Endothelial function and lipid peroxidation in patients with arterial hypertension and its cerebral complications

Aim. То assess endothelial function (EF) and lipid peroxidation (LPO) in patients with arterial hypertension (AH) and its cerebral complications.Material and methods. In total, 49 patients with ischemic stroke (IS), 37 patients with uncomplicated essentialAH (EAH) and 25 blood donors as controls wer...

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Main Authors: M. V. Kazak, T. S. Romanenko, M. G. Omelyanenko, A. V. Lebedeva, I. K. Tomilova, V. N. Vyatkin, A. V. Kontsevaya
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2009-04-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/1721
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author M. V. Kazak
T. S. Romanenko
M. G. Omelyanenko
A. V. Lebedeva
I. K. Tomilova
V. N. Vyatkin
A. V. Kontsevaya
author_facet M. V. Kazak
T. S. Romanenko
M. G. Omelyanenko
A. V. Lebedeva
I. K. Tomilova
V. N. Vyatkin
A. V. Kontsevaya
author_sort M. V. Kazak
collection DOAJ
description Aim. То assess endothelial function (EF) and lipid peroxidation (LPO) in patients with arterial hypertension (AH) and its cerebral complications.Material and methods. In total, 49 patients with ischemic stroke (IS), 37 patients with uncomplicated essentialAH (EAH) and 25 blood donors as controls were examined. NO concentration (its stable metabolites, nitrates and nitrites) was measured by Griss method; citrulline (C) and malonic dialdehyde (MDA) levels were assessed with photocolorimetric method. Desquamated endotheliocytes (DE) were counted according to the method by J. Hladovec. LPO and plasma antioxidant activity (AOA) were studied with biochemiluminescence analysis.Results. In IS patients, NO and C concentrations were lowerthan inAH patients and controls, while DE numbers were higher in the former. These parameters were combined into one factor, “integral index of endothelial dysfunction” (IIED), with values of -0,86±0,19, 0,12±0,09, and 1,21±0,23 units in patients with IS, AH and in controls, respectively (p<0,005). LPO intensity was higher in IS individuals than in the controls; the same was true for MDA levels. AOA in IS subjects was similar to that in the control group. IIED was significantly correlated with LPO intensity and MDA concentration in IS patients.Conclusion. UncomplicatedAH was characterised by compensated endothelial dysfunction, while NO-endothelium system was decompensated in stroke. IIED parameter, representing EF in general, encompassed NO and C concentrations as well as DE count. In stroke patients, LPO activation was not associated with compensatory increase in AOA Endothelial dysfunction and LPO were strongly correlated.
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spelling doaj-art-e7f83eac58314e85bc770a3b4209bbba2025-08-20T02:59:54Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252009-04-018228321439Endothelial function and lipid peroxidation in patients with arterial hypertension and its cerebral complicationsM. V. Kazak0T. S. Romanenko1M. G. Omelyanenko2A. V. Lebedeva3I. K. Tomilova4V. N. Vyatkin5A. V. Kontsevaya6Ivanovo State Medical AcademyIvanovo State Medical AcademyIvanovo State Medical AcademyIvanovo State Medical AcademyIvanovo State Medical AcademyIvanovo Region Clinical HospitalState Research Centre for Preventive Medicine, Federal Agency on High Medical TechnologiesAim. То assess endothelial function (EF) and lipid peroxidation (LPO) in patients with arterial hypertension (AH) and its cerebral complications.Material and methods. In total, 49 patients with ischemic stroke (IS), 37 patients with uncomplicated essentialAH (EAH) and 25 blood donors as controls were examined. NO concentration (its stable metabolites, nitrates and nitrites) was measured by Griss method; citrulline (C) and malonic dialdehyde (MDA) levels were assessed with photocolorimetric method. Desquamated endotheliocytes (DE) were counted according to the method by J. Hladovec. LPO and plasma antioxidant activity (AOA) were studied with biochemiluminescence analysis.Results. In IS patients, NO and C concentrations were lowerthan inAH patients and controls, while DE numbers were higher in the former. These parameters were combined into one factor, “integral index of endothelial dysfunction” (IIED), with values of -0,86±0,19, 0,12±0,09, and 1,21±0,23 units in patients with IS, AH and in controls, respectively (p<0,005). LPO intensity was higher in IS individuals than in the controls; the same was true for MDA levels. AOA in IS subjects was similar to that in the control group. IIED was significantly correlated with LPO intensity and MDA concentration in IS patients.Conclusion. UncomplicatedAH was characterised by compensated endothelial dysfunction, while NO-endothelium system was decompensated in stroke. IIED parameter, representing EF in general, encompassed NO and C concentrations as well as DE count. In stroke patients, LPO activation was not associated with compensatory increase in AOA Endothelial dysfunction and LPO were strongly correlated.https://cardiovascular.elpub.ru/jour/article/view/1721endothelial dysfunctionlipid peroxidationarterial hypertensionischemic stroke
spellingShingle M. V. Kazak
T. S. Romanenko
M. G. Omelyanenko
A. V. Lebedeva
I. K. Tomilova
V. N. Vyatkin
A. V. Kontsevaya
Endothelial function and lipid peroxidation in patients with arterial hypertension and its cerebral complications
Кардиоваскулярная терапия и профилактика
endothelial dysfunction
lipid peroxidation
arterial hypertension
ischemic stroke
title Endothelial function and lipid peroxidation in patients with arterial hypertension and its cerebral complications
title_full Endothelial function and lipid peroxidation in patients with arterial hypertension and its cerebral complications
title_fullStr Endothelial function and lipid peroxidation in patients with arterial hypertension and its cerebral complications
title_full_unstemmed Endothelial function and lipid peroxidation in patients with arterial hypertension and its cerebral complications
title_short Endothelial function and lipid peroxidation in patients with arterial hypertension and its cerebral complications
title_sort endothelial function and lipid peroxidation in patients with arterial hypertension and its cerebral complications
topic endothelial dysfunction
lipid peroxidation
arterial hypertension
ischemic stroke
url https://cardiovascular.elpub.ru/jour/article/view/1721
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AT tsromanenko endothelialfunctionandlipidperoxidationinpatientswitharterialhypertensionanditscerebralcomplications
AT mgomelyanenko endothelialfunctionandlipidperoxidationinpatientswitharterialhypertensionanditscerebralcomplications
AT avlebedeva endothelialfunctionandlipidperoxidationinpatientswitharterialhypertensionanditscerebralcomplications
AT iktomilova endothelialfunctionandlipidperoxidationinpatientswitharterialhypertensionanditscerebralcomplications
AT vnvyatkin endothelialfunctionandlipidperoxidationinpatientswitharterialhypertensionanditscerebralcomplications
AT avkontsevaya endothelialfunctionandlipidperoxidationinpatientswitharterialhypertensionanditscerebralcomplications