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Reduced plasma cortistatin is related to clinical parameters in patients with essential hypertension
Wenjia Chen1, Yu Fu1, Yuanyuan Jin1
1Department of Cardiology, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Insights
Plasma Cortistatin (CST) levels are lower in hypertensive patients, suggesting CST may be a protective target for managing hypertension and improving blood pressure control.
Area of Science:
- Cardiovascular Research
- Endocrinology
- Hypertension Studies
Background:
- Cortistatin (CST) is an endogenous polypeptide with known cardiovascular protective effects.
- The specific role of CST in the context of hypertension is not well-established.
- Investigating CST levels in hypertensive individuals is crucial for understanding its potential involvement.
Purpose of the Study:
- To determine plasma CST levels in patients with essential hypertension compared to normotensive individuals.
- To explore the correlation between plasma CST levels and blood pressure.
- To analyze the relationship between CST and metabolic parameters, and cardiac structure/function.
Main Methods:
- A hospital-based study involving 81 essential hypertension patients and 75 normotensive subjects.
- Measurement of plasma CST levels using enzyme-linked immunosorbent assay (ELISA).
- Collection of data on blood pressure, metabolic indicators (TC, TGs, FGB, Scr), and cardiac parameters.
Main Results:
- Plasma CST levels were significantly lower in hypertensive patients compared to controls.
- Hypertensive patients with uncontrolled blood pressure exhibited lower CST levels than those with controlled blood pressure.
- Plasma CST showed a significant negative correlation with systolic blood pressure (SBP) and serum creatinine (Scr).
Conclusions:
- Reduced circulating CST concentrations are associated with hypertension.
- Elevated CST levels were observed following blood pressure control in hypertensive patients.
- CST emerges as a potential endogenous protective factor and therapeutic target for hypertension.
Background:
Cortistatin (CST), an endogenous bioactive polypeptide, has been acknowledged for its protective effect against several cardiovascular diseases, but its relationship with hypertension remains unclear. Therefore, we aimed to investigate changes in plasma CST in hypertensive patients and further analyze correlations with blood pressure, metabolic parameters and left ventricular structure and function.
Methods:
In this hospital-based study, basic information and plasma samples for evaluating clinically relevant indicators such as total cholesterol (TC), triglycerides (TGs), fasting blood glucose (FGB), serum creatinine (Scr) and CST were collected from 81 essential hypertension patients and 75 normotensive subjects. Plasma CST levels were examined by enzyme-linked immunosorbent assay (ELISA).
Results:
Compared with normotensive subjects, plasma CST was significantly lower in hypertensive patients. Plasma CST levels in hypertensive patients without blood pressure control was significantly lower than those of hypertensive patients with blood pressure control. Plasma CST levels were significantly negatively correlated with SBP and serum creatinine (Scr) in the overall population. Furthermore, multivariate logistic regression analysis showed that the OR of CST for hypertension was 0.64 using the unadjusted model, and there was still statistical significance using the four-adjusted model.
Conclusions:
The circulating concentration of CST was significantly lower in hypertensive patients and was higher after blood pressure control, suggesting that CST may be a new endogenous protective target for hypertension.
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