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Published on: January 22, 2020
Vascular endothelial growth factor polymorphism (-460 T/C) is related to hypertension-associated chronic kidney
Anna Małkiewicz1, Jolanta Myśliwska1, Maria Skrzypkowska1
1a Department of Immunology , Medical University of Gdańsk , Gdańsk , Poland.
Insights
The vascular endothelial growth factor (VEGF) -460 TT genotype is linked to higher immature endothelial progenitor cells (EPCs) and worse kidney function in hypertensive patients. This suggests a potential predisposition to hypertension-related chronic kidney disease.
Area of Science:
- Cardiovascular Research
- Nephrology
- Genetics
Background:
- Endothelial progenitor cells (EPCs) play a crucial role in vascular health.
- The vascular endothelial growth factor (VEGF) -460 C/T polymorphism is associated with various cardiovascular conditions.
- Hypertension is a major risk factor for chronic kidney disease (CKD).
Purpose of the Study:
- To characterize EPCs in normotensive and hypertensive individuals with the VEGF -460 C/T polymorphism.
- To investigate if this polymorphism predisposes to hypertension-related CKD.
Main Methods:
- Genotyping for VEGF -460 C/T polymorphism.
- Flow cytometry to analyze EPC phenotypes (CD34+, CD34+CD45dim, CD34+CD133+CD45dim).
- Assessment of renal function parameters: estimated glomerular filtration rate (eGFR), creatinine, and blood urea nitrogen (BUN).
Main Results:
- Hypertensive patients with the TT genotype exhibited significantly higher levels of immature EPCs with specific phenotypes.
- The TT genotype group showed significantly lower eGFR and higher creatinine and BUN levels compared to other genotypes.
- These findings suggest a correlation between the VEGF -460 TT genotype and impaired renal function in hypertensive individuals.
Conclusions:
- The VEGF -460 TT genotype may be associated with increased mobilization of EPCs.
- This mobilization might indicate a higher risk or severity of hypertension-related renal complications.
- Further research is warranted to confirm the role of VEGF polymorphism in hypertension-induced CKD pathogenesis.
Abstract:
Our aim was to characterize the endothelial progenitor cells (EPCs) in normotensive controls and treated hypertensive individuals within the vascular endothelial growth factor (VEGF) -460 C/T polymorphism as well as to investigate whether this polymorphism predisposes to hypertension-related chronic kidney disease. The hypertensive patients bearing the TT genotype had the highest levels of immature EPC with the following phenotypes: CD34(+), CD34(+)CD45(dim), CD34(+)CD133(+)CD45(dim). The study showed the estimated glomerular filtration rate values significantly lower and creatinine and BUN parameters higher among the TT hypertensive patients. We presume that the highest mobilization of EPCs from bone marrow may signalize more severe renal hypertension-related complications in the VEGF -460 TT genotype.
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