(Na+ + K+) ATPase inhibitors and intracellular electrolytes in essential hypertension
T Iwaoka1, C A Nugent, T Umeda
1Third Department of Internal Medicine, Kumamoto University Medical School, Japan.
Insights
Essential hypertension is linked to increased plasma (Na+ + K+)-ATPase inhibition and lower white blood cell (WBC) potassium levels. This suggests a role for plasma enzyme inhibition in elevated blood pressure and altered WBC ion concentrations.
Area of Science:
- Cardiovascular Physiology
- Hypertension Research
- Cellular Ion Transport
Background:
- Essential hypertension is a complex condition with multifactorial origins.
- Alterations in ion transport and cellular electrolyte concentrations are implicated in hypertension pathophysiology.
- Plasma (Na+ + K+)-ATPase activity and white blood cell (WBC) ion levels are potential biomarkers.
Purpose of the Study:
- To investigate the relationship between plasma (Na+ + K+)-ATPase inhibition, WBC electrolyte concentrations, and blood pressure in essential hypertension.
- To determine if altered ion transport mechanisms contribute to the development of high blood pressure.
Main Methods:
- Comparison of WBC sodium (Na+) and potassium (K+) concentrations, plasma (Na+ + K+)-ATPase inhibition, and blood pressure between normotensive controls and untreated hypertensive patients.
- Statistical analysis to assess correlations between measured parameters.
Main Results:
- Untreated hypertensive patients exhibited significantly lower WBC K+ concentrations compared to normotensive controls.
- Plasma (Na+ + K+)-ATPase inhibition was significantly higher in untreated hypertensive patients.
- A significant, albeit weak, positive correlation was found between plasma (Na+ + K+)-ATPase inhibition and mean blood pressure.
- Higher plasma (Na+ + K+)-ATPase inhibition was associated with increased WBC Na+/K+ ratio in hypertensive patients.
Conclusions:
- Plasma (Na+ + K+)-ATPase inhibition may contribute to elevated blood pressure in a subset of essential hypertension patients.
- This inhibition is associated with altered intracellular potassium concentrations in WBCs.
- These findings highlight a potential cellular mechanism involved in essential hypertension.
Abstract:
White blood cell (WBC) Na+ and K+ concentrations, plasma (Na+ + K+)ATPase inhibition and blood pressure were determined in normotensive control subjects and patients with essential hypertension. While the untreated hypertensive group had significantly lower WBC K+ concentrations than the normotensive group (mean +/- SEM, 121.6 +/- 4.4 vs. 134.7 +/- 2.8 mEq/kg, p less than 0.05), no significant difference was observed in WBC Na+ concentrations between the 2 groups. The mean of plasma (Na+ + K+)-ATPase inhibition in untreated hypertensive patients was higher than that in normotensive controls (14.8 +/- 1.7 vs. 7.2 +/- 1.8%, p less than 0.05). The correlations between (Na+ + K+)ATPase inhibition and mean blood pressure and between WBC Na+/K+ ratio and mean blood pressure were significant (r = 0.278, p less than 0.05 and 0.270, p less than 0.05, respectively), but both were weak. However, untreated hypertensive patients with higher (Na+ + K+)ATPase inhibition had significantly higher WBC Na+/K+ ratios than untreated patients with less (Na+ + K+)ATPase inhibition. These results suggest a contribution of plasma (Na+ + K+)ATPase inhibition in the production of high blood pressure in a subset of patients with essential hypertension, which results in altered intracellular K+ concentrations.
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