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.

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