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Circulating aminopeptidase activities in men and women with essential hypertension
R Sánchez-Agesta Ortega1, J M Arias de Saavedra-Alías, A Liébana-Cañada
1School of Experimental Sciences, Department of Health Sciences, University of Jaén, Campus Universitario Las Lagunillas, E-23071, Jaén, Spain. mramirez@ujaen.es.
Insights
Essential hypertension is linked to altered enzyme activities, particularly in the renin-angiotensin system. These findings offer new insights into hypertension causes and potential therapeutic targets.
Area of Science:
- Biochemistry
- Cardiovascular Medicine
- Endocrinology
Background:
- Essential hypertension significantly contributes to premature morbidity and mortality.
- The fundamental causes of essential hypertension remain largely unknown.
- Proteolytic regulatory enzymes play crucial roles in various physiological processes.
Purpose of the Study:
- To investigate the activity of specific proteolytic enzymes involved in the renin-angiotensin system (RAS), oxytocin, GnRH, TRH, and enkephalin metabolism in essential hypertension.
- To elucidate the role of these enzymes in the mechanisms underlying essential hypertension.
- To explore potential gender differences in enzyme activity and hormone levels related to hypertension.
Main Methods:
- Assayed serum enzyme activities (APA, APN, APB, IRAP, oxytocinase, Pcp, EDA) in 53 individuals with essential hypertension and 60 healthy controls.
- Measured serum levels of gonad hormones (testosterone, estradiol), TSH, and free thyroxin (fT4).
- Analyzed differences in enzyme activities and hormone levels between hypertensive and control groups, considering gender.
Main Results:
- Observed significant differences in specific activities of aminopeptidase A (APA), aminopeptidase N (APN), pyrrolidone carboxypeptidase (Pcp), and enkephalin-degrading activity (EDA) between hypertensive and control groups.
- Found differences in serum gonad hormone levels between the groups.
- Noted gender-specific differences only in Pcp activity.
Conclusions:
- Altered activities of APA and APN suggest changes in the renin-angiotensin system, potentially increasing angiotensin II levels.
- Changes in RAS-regulating enzymes and other neuroendocrine-modulating enzymes are associated with essential hypertension, with minor gender differences.
- Aminopeptidases represent novel targets for understanding and potentially treating essential hypertension.
Abstract:
Essential hypertension is one of the major contributors to premature morbidity and mortality due to the incresased risk for coronary heart disease, stroke, renal disease, peripheral vascular disease and vascular dementia for both men and women. However, its basic causes remain unknown. In the present work we studied the activity of several proteolytic regulatory enzymes related to renin-angiotensin-system (RAS) (aminopeptidase A, APA; aminopeptidase N, APN; aminopeptidase B, APB; and insulin-regulated aminopeptidase, IRAP); with oxytocin regulation (oxytocinase); with the metabolism of GnRH and TRH (pyrrolidone carboxypeptidase, Pcp); and with enkephalins metabolism (enkephalindegrading activity, EDA), to elucidate their role in the mechanisms responsible of essential hypertension and to discuss the possible gender differences. Serum samples of 53 individuals with essential hypertension and 60 healthy volunteers were collected and used to assay enzyme activities, gonad hormones testosterone and estradiol, TSH and free thyroxin (fT4). Differences were observed in APA, APN, Pcp and EDA specific activities, and in serum gonad hormone levels between hypertensive and control groups. Only Pcp activity showed gender differences. Regarding the RAS, APA is reduced while APN is increased, suggesting increased levels of angiotensin II and a facilitation of the conversion of angiotensin III in angiotensin IV. Thus, the changes in several RAS-regulating specific activities and other enzyme activities involved in the neuroendocrine modulation of gonad and stress-related functions are related to essential hypertension with minor gender differences. Therefore, aminopeptidases constitute new elements for the knowledge of the causes of essential hypertension and an alternative as therapeutic targets against the illness.
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