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Serum Presepsin Levels Are Not Elevated in Patients with Controlled Hypertension
Ismail Biyik1, Fatma Nihan Turhan Caglar2, Nilgun Isiksacan3
1Department of Cardiology, School of Medicine, Education and Research Hospital, Uşak University, Uşak, Turkey.
Insights
Presepsin (PSP) levels were lower in hypertension patients than controls. This novel inflammation biomarker may be affected by antihypertensive medications, suggesting a link between inflammation and blood pressure management.
Area of Science:
- Cardiology
- Immunology
- Biochemistry
Background:
- Hypertension (HT) is a prevalent condition linked to cardiovascular disease.
- Inflammation is recognized as a significant factor in HT pathogenesis.
- Presepsin (PSP), a novel inflammation biomarker, warrants investigation in HT.
Purpose of the Study:
- To investigate the relationship between presepsin (PSP) levels and hypertension (HT).
- To explore PSP as a potential biomarker in the context of HT and inflammation.
Main Methods:
- A comparative study involving 48 patients with controlled HT and 48 healthy controls.
- Measurement of PSP levels in peripheral venous blood samples.
- Analysis of routine clinical and laboratory data, including hsCRP and WBC.
Main Results:
- PSP levels were significantly lower in the HT group compared to controls (p=0.011).
- PSP showed a positive correlation with hsCRP in both groups (p=0.015 and p=0.009).
- No significant correlation was found between PSP and WBC in either group.
Conclusions:
- Presepsin (PSP) levels are not elevated in well-controlled hypertensive patients.
- Lower PSP levels in HT patients may be influenced by the anti-inflammatory effects of antihypertensive medications.
Introduction:
Hypertension (HT) is a common serious condition associated with cardiovascular morbidity and mortality. The pathogenesis of HT is multifactorial and has been widely investigated. Besides the vascular, hormonal, and neurological factors, inflammation plays a crucial role in HT. Many inflammatory markers such as C-reactive protein, cytokines, and adhesion molecules have been studied in HT, which supported the role of inflammation in the pathogenesis of HT. Presepsin (PSP) is a novel biomarker of inflammation. Therefore, the potential relationship between PSP and HT was investigated in this study.
Methods:
Forty-eight patients with controlled HT and 48 controls without HT were included in our study. Besides routine clinical and laboratory data, PSP levels were measured in peripheral venous blood samples from all the participants.
Results:
PSP levels were significantly lower in patients with HT than in controls (144.98 ± 75.98 versus 176.67 ± 48.12 pg/mL, p = 0.011). PSP levels were positively correlated with hsCRP among both the patient and the control groups (p = 0.015 and p = 0.009, resp.). However, PSP levels were not correlated with WBC among both groups (p = 0.09 and p = 0.67, resp.).
Conclusions:
PSP levels are not elevated in patients with well-controlled HT compared to controls. This result may be associated with anti-inflammatory effects of antihypertensive medicines.
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