Serum uromodulin is inversely associated with arterial hypertension and the vasoconstrictive prohormone CT-proET-1 in the population-based KORA F4 study

Autor: Juergen E. Scherberich, Andreas Lechner, Cornelia Then, Holger Then, Barbara Thorand, Wolfgang Rathmann, Wolfgang Koenig, Christa Meisinger, Martin Bidlingmaier, Margit Heier, Martin Reincke, Jochen Seissler, Annette Peters
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Prohormone
Myocardial Infarction
030232 urology & nephrology
Blood Pressure
030204 cardiovascular system & hematology
Vascular Medicine
Biochemistry
chemistry.chemical_compound
Mathematical and Statistical Techniques
0302 clinical medicine
Renin
Medicine and Health Sciences
Lipid Hormones
Myocardial infarction
Aldosterone
Stroke
education.field_of_study
Multidisciplinary
Endothelin-1
Organic Compounds
Monosaccharides
Statistics
Chemistry
Hypertension
Physical Sciences
Cardiology
Regression Analysis
Medicine
Female
Anatomy
Research Article
medicine.drug
medicine.medical_specialty
Science
Population
Carbohydrates
Linear Regression Analysis
Research and Analysis Methods
Nephropathy
03 medical and health sciences
Internal medicine
Uromodulin
Renin–angiotensin system
medicine
Humans
ddc:610
Statistical Methods
education
Aged
business.industry
Organic Chemistry
Chemical Compounds
Biology and Life Sciences
Kidneys
Prohormones
Renal System
medicine.disease
Peptide Fragments
Hormones
Glucose
Blood pressure
chemistry
business
Mathematics
Zdroj: PLoS ONE 15:e0237364 (2020)
PLoS ONE, Vol 15, Iss 8, p e0237364 (2020)
PLoS ONE
Popis: ObjectivesUromodulin has been associated with arterial hypertension in genome-wide association studies, but data from clinical and preclinical studies are inconsistent. We here analyzed the association of serum uromodulin (sUmod) with arterial hypertension and vasoactive hormones in a population-based study.MethodsIn 1108 participants of the KORA F4 study aged 62-81 years, sUmod was measured and the association of sUmod with arterial hypertension was assessed using logistic regression models. The associations of sUmod with renin and aldosterone and with the vasoconstrictive prohormone C-terminal pro-endothelin-1 (CT-proET-1) were analyzed in 1079 participants and in 618 participants, respectively, using linear regression models.ResultsAfter multivariable adjustment including sex, age, eGFR, BMI, fasting glucose, current smoking, previous stroke and myocardial infarction, sUmod was inversely associated with arterial hypertension (OR 0.78; 95% CI 0.68-0.91; p = 0.001). SUmod was not significantly associated with renin and aldosterone after adjustment for sex, age and eGFR. However, sUmod was inversely associated with CT-proET-1 (β -0.19 ± 0.04; p < 0.001) after adjustment for sex, age, eGFR, BMI, arterial hypertension, fasting glucose, current smoking, previous stroke and myocardial infarction. The association with CT-proET-1 was stronger in participants with hypertension (β -0.22 ± 0.04) than in normotensive participants (β -0.13 ± 0.06; p for interaction hypertension = 0.003 in the model adjusted for hypertension).ConclusionsSUmod was inversely associated with arterial hypertension and the vasoconstrictive prohormone CT-proET-1, suggesting direct or indirect effects of sUmod on blood pressure regulation.
Databáze: OpenAIRE