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Monocyte Low-Density Lipoprotein Receptor-Related Protein 1 (LRP1) Expression Correlates with cIMT in Mexican
Ricardo Gamboa1, María José Jaramillo-Estrella1, María Del Rocio Martínez-Alvarado1
1Instituto Nacional de Cardiologia Ignacio Chavez, Ciudad de México - México.
Insights
Essential hypertension is linked to increased carotid intima-media thickness (cIMT) and higher expression of LRP1 mRNA and protein in monocytes. This suggests LRP1 upregulation may contribute to elevated cIMT in hypertensive patients.
Area of Science:
- Cardiovascular Research
- Molecular Medicine
- Hypertension Studies
Background:
- Arterial hypertension (HTA) is a significant risk factor for cardiovascular disease.
- The precise molecular mechanisms underlying essential hypertension remain unclear.
Purpose of the Study:
- To investigate the association between LRP1 monocyte expression (mRNA and protein) and carotid intima-media thickness (cIMT) in essential hypertension patients.
- To explore the role of LRP1 in the development of hypertension-related cardiovascular changes.
Main Methods:
- Quantified LRP1 monocyte mRNA and protein expression, and cIMT in 200 Mexican subjects (91 normotensive, 109 hypertensive).
- Utilized statistical analysis with significance defined as p < 0.05.
- Investigated the effect of Angiotensin II (Ang II) on LRP1 expression in monocytes.
Main Results:
- Hypertensive patients exhibited significantly greater cIMT compared to normotensive individuals (p=0.002).
- Increased LRP1 mRNA (6.54 vs. 2.87, p=0.002) and protein expression (17.83 vs. 6.25, p=0.001) were observed in hypertensive patients.
- These associations persisted even when dyslipidemia was considered, and Ang II demonstrated a dose- and time-dependent induction of LRP1 on monocytes.
Conclusions:
- Elevated cIMT in hypertensive subjects is associated with increased monocyte LRP1 mRNA and protein expression, independent of dyslipidemia.
- LRP1 upregulation in monocytes may play a role in the increased cIMT observed in Mexican hypertensive patients.
Background:
Arterial hypertension (HTA) represents a major risk factor for cardiovascular morbidity and mortality. It is not yet known which specific molecular mechanisms are associated with the development of essential hypertension.
Objective:
In this study, we analyzed the association between LRP1 monocyte mRNA expression, LRP1 protein expression, and carotid intima media thickness (cIMT) of patients with essential hypertension.
Methods:
The LRP1 monocyte mRNA expression and protein levels and cIMT were quantified in 200 Mexican subjects, 91 normotensive (NT) and 109 hypertensive (HT). Statistical significance was defined as p < 0.05.
Results:
HT patients group had highly significant greater cIMT as compared to NT patients (p=0.002) and this correlated with an increase in the expression of LRP1 mRNA expression (6.54 vs. 2.87) (p = 0.002) and LRP1 protein expression (17.83 vs. 6.25), respectively (p = 0.001). These differences were maintained even when we divided our study groups, taking into account only those who presented dyslipidemia in both, mRNA (p = 0.041) and proteins expression (p < 0.001). It was also found that Ang II mediated LRP1 induction on monocytes in a dose and time dependent manner with significant difference in NT vs. HT (0.195 ± 0.09 vs. 0.226 ± 0.12, p = 0.046).
Conclusion:
An increase in cIMT was found in subjects with hypertension, associated with higher mRNA and LRP1 protein expressions in monocytes, irrespective of the presence of dyslipidemias in HT patients. These results suggest that LRP1 upregulation in monocytes from Mexican hypertensive patients could be involved in the increased cIMT. (Arq Bras Cardiol. 2021; 116(1):56-65).
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