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Platelet cytosolic free calcium in essential hypertension: responses to vasopressin
A F Dominiczak1, J J Morton, G Murray
1MRC Blood Pressure Unit, Western Infirmary, Glasgow, Scotland, U.K.
Insights
Essential hypertension patients show normal resting platelet calcium but a blunted response to arginine vasopressin when extracellular calcium is present. Drug treatment for hypertension correlated with changes in platelet calcium levels.
Area of Science:
- Cardiovascular Physiology
- Cellular Biology
Background:
- Essential hypertension is a complex cardiovascular condition.
- Platelet calcium homeostasis plays a role in vascular function.
Purpose of the Study:
- To investigate platelet free calcium concentrations in essential hypertension.
- To assess the effect of arginine vasopressin on platelet calcium in hypertensive patients.
- To examine the impact of antihypertensive drugs on platelet calcium.
Main Methods:
- Measurement of platelet free calcium using the fluorescent probe quin2.
- Stimulation of platelets with arginine vasopressin in the presence and absence of extracellular calcium.
- Correlation analysis of blood pressure changes with platelet calcium alterations after drug treatment.
Main Results:
- No significant difference in resting cytosolic free calcium between hypertensive and normotensive groups.
- Arginine vasopressin induced a significantly lower increase in platelet free calcium in hypertensive patients compared to controls when extracellular calcium was present.
- Absence of extracellular calcium abolished the difference in response between groups.
- Reductions in systolic blood pressure after verapamil or atenolol treatment correlated with changes in platelet cytosolic free calcium.
Conclusions:
- Essential hypertension is not associated with altered resting platelet calcium levels.
- Hypertensive patients exhibit impaired platelet calcium mobilization in response to arginine vasopressin, particularly when extracellular calcium is available.
- Antihypertensive therapy may influence platelet calcium dynamics, suggesting a potential link between blood pressure control and cellular calcium handling.
Abstract:
1. Resting and stimulated free calcium concentrations have been measured in platelets loaded with the fluorescent probe quin2 from 30 patients with essential hypertension and from 30 age-matched controls. 2. Cytosolic free calcium concentrations were 94.6 +/- 2.7 (mean +/- SEM) in the hypertensive group and 91.7 +/- 2.8 nmol/l in the normotensive group, the difference was not significant. 3. Arginine vasopressin caused a transient increase in platelet free calcium concentration in all subjects. In the presence of extracellular calcium the increase was significantly higher in the control subjects than in the hypertensive patients (P = 0.005). In the absence of extracellular calcium, arginine vasopressin caused much smaller increases, and there was then no difference between the responses of the two groups. 4. Platelet free calcium concentrations were measured again in 13 patients after 8 weeks treatment with either verapamil (n = 6) or atenolol (n = 7). The reductions in systolic pressure after drug treatment were correlated with the changes in cytosolic free calcium concentrations (r = 0.75, P less than 0.01).
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