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Arch Med Sci. 2017 Jun;13(4):760-770. doi: 10.5114/aoms.2016.58825. Epub 2016 Mar 23.

The effect of antihypertensive treatment on arterial stiffness and serum concentration of selected matrix metalloproteinases.

Archives of medical science : AMS

Marek Rajzer, Wiktoria Wojciechowska, Tomasz Kameczura, Agnieszka Olszanecka, Danuta Fedak, Michał Terlecki, Kalina Kawecka-Jaszcz, Danuta Czarnecka

Affiliations

  1. First Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University, Medical College, Krakow, Poland.
  2. Chair of Electroradiology, Faculty of Medicine, University of Rzeszow, Rzeszow, Poland.
  3. Chair of Clinical Biochemistry and Diagnostics, Department of Clinical Biochemistry, Jagiellonian University Medical College, Krakow, Poland.

PMID: 28721143 PMCID: PMC5510502 DOI: 10.5114/aoms.2016.58825

Abstract

INTRODUCTION: The aim of the study was to assess the arterial stiffness and serum levels of selected metalloproteinases (MMPs) in hypertensive patients and their changes following antihypertensive therapy.

MATERIAL AND METHODS: The study group consisted of 95 patients with essential arterial hypertension (HT) stage 1 or 2 (mean age: 53.1 ±13.0 years). The control group consisted of 31 normotensives of the same age range. Hypertension patients were randomized to one of the following monotherapies for 6 months: quinapril, losartan, amlodipine, hydrochlorothiazide or bisoprolol. Carotid-femoral pulse wave velocity (PWV) was measured using a Complior device. Serum concentrations of MMPs (proMMP-1, MMP-2, MMP-3, MMP-9) and plasma concentration of tissue inhibitor of MMPs (TIMP-1) were measured using ELISA.

RESULTS: Pulse wave velocity and serum concentrations of MMP-2 and MMP-9 were higher in HT patients than in the control group. In HT patients PWV was significantly associated (

CONCLUSIONS: In patients with arterial hypertension, beside age and systolic blood pressure, the determinants of arterial stiffness include serum MMP-3 concentration. For drugs compared in the study with the same hypotensive effect obtained, the arterial stiffness reduction effect is not dependent on the drug used. Systolic blood pressure is one of the independent factors responsible for the reduction of arterial stiffness in the course of antihypertensive treatment.

Keywords: antihypertensive treatment; arterial hypertension; arterial stiffness; matrix metalloproteinases

Conflict of interest statement

The authors declare no conflict of interest.

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