CLINICAL RESEARCH
New-onset hypertension is not associated with systemic changes in inflammatory cytokine levels
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1
Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Krakow, Poland
2
Department of Internal and Agricultural Medicine, Jagiellonian University Medical College, Krakow, Poland
3
Center for Medical Genomics OMICRON, Jagiellonian University Medical College, Krakow, Poland
4
Clinic of Rheumatology and Immunology, Jagiellonian University Medical College, Krakow, Poland
Submission date: 2023-05-16
Final revision date: 2023-07-11
Acceptance date: 2023-07-11
Online publication date: 2023-07-14
Corresponding author
Jolanta Walczewska
Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Krakow, Poland
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Recent studies have suggested that hypertension development may be associated with an altered immune system. However, there is a paucity of data evaluating the association between blood pressure values and inflammatory markers in patients with new-onset hypertension.
Material and methods:
We evaluated 61 subjects, including 24 healthy individuals and 37 newly diagnosed hypertensive patients (aged 45 ±9.6 vs. 43.8 ±11.9 years; SBP_24hours 114 ±7.1 vs. 134.2 ±9.5 mm Hg; DBP_24hours 71.2 ±4.7 vs. 85.8 ±9.3 mm Hg, respectively) without prior antihypertensive treatment. The diagnosis of hypertension was based on 24-hour ambulatory blood pressure monitoring (ABPM). We analysed the association between
blood pressure values and levels of individual inflammatory markers (ITAC, GM-CSF, fractalkine, IFN-g, IL-10, MIP-3a, IL-12, IL-13, IL-17A, IL-1b, IL-2, IL-21, IL-23, IL-5, IL-6, IL-7, IL-8, MIP-1a, MIP-1b, TNF-a, and IL-15) separately, as well as in clusters of inflammatory mediators (factor 1 – proinflammatory: IL-1β, IL2, IL-6, IL-7, IL-12, IL-6, IL-21, TNF-α, IFN-γ; and factor 2 – anti-inflammatory: IL-13, IL-5).
Results:
Our study did not show any differences in concentrations of inflammatory markers between patients and controls. Plasma levels of inflammatory markers were not associated with 24-hour ambulatory blood pressure values in patients with new-onset hypertension.
Conclusions:
Patients with new-onset hypertension did not differ from healthy subjects regarding the levels of plasma inflammatory markers. Our findings demonstrate the need for larger, more comprehensive studies on this topic to further elucidate the relationship between hypertension and inflammation.
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