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Association between circulating endostatin, hypertension duration, and hypertensive target-organ damage
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2013 (Engelska)Ingår i: Hypertension, ISSN 0194-911X, E-ISSN 1524-4563, Vol. 62, nr 6, s. 1146-1151Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Our aim is to study associations between circulating endostatin, hypertension duration, and hypertensive target-organ damage. Long-term hypertension induces cardiovascular and renal remodeling. Circulating endostatin, a biologically active derivate of collagen XVIII, has been suggested to be a relevant marker for extracellular matrix turnover and remodeling in various diseases. However, the role of endostatin in hypertension and hypertensive target-organ damage is unclear. Serum endostatin was measured in 2 independent community-based cohorts: the Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS; women 51%; n=812; mean age, 75 years) and the Uppsala Longitudinal Study of Adult Men (ULSAM; n=785; mean age, 77.6 years). Retrospective data on blood pressure measurements and antihypertensive medication (PIVUS >5 years, ULSAM >27 years), and cross-sectional data on echocardiographic left ventricular mass, endothelial function (endothelium-dependent vasodilation assessed by the invasive forearm model), and urinary albumin/creatinine ratio were available. In PIVUS, participants with ≥5 years of history of hypertension portrayed 0.42 SD (95% confidence interval, 0.23-0.61; P<0.001) higher serum endostatin, compared with that of normotensives. This association was replicated in ULSAM, in which participants with 27 years hypertension duration had the highest endostatin (0.57 SD higher; 95% confidence interval, 0.35-0.80; P<0.001). In addition, higher endostatin was associated with higher left ventricular mass, worsened endothelial function, and higher urinary albumin/creatinine ratio (P<0.03 for all) in participants with prevalent hypertension. Circulating endostatin is associated with the duration of hypertension, and vascular, myocardial, and renal indices of hypertensive target-organ damage. Further studies are warranted to assess the prognostic role of endostatin in individuals with hypertension.

Ort, förlag, år, upplaga, sidor
2013. Vol. 62, nr 6, s. 1146-1151
Nyckelord [en]
angiogenesis effects; antiangiogenesis effects; cohort study; endothelial cells; epidemiology; extracellular matrix; Sweden; vascular stiffness
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Klinisk medicin
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Identifikatorer
URN: urn:nbn:se:du-13378DOI: 10.1161/HYPERTENSIONAHA.113.02250ISI: 000326919300036PubMedID: 24082055OAI: oai:DiVA.org:du-13378DiVA, id: diva2:669011
Tillgänglig från: 2013-12-02 Skapad: 2013-11-29 Senast uppdaterad: 2017-12-06Bibliografiskt granskad

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Ärnlöv, Johan

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