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Published on: February 25, 2016
Serum Superoxide Dismutase Is Associated with Vascular Structure and Function in Hypertensive and Diabetic Patients
Manuel A Gómez-Marcos1, Ana M Blázquez-Medela2, Luis Gamella-Pozuelo2
1Research Unit, Primary Care Centre La Alamedilla, SACYL, Avenida de los Comuneros 27, 37003 Salamanca, Spain.
Insights
Serum superoxide dismutase (SOD) levels correlate with vascular changes in hypertensive and diabetic patients. Lower SOD indicates poorer vascular health, highlighting its role as a cardiovascular risk marker.
Area of Science:
- Cardiovascular Medicine
- Biochemistry
- Endocrinology
Background:
- Oxidative stress contributes to cardiovascular diseases like hypertension and atherosclerosis.
- Superoxide dismutase (SOD) is a key intracellular antioxidant defense mechanism.
- Existing research links vascular parameters to cardiovascular risk, but SOD's role in hypertensive and diabetic patients is unexplored.
Purpose of the Study:
- To investigate the correlation between serum SOD levels and vascular function/structure parameters.
- To assess SOD's association with cardiovascular risk in patients with hypertension and type 2 diabetes.
Main Methods:
- Enrolled 255 hypertensive and diabetic patients and 52 controls.
- Measured serum SOD levels using an enzyme-linked immunosorbent assay kit.
- Evaluated vascular parameters: pulse wave velocity, augmentation index, ambulatory arterial stiffness index, and carotid intima-media thickness.
Main Results:
- Serum SOD showed negative correlations with pulse wave velocity, augmentation index, ambulatory arterial stiffness index, pulse pressure, and HDL-cholesterol.
- Positive correlations were observed between SOD and plasma uric acid and triglycerides.
- These findings suggest SOD levels reflect vascular alterations.
Conclusions:
- Serum SOD levels are significantly correlated with vascular structure and function parameters in hypertensive and diabetic patients.
- Changes in serum SOD levels serve as a marker for cardiovascular alterations in this patient population.
Abstract:
Oxidative stress is associated with cardiac and vascular defects leading to hypertension and atherosclerosis, being superoxide dismutase (SOD) one of the main intracellular antioxidant defence mechanisms. Although several parameters of vascular function and structure have a predictive value for cardiovascular morbidity-mortality in hypertensive patients, there are no studies on the involvement of SOD serum levels with these vascular parameters. Thus, we assessed if SOD serum levels are correlated with parameters of vascular function and structure and with cardiovascular risk in hypertensive and type 2 diabetic patients. We enrolled 255 consecutive hypertensive and diabetic patients and 52 nondiabetic and nonhypertensive controls. SOD levels were measured with an enzyme-linked immunosorbent assay kit. Vascular function and structure were evaluated by pulse wave velocity, augmentation index, ambulatory arterial stiffness index, and carotid intima-media thickness. We detected negative correlations between SOD and pressure wave velocity, peripheral and central augmentation index and ambulatory arterial stiffness index, pulse pressure, and plasma HDL-cholesterol, as well as positive correlations between SOD and plasma uric acid and triglycerides. Our study shows that SOD is a marker of cardiovascular alterations in hypertensive and diabetic patients, since changes in its serum levels are correlated with alterations in vascular structure and function.
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