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Different impacts of cardiovascular risk factors on oxidative stress
Maria L Mansego1, Josep Redon, Sergio Martinez-Hervas
1Genotyping and Genetic Diagnosis Unit, Research Foundation of Hospital Clínico; Avenida Blasco Ibañez, 17, Valencia 46010, Spain; E-Mails: Sebastian.Blesa@uv.es (S.B); veronica.gonzalez@uv.es (V.G.-A.); felipe.chaves@uv.es (F.J.C.).
Insights
Cardiovascular risk factors like hypertension increase oxidative stress by activating pro-oxidant enzymes and reducing antioxidant defenses. This imbalance contributes to disease progression.
Area of Science:
- Biochemistry
- Cardiology
- Genetics
Background:
- Oxidative stress (OS) is implicated in cardiovascular diseases (CVDs).
- Understanding OS in specific CVD risk factors is crucial for targeted interventions.
Purpose of the Study:
- To evaluate oxidative stress status in individuals with hypertension (HT), familial hypercholesterolemia (FH), and familial combined hyperlipidemia (FCH).
- To investigate the interplay between pro-oxidant and antioxidant systems in these high-risk groups.
Main Methods:
- Assessed mRNA levels of oxidative stress markers, antioxidant enzymes (superoxide dismutase, catalase, glutathione peroxidase), pro-oxidant enzymes (NAPDH oxidase components), and antioxidant genes in mononuclear cells.
- Measured activity of selected antioxidant enzymes.
- Compared 90 patients with CVD risk factors against 20 healthy controls.
Main Results:
- Patients exhibited elevated OS and pro-oxidant gene expression compared to controls.
- Hypertensive subjects showed the highest OS and pro-oxidant activation, with reduced antioxidant activity and gene induction.
- FH and FCH groups also displayed increased pro-oxidant and decreased antioxidant enzyme activity relative to controls, though less pronounced than in HT.
Conclusions:
- Increased oxidative status in CVD risk factors results from enhanced pro-oxidant activity and diminished antioxidant capacity.
- Dysfunctional antioxidant systems, particularly cytoplasmic ones, significantly contribute to OS, despite thioredoxin system activation attempts.
Abstract:
The objective of the study was to evaluate oxidative stress (OS) status in subjects with different cardiovascular risk factors. With this in mind, we have studied three models of high cardiovascular risk: hypertension (HT) with and without metabolic syndrome, familial hypercholesterolemia (FH) and familial combined hyperlipidemia (FCH) with and without insulin resistance. Oxidative stress markers (oxidized/reduced glutathione ratio, 8-oxo-deoxyguanosine and malondialdehide) together with the activity of antioxidant enzyme triad (superoxide dismutase, catalase, glutathione peroxidase) and activation of both pro-oxidant enzyme (NAPDH oxidase components) and AGTR1 genes, as well as antioxidant enzyme genes (CuZn-SOD, CAT, GPX1, GSR, GSS and TXN) were measured in mononuclear cells of controls (n = 20) and patients (n = 90) by assessing mRNA levels. Activity of some of these antioxidant enzymes was also tested. An increase in OS and pro-oxidant gene mRNA values was observed in patients compared to controls. The hypertensive group showed not only the highest OS values, but also the highest pro-oxidant activation compared to those observed in the other groups. In addition, in HT a significantly reduced antioxidant activity and mRNA induction of antioxidant genes were found when compared to controls and the other groups. In FH and FCH, the activation of pro-oxidant enzymes was also higher and antioxidant ones lower than in the control group, although it did not reach the values obtained in hypertensives. The thioredoxin system was more activated in patients as compared to controls, and the highest levels were in hypertensives. The increased oxidative status in the presence of cardiovascular risk factors is a consequence of both the activation of pro-oxidant mechanisms and the reduction of the antioxidant ones. The altered response of the main cytoplasmic antioxidant systems largely contributes to OS despite the apparent attempt of the thioredoxin system to control it.
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