes Complications - physiopathology
Endothelium, Vascular - metabolism
Endothelium, Vascular - physiopathology
Female
Humans
Hyaluronidase
Hyaluronoglucosaminidase - blood
hypertension
Hypertension - blood
Hypertension - physiopathology
Male
Middle Aged
Nitric Oxide - blood
Vascular Stiffness
title The relationship between aortic stiffness and serum hyaluronidase levels in patients with diabetes mellitus and hypertension
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