Association of urinary 90 kDa angiotensin- converting enzyme with family history of hypertension and endothelial function in normotensive individuals

Autor: Dejaldo M. J. Christofalo, Marson O, Sergio Aron Ajzen, Fernanda Barrinha Fernandes, Maria do Carmo Franco, Andressa Melina Severino Teixeira, Frida Liane Plavnik, Ricardo Sesso, Dulce Elena Casarini
Přispěvatelé: Universidade Federal de São Paulo (UNIFESP)
Rok vydání: 2008
Předmět:
Zdroj: Repositório Institucional da UNIFESP
Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
ISSN: 1414-431X
0100-879X
DOI: 10.1590/s0100-879x2008005000017
Popis: We described angiotensin-I-converting enzyme (ACE) isoforms with molecular masses of 190, 90, and 65 kDa in the urine of normotensive offspring of hypertensive subjects. Since they did not appear in equal amounts, we suggested that 90 kDa ACE might be a marker for hypertension. We evaluated the endothelial response in normotensive offspring with or without family history of hypertension and its association with the 90 kDa ACE in urine. Thirty-five normotensive subjects with a known family history of hypertension and 20 subjects without a family history of hypertension, matched for age, sex, body weight, and blood pressure, were included in the study. Endothelial function was assessed by ultrasound and a sample of urine was collected for determination of ACE isoforms. In the presence of a family history of hypertension and detection of 90 kDa ACE, we noted a maximal flow mediated dilation of 12.1 ± 5.0 vs 16.1 ± 6.0% in those without a previous history of hypertension and lacking urinary 90 kDa ACE (P < 0.05). In subjects with a family history of hypertension and presenting 90 kDa ACE, there were lower levels of HDL-cholesterol (P < 0.05) and higher levels of triglycerides (P < 0.05). Subjects with 90 kDa ACE irrespective of hypertensive history presented a trend for higher levels of triglycerides and HDL-cholesterol (P = 0.06) compared to subjects without 90 kDa ACE. Our data suggest that the 90 kDa ACE may be a marker for hypertension which may be related to the development of early atherosclerotic changes. Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Departamento de Medicina Fundação Oswaldo Ramos Universidade Federal de São Paulo (UNIFESP) e Hospital do Rim e Hipertensão Departamento de Radiologia UNIFESP, EPM, Depto. de Medicina Fundação Oswaldo Ramos UNIFESP, e Hospital do Rim e Hipertensão Depto. de Radiologia SciELO
Databáze: OpenAIRE