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Adiponectin and arterial stiffness
1Department of Therapeutics and Hypertension Clinic, Trinity Centre for Health Sciences, St. James's Hospital, Dublin, Ireland.
Insights
Adiponectin levels show a varied link with arterial stiffness in hypertension. While adiponectin predicts aortic pulse wave velocity (PWV), it does not predict augmentation index (AIx), suggesting complex cardiovascular associations.
Area of Science:
- Cardiovascular physiology
- Endocrinology
- Hypertension research
Background:
- Adiponectin, an anti-inflammatory adipocytokine, is decreased in conditions like hypertension, diabetes, and coronary artery disease (CAD).
- Arterial stiffness, measured by aortic pulse wave velocity (PWV) or augmentation index (AIx), is a significant predictor of cardiovascular mortality.
- The relationship between adiponectin and arterial stiffness in essential hypertension requires further elucidation.
Purpose of the Study:
- To investigate the association between plasma adiponectin levels and markers of arterial stiffness in patients with essential hypertension.
- To determine if adiponectin is an independent predictor of arterial stiffness parameters like PWV and AIx.
Main Methods:
- Seventy-six untreated patients with essential hypertension underwent measurements of blood pressure, carotid-femoral PWV, AIx, plasma adiponectin, and C-reactive protein (CRP).
- Data were analyzed using univariate and multiple logistic regression analyses.
- Standard ELISA techniques were employed for plasma adiponectin and CRP measurements after an overnight fast.
Main Results:
- A significant positive correlation was observed between adiponectin and AIx (r = 0.33, P < .005), and HDL-cholesterol.
- Conversely, adiponectin showed significant negative relationships with PWV (r = -0.24, P < .05), transit time, and pulse pressure amplification.
- In regression models, adiponectin independently predicted PWV but not AIx, which was influenced by heart rate, height, mean arterial pressure, age, and gender.
Conclusions:
- Adiponectin exhibits a divergent relationship with arterial stiffness: negative for PWV and positive for wave reflection (AIx).
- Anthropometric factors like height, weight, and heart rate may modulate the adiponectin-AIx relationship.
- Adiponectin is identified as an independent predictor of aortic PWV, but not AIx, in essential hypertension.
Background:
Adiponectin, an anti-inflammatory adipocytokine, is reduced in hypertension, diabetes, and coronary artery disease (CAD). Arterial stiffness, as aortic pulse wave velocity (PWV) in hypertension and diabetes, and as augmentation index (AIx) in CAD, is independently associated with cardiovascular mortality. We explored the relationship between adiponectin and arterial stiffness in essential hypertension.
Methods:
Seventy-six untreated patients, 34 women, aged 47 +/- 1 years, mean +/- SEM with essential hypertension, had blood pressure (BP), carotid-femoral PWV, AIx plasma adiponectin, and proinflammatory cytokine C-reactive protein (CRP) measured using ELISA technique after an overnight fast. Results were analyzed using univariate and multiple logistic regression analysis.
Results:
There was a significant positive relationship between log adiponectin and AIx (r = 0.33, P < .005) and plasma HDL-cholesterol (r = 0.40, P < .001). In contrast there were significant negative relationships with PWV (r = -0.24, P < .05), transit time (r = -0.37, P < .001), and pulse pressure amplification (r = -0.30, P < .005) in addition to waist circumference, waist-to-hip ratio, height, and weight. In a stepwise regression model, the independent predictors of AIx were heart rate, height, mean arterial pressure, age, and gender (R2= 0.69, P < .0001) with no contribution from adiponectin. However, for PWV (R2= 0.59, P < .0001) the independent determinants were mean arterial pressure, age, and adiponectin.
Conclusions:
These results show a divergent relationship between adiponectin and arterial stiffness, negative for PWV, and positive for wave reflection (AIx). Anthropomorphic factors, particularly height, weight, and heart rate may influence the relationship to the latter. Adiponectin is an independent predictor of aortic PWV but not of AIx.
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