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Updated: May 17, 2026

Imaging Leukocyte Adhesion to the Vascular Endothelium at High Intraluminal Pressure
Published on: August 23, 2011
Circulating levels of cell adhesion molecules in hypertension
Kavita K Shalia1, Manoj R Mashru, Jagdish B Vasvani
1Sir H. N. Medical Research Society, Sir H. N. Hospital and Research Centre, Raja Rammohan Roy Road, Mumbai, 400 004 India.
Insights
Newly diagnosed hypertension elevates key inflammatory cell adhesion molecules (CAMs), increasing atherothrombosis risk, especially in younger individuals. This study highlights CAMs
Area of Science:
- Cardiovascular Medicine
- Inflammation Biology
- Hypertension Research
Background:
- Hypertension is a major risk factor for cardiovascular complications like atherosclerosis and thrombosis.
- Inflammatory processes, mediated by cell adhesion molecules (CAMs), play a crucial role in these complications.
Purpose of the Study:
- To investigate the levels of specific soluble CAMs in newly diagnosed hypertensive patients compared to normotensive controls.
- To explore the relationship between CAM levels and age in hypertensive individuals.
Main Methods:
- Analysis of soluble endothelial (E)-selectin, platelet (P)-selectin, intercellular CAM-1 (ICAM-1), vascular CAM-1 (VCAM-1), and platelet endothelial CAM-1 (PECAM-1) levels.
- Enzyme-linked immunosorbent assay (ELISA) used to quantify soluble CAMs.
- Study included 57 newly diagnosed hypertensive subjects and 57 healthy normotensive controls.
Main Results:
- Significantly elevated median levels of soluble E-selectin, P-selectin, and ICAM-1 were observed in hypertensive subjects compared to controls.
- A significant negative correlation was found between soluble P-selectin and age, and between soluble PECAM-1 and age in the hypertension group.
Conclusions:
- Hypertension is associated with increased expression of certain cell adhesion molecules.
- Younger hypertensive individuals may face a heightened risk of atherothrombosis due to altered CAM profiles.
Abstract:
Hypertension causes complications such as coronary atherosclerosis and thrombosis wherein inflammatory factors play significant role. In the present study inflammatory molecules such as cell adhesion molecules (CAMs); endothelial (E)-selectin, platelet (P)-selectin, intercellular CAM-1 (ICAM-1), vascular CAM-1 (VCAM-1) and platelet endothelial CAM-1 (PECAM-1) were analysed in subjects newly diagnosed with hypertension with no secondary cause against normotensive healthy individuals. In each group 57 subjects were recruited and soluble (s) levels of CAMs were analysed by ELISA. As compared to controls median of sE-selectin (49.2%, P=0.001), sP-selectin (54.3%, P=0.001), and sICAM-1 (18.9%, P=0.012) were significantly elevated in hypertensive subjects. Significant negative correlation was observed of sP-selectin (spearman rank correlation coefficient (rs) =-0.345, p=0.027) and sPECAM-1 (rs =-0.446, p=0.003) with age in hypertension group. Hypertension may increase expression of certain CAMs while younger hypertensives in addition are also at increased risk of atherothrombosis.
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