J Hypertens:胶原生物标志物预测血压正常者的新发高血压!

2018-05-21 xing.T MedSci原创

由此可见,ECM重塑的生物标志物可预测没有明显CVD的血压正常的受试者高血压的发生。

与细胞外基质(ECM)增加相关的血管重塑发生可能先于高血压。Ⅲ型前胶原N端前肽(PIIIN)和I型胶原羧基端肽(ICTP)反映胶原周转情况,在ECM重塑中起重要作用。PIINP和ICTP在心血管疾病(CVD)中有所增加。近日,高血压领域权威杂志Journal of Hypertension上发表了一篇研究文章,研究人员假设PYINP和ICTP在正常血压个体中可预测高血压的发生。

研究人员纳入了1252名动脉粥样硬化多民族研究的参与者,平均年龄为58.1±12.4岁,48%为男性,没有明显的CVD,SBP和DBP小于130/85mmHg,未使用任何降压药物,对血浆PIIIP和ICTP水平进行测量,均在基线进行评估。研究人员分析了基线PIIINP和ICTP与发生高血压的相对发生密度(RID)之间的关联,高血压定义为SBP/DBP至少140/90mmHg,或在随访期间接受抗高血压治疗(中位数随访时间为9.4年,期间进行了四次评估)。

基线平均SBP/DBP为110.9±14/67.9±10.4mmHg。PIINP的平均浓度为5.39±1.95μg/L,ICTP为3.18±1.39μg/L,随访期间,35.9%的患者出现高血压。调整年龄、种族和性别后,新发高血压对于PIINP的RID为1.16(1.06-1.28),P=0.0017,对于ICTP的RID为1.20(1.08-1.33),P=0.0008。对肾功能、CVD危险因素和炎性因子作进一步调整后,新发高血压对于PIINP的RID为1.28(1.15-1.42),P<0.001,对于ICTP的RID为1.29(1.15-1.44),P<0.0001。

由此可见,ECM重塑的生物标志物可预测没有明显CVD的血压正常的受试者高血压的发生。

原始出处:

Duprez, Daniel,et al. Collagen biomarkers predict new onset of hypertension in normotensive participants: the Multi-Ethnic Study of Atherosclerosis.Journal of Hypertension. 2018. https://journals.lww.com/jhypertension/Abstract/publishahead/Collagen_biomarkers_predict_new_onset_of.97468.aspx

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createdName=hukaixun, createdTime=Mon Sep 17 06:04:00 CST 2018, time=2018-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2038901, encodeId=e72a20389010d, content=<a href='/topic/show?id=b45d1e274e8' target=_blank style='color:#2F92EE;'>#TENS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17274, encryptionId=b45d1e274e8, topicName=TENS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b172500206, createdName=12498ebem19暂无昵称, createdTime=Thu Nov 22 16:04:00 CST 2018, time=2018-11-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1727305, encodeId=9cf61e27305e6, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xJXLtMtt5B40XXuPjn9xn1rBhrM6fHLkX1hI86ZoWoPJkgDkZuJNKkBfBHOcRd1fAdezg7JlHNOokohdAp3WkI/0, createdBy=32c81964262, createdName=1e145228m78(暂无匿称), createdTime=Wed Jun 13 14:26:51 CST 2018, time=2018-06-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1560737, encodeId=7a1e1560e37c0, content=<a href='/topic/show?id=3c746936567' target=_blank style='color:#2F92EE;'>#生物标志#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69365, encryptionId=3c746936567, topicName=生物标志)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=63db15173977, createdName=zhu_jun9842, createdTime=Wed May 23 04:04:00 CST 2018, time=2018-05-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1566746, encodeId=2dcf1566e4687, 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2018, time=2018-05-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=317592, encodeId=ef4331e59246, content=学习了.涨知识了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDM9swhbgTo7nzqRKzMmzckmEoeTyLQVDCgjqsicjyhxPs0vPoYU6GsSYbCjSkNHicJkz3NL0a0EbUMVdNjkctXI6FocpGKaVr9E/0, createdBy=29392048316, createdName=王秀, createdTime=Tue May 22 20:36:04 CST 2018, time=2018-05-22, status=1, ipAttribution=)]
    2018-11-20 feather89
  5. 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  6. 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content=<a href='/topic/show?id=3c746936567' target=_blank style='color:#2F92EE;'>#生物标志#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=20, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=69365, encryptionId=3c746936567, topicName=生物标志)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=63db15173977, createdName=zhu_jun9842, createdTime=Wed May 23 04:04:00 CST 2018, time=2018-05-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1573548, encodeId=9da715e3548bf, content=<a href='/topic/show?id=2022654e239' target=_blank style='color:#2F92EE;'>#测血压#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=65472, encryptionId=2022654e239, topicName=测血压)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c76c15903244, createdName=isabellayj, createdTime=Wed May 23 04:04:00 CST 2018, time=2018-05-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=317592, encodeId=ef4331e59246, content=学习了.涨知识了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDM9swhbgTo7nzqRKzMmzckmEoeTyLQVDCgjqsicjyhxPs0vPoYU6GsSYbCjSkNHicJkz3NL0a0EbUMVdNjkctXI6FocpGKaVr9E/0, createdBy=29392048316, createdName=王秀, createdTime=Tue May 22 20:36:04 CST 2018, time=2018-05-22, status=1, ipAttribution=)]
    2018-06-13 1e145228m78(暂无匿称)

    学习了.谢谢作者分享!

    0

  7. 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2018, time=2018-05-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=317592, encodeId=ef4331e59246, content=学习了.涨知识了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDM9swhbgTo7nzqRKzMmzckmEoeTyLQVDCgjqsicjyhxPs0vPoYU6GsSYbCjSkNHicJkz3NL0a0EbUMVdNjkctXI6FocpGKaVr9E/0, createdBy=29392048316, createdName=王秀, createdTime=Tue May 22 20:36:04 CST 2018, time=2018-05-22, status=1, ipAttribution=)]
    2018-05-22 王秀

    学习了.涨知识了!

    0