Masked Hypertension and Atherogenesis: The Impact of Apelin and Relaxin Plasma Levels

Recent evidence demonstrates that masked hypertension (MH) is a significant predictor of cardiovascular disease, while apelin and relaxin are two novel factors with a significant role in vascular regulation. Apelin is an adipokine that elicits endothelium‐dependent vasorelaxation and reduces arteria...

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Veröffentlicht in:The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2013-05, Vol.15 (5), p.333-336
Hauptverfasser: Papadopoulos, Dimitris P., Mourouzis, Iordanis, Faselis, Charles, Perrea, Despina, Makris, Thomas, Tsioufis, Costas, Papademetriou, Vasilios
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container_title The journal of clinical hypertension (Greenwich, Conn.)
container_volume 15
creator Papadopoulos, Dimitris P.
Mourouzis, Iordanis
Faselis, Charles
Perrea, Despina
Makris, Thomas
Tsioufis, Costas
Papademetriou, Vasilios
description Recent evidence demonstrates that masked hypertension (MH) is a significant predictor of cardiovascular disease, while apelin and relaxin are two novel factors with a significant role in vascular regulation. Apelin is an adipokine that elicits endothelium‐dependent vasorelaxation and reduces arterial blood pressure, while relaxin is a protein hormone that induces the production of nitric oxide and vascular endothelial growth factor and inhibits endothelin and angiotensin II. This study aimed to investigate whether apelin and relaxin plasma levels are affected in patients with MH and compare the findings with those of healthy normotensives. One hundred‐thirty (60 men, 70 women) healthy patients with a mean age of 45±12 years who had clinic blood pressure
doi_str_mv 10.1111/jch.12075
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Apelin is an adipokine that elicits endothelium‐dependent vasorelaxation and reduces arterial blood pressure, while relaxin is a protein hormone that induces the production of nitric oxide and vascular endothelial growth factor and inhibits endothelin and angiotensin II. This study aimed to investigate whether apelin and relaxin plasma levels are affected in patients with MH and compare the findings with those of healthy normotensives. One hundred‐thirty (60 men, 70 women) healthy patients with a mean age of 45±12 years who had clinic blood pressure &lt;140/90 mmHg were studied. The whole study population underwent 24‐hour ambulatory blood pressure monitoring (ABPM). According to the ABPM recordings, 24 individuals (8 men, 16 women) had MH and the remaining 106 patients (52 men, 54 women) had normal ABPM recordings. Apelin and relaxin plasma levels were determined in both groups (enzyme‐linked immunosorbent assay method). The apelin (220±121 vs 315±147 pg/mL, P=.001) and relaxin (35.2±6.7 vs 56.8±13.6 pg/mL, P&lt;.001) plasma levels were significantly lower in the masked hypertensive group compared with normotensive controls. Our findings suggest that patients with masked hypertension have significantly lower apelin and relaxin levels. 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The apelin (220±121 vs 315±147 pg/mL, P=.001) and relaxin (35.2±6.7 vs 56.8±13.6 pg/mL, P&lt;.001) plasma levels were significantly lower in the masked hypertensive group compared with normotensive controls. Our findings suggest that patients with masked hypertension have significantly lower apelin and relaxin levels. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Wiley Free Content; PubMed Central
subjects Adult
Apelin
Atherosclerosis - blood
Atherosclerosis - physiopathology
Blood Pressure - physiology
Blood Pressure Monitoring, Ambulatory
Case-Control Studies
Cohort Studies
Enzyme-Linked Immunosorbent Assay
Female
Humans
Intercellular Signaling Peptides and Proteins - blood
Male
Masked Hypertension - blood
Masked Hypertension - physiopathology
Middle Aged
Original Paper
Original Papers
Relaxin - blood
title Masked Hypertension and Atherogenesis: The Impact of Apelin and Relaxin Plasma Levels
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