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Sodium-lithium countertransport activity in normotensive offspring of hypertensive black Africans
A O Obasohan1, C O Osuji, I A Oforofuo
1Department of Medicine, Uniben/UBTH, Benin City, Nigeria.
Insights
Elevated sodium-lithium countertransport (SLC) activity was observed in hypertensive Nigerians and their normotensive offspring, suggesting a familial predisposition to hypertension. This finding mirrors patterns seen in Caucasian populations.
Area of Science:
- Cardiovascular Research
- Human Genetics
- Biochemistry
Background:
- Hypertension is a significant global health concern with complex etiologies.
- Familial predisposition plays a role in hypertension development.
- Sodium-lithium countertransport (SLC) and erythrocyte sodium (ENa) are potential biomarkers for hypertension risk.
Purpose of the Study:
- To investigate SLC activity and ENa levels in Nigerian hypertensive patients and their normotensive offspring.
- To determine if elevated SLC activity is linked to a familial predisposition to hypertension in Black subjects, similar to findings in Caucasians.
Main Methods:
- A study involving 60 Nigerian subjects of Edo ethnic origin, divided into three groups: untreated hypertensive patients, normotensive offspring of hypertensive parents, and normotensive offspring of normotensive parents.
- SLC activity was measured using a modified Canessa et al. method.
- Erythrocyte sodium (ENa) levels were assessed by flame photometry.
Main Results:
- SLC activity was significantly higher in both hypertensive patients and normotensive offspring of hypertensive parents compared to normotensive offspring of normotensive parents.
- No significant difference in SLC activity was found between hypertensive patients and their normotensive offspring.
- Erythrocyte sodium (ENa) levels were elevated in hypertensive patients compared to both normotensive groups.
Conclusions:
- Elevated SLC activity in normotensive offspring of hypertensive individuals suggests a genetic predisposition to hypertension in Black subjects.
- The observed pattern of SLC activity in Black subjects is similar to that found in Caucasian populations.
- SLC activity may serve as a valuable indicator of familial hypertension risk across different ethnic groups.
Objective:
To assess sodium-lithium countertransport (SLC) activity and erythrocyte sodium (ENa) levels in black (Nigerian) hypertensive (HT) patients, normotensive (NT) offspring of hypertensive parents and normotensive offspring of normotensive parents, and to determine if increased SLC activity is related to a familial predisposition to hypertension in black subjects as in Caucasians.
Method:
The study was done using 60 Nigerian subjects of Edo ethnic origin in three groups of 20 each: (a) untreated new HT patients at the University Teaching Hospital, Benin City; (b) NT children of hypertensive parents (NTHT) traced home and matched for age, sex and body mass index (BMI) with (c) NT children of NT parents (NTNT). SLC activity was measured using a modified method of Canessa et al 1980 and ENa assessed by flame photometry.
Results:
SLC was markedly higher in both HT patients and NTHT subjects than the NTNT subjects. The values were 0.351+/-0.011 vs 0.199+/-0.014 mmol Li/rbc (P < 0.0001) and 0.347+/-0.020 vs 0.199+/-0.014 mmol Li/rbc/hr (P < 0.0001), respectively. The values were not different between the HT and the NTHT group (P > 0.05). ENa was higher in the HT group than both NT groups which were similar. Values were 10.55+/-0.46 (HT) vs 7.78+/-0.62 (NTHT) (P < 0.0001) and 10.55+/-0.46 (HT) vs 8.62+/-0.47 mmol/L (P < 0.0001). There were no correlations between either SLC activity or ENa and any of the other measured variables such as age or BMT.
Conclusions:
SLC activity was elevated in normotensive children of hypertensive subjects to a similar degree as hypertensive patients and in a pattern reminiscent of that seen in Caucasians. SLC activity may thus be associated with a familial predisposition to hypertension in black subjects as in their Caucasian counterparts.
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