Related Experiment Video
Updated: Apr 23, 2026

Author Spotlight: Exploring Huotan Jiedu Tongluo Decoction as an Antihypertensive Drug
Published on: May 17, 2024
Protection from vascular endothelial dysfunction in acute glycemic load-induced primary hypertension by vitamin C and
1Department of Geratology, Fuzhou General Hospital, Fujian Medical University, Fuzhou, Fujian, China.
Insights
Acute high blood sugar impairs vascular endothelial function, particularly in hypertensive patients. However, high doses of antioxidant vitamins C and E can reverse this damage, showing a protective effect.
Area of Science:
- Cardiovascular Research
- Nutritional Science
- Endocrinology
Background:
- Hypertension is linked to impaired vascular endothelial function.
- Acute glycemic load can negatively affect endothelial function.
- Antioxidant vitamins may offer protection against endothelial dysfunction.
Purpose of the Study:
- To investigate the impact of acute glycemic load on endothelial function in hypertensive patients.
- To assess the protective effects of vitamins C and E against glycemic load-induced endothelial damage.
Main Methods:
- Randomized controlled trial involving 39 hypertensive patients and 21 normal subjects.
- Administration of oral glucose, glucose with vitamin C, or glucose with vitamins C and E.
- Assessment of brachial artery flow-mediated vasodilation using Doppler ultrasound.
- Measurement of serum antioxidant products over a 3-hour period.
Main Results:
- Glycemic load significantly decreased endothelial function in hypertensive patients compared to normal subjects.
- Vitamins C and E demonstrated a dose-dependent protective effect on endothelial function.
- High doses of vitamins C and E reversed the acute endothelial damage caused by glycemic load.
Conclusions:
- Acute hyperglycemia adversely affects vascular endothelial function, especially in individuals with hypertension.
- Antioxidant vitamins C and E can mitigate the detrimental effects of glycemic load on endothelial function.
- Therapeutic potential of high-dose antioxidant vitamins in managing hypertension-related vascular complications.
Abstract:
This study aimed to investigate the influence of acute glycemic load on vascular endothelial function in patients with hypertension and to evaluate the protective effect of vitamins C and E during the acute glycemic phase. We randomly selected 39 hypertensive patients and 21 normal subjects and divided them into 3 groups: 75 g oral glucose (glycemic load group), 75 g glucose+0.9 g vitamin C (VC group), 75 g glucose+2 g vitamin C+0.8 g vitamin E (VC+VE group). Extravascular color Doppler ultrasound was used to detect brachial artery flow-mediated vasodilation at 0, 1, 2, and 3 h, and, at the same time, serum anti-oxidant products were measured. Basic endothelial functions in patients with hypertension were decreased in the glycemic load group (9.48±3.33 versus 13.09±6.78%, P<0.05), and was even more depressed in the hypertensive group (9.48±3.33 versus 14.20±6.48%, P<0.05). Antioxidant vitamins played a dose-dependent protective role on acute damage of endothelial function due to glycemic load. Acute high blood sugar damaged vascular endothelial functions, especially in hypertensive patients, but this effect can be reversed by large doses of vitamin C and E.
Related Concept Videos
Hypertension II: Pathophysiology
Hypertension and Regulation of Blood Pressure
Hypertension I: Introduction
Hypertension IV: Drug Therapy and Lifestyle Modifications
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors
Hypertension III: Clinical Manifestations and Diagnostic Studies

