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Perindopril Induces TSP-1 Expression in Hypertensive Patients with Endothelial Dysfunction in Chronic Treatment
Valentina Buda1, Minodora Andor2, Lucian Petrescu3
1Faculty of Pharmacy, Victor Babeş University of Medicine and Pharmacy, 2 EftimieMurgu, 300041 Timisoara, Romania. buda.valentina.oana@gmail.com.
Insights
Perindopril treatment increased plasma levels of Thrombospondin-1 (TSP-1) in hypertensive patients with endothelial dysfunction. This finding highlights TSP-1 as a biomarker for Perindopril
Area of Science:
- Cardiovascular Research
- Pharmacology
- Biomarker Discovery
Background:
- Thrombospondin-1 (TSP-1) is an angiogenesis inhibitor with complex roles in cardiovascular disorders (CVDs).
- Its precise function in CVD physiopathology is not fully understood, potentially due to its multiple cellular interactions.
- TSP-1 influences NO-mediated signaling, angiogenesis, tissue perfusion, and endothelial cell proliferation.
Purpose of the Study:
- To quantify the effect of Perindopril on plasma TSP-1 levels in hypertensive patients with endothelial dysfunction.
- To compare Perindopril's effect on TSP-1 with other antihypertensive drugs (beta-blockers, calcium channel blockers, diuretics).
Main Methods:
- A comparative study involving hypertensive patients with endothelial dysfunction undergoing chronic treatment.
- Quantification of plasma TSP-1 levels in patients treated with Perindopril, other antihypertensives, and a control group.
Main Results:
- Patients treated with Perindopril exhibited significantly increased plasma TSP-1 levels.
- TSP-1 levels in the Perindopril group were higher compared to both other hypertensive patients and the control group.
Conclusions:
- Perindopril treatment leads to elevated plasma TSP-1 levels in hypertensive patients with endothelial dysfunction.
- This suggests TSP-1 as a biomarker reflecting the pleiotropic, anti-proliferative, and anti-inflammatory effects of Perindopril.
Abstract:
Thrombospondin-1 (TSP-1) is a potent endogenous inhibitor of both physiological and pathological angiogenesis, widely studied as a target in drug development for treating cancer. Several studies performed in the cardiovascular field on TSP-1 are contradictory, the role of TSP-1 in the physiopathology of cardiovascular disorders (CVDs) being, for the moment, incompletely understood and may be due to the presence of several domains in its structure which can stimulate many cellular receptors. It has been reported to inhibit NO-mediated signaling and to act on the angiogenesis, tissue perfusion, endothelial cell proliferation, and homeostasis, so we aimed to quantify the effect Perindopril has on TSP-1 plasma levels in hypertensive patients with endothelial dysfunction in comparison with other antihypertensive drugs, such as beta blockers, calcium channel blockers, and diuretics, in a chronic treatment. As a conclusion, patients under treatment with Perindopril had increased plasma levels of TSP-1 compared with other hypertensive patients and with the control group. The results of this study confirms the pleiotropic properties of Perindopril: anti-proliferative, anti-inflammatory, with effects showed by quantifying a single biomarker: TSP-1.
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