PMID- 22212601 OWN - NLM STAT- MEDLINE DCOM- 20130909 LR - 20171116 IS - 1590-3729 (Electronic) IS - 0939-4753 (Linking) VI - 23 IP - 4 DP - 2013 Apr TI - Soluble receptor for advanced glycation end-product levels are related to albuminuria and arterial stiffness in essential hypertension. PG - 382-8 LID - S0939-4753(11)00237-7 [pii] LID - 10.1016/j.numecd.2011.10.003 [doi] AB - BACKGROUND AND AIMS: Emerging evidence suggests that the soluble receptor for advanced glycation end-products (sRAGE) is implicated in the development of vascular disease. We investigated the interrelationships of sRAGE with albumin to creatinine ratio (ACR) and arterial stiffness in essential hypertension. METHODS AND RESULTS: In 309 untreated non-diabetic hypertensives, ACR values were determined as the mean of three non-consecutive morning spot urine samples and aortic stiffness was evaluated on the basis of carotid to femoral pulse wave velocity (c-f PWV). In all subjects, venous blood sampling was performed for the estimation of sRAGE levels. Patients with low (n = 155) compared to those with high sRAGE values (n = 154) had greater 24-h systolic BP (140 +/- 8 vs. 134 +/- 7 mmHg, p < 0.0001), exhibited higher ACR (36.3 +/- 51.6 vs. 17.2 +/- 1.2 mg g(-1), p < 0.0001) and c-f PWV (8.3 +/- 1.5 vs. 7.8 +/- 1.1 m s(-1), p = 0.003), independently of confounding factors. Multiple regression analyses revealed that age, male sex, 24-h systolic BP and sRAGE were the 'independent correlates' of ACR (R(2) = 0.493, p < 0.0001), while age, 24-h systolic BP and sRAGE were the 'independent correlates' of c-f PWV (R(2) = 0.428, p < 0.0001). CONCLUSION: In hypertensives, decreased sRAGE levels are accompanied by pronounced albuminuria and arterial stiffening. The association of sRAGE with ACR and c-f PWV suggests involvement of sRAGE in the progression of hypertensive vascular damage. CI - Copyright (c) 2011 Elsevier B.V. All rights reserved. FAU - Dimitriadis, K AU - Dimitriadis K AD - First Cardiology Clinic, University of Athens, Hippokration Hospital, 3 Kolokotroni Street, 15236 P.Panteli, Athens, Greece. FAU - Tsioufis, C AU - Tsioufis C FAU - Kasiakogias, A AU - Kasiakogias A FAU - Miliou, A AU - Miliou A FAU - Poulakis, M AU - Poulakis M FAU - Kintis, K AU - Kintis K FAU - Bafakis, I AU - Bafakis I FAU - Benardis, E AU - Benardis E FAU - Tousoulis, D AU - Tousoulis D FAU - Stefanadis, C AU - Stefanadis C LA - eng PT - Journal Article DEP - 20111231 PL - Netherlands TA - Nutr Metab Cardiovasc Dis JT - Nutrition, metabolism, and cardiovascular diseases : NMCD JID - 9111474 RN - 0 (Biomarkers) RN - 0 (Receptor for Advanced Glycation End Products) RN - 0 (Receptors, Immunologic) RN - AYI8EX34EU (Creatinine) SB - IM MH - Adult MH - Albuminuria/blood/*etiology/physiopathology/urine MH - Analysis of Variance MH - Biomarkers/blood MH - *Blood Pressure MH - Creatinine/blood MH - Cross-Sectional Studies MH - Disease Progression MH - Down-Regulation MH - Female MH - Humans MH - Hypertension/blood/*complications/physiopathology MH - Linear Models MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Pulse Wave Analysis MH - Receptor for Advanced Glycation End Products MH - Receptors, Immunologic/*blood MH - Risk Assessment MH - Risk Factors MH - *Vascular Stiffness EDAT- 2012/01/04 06:00 MHDA- 2013/09/10 06:00 CRDT- 2012/01/04 06:00 PHST- 2011/05/02 00:00 [received] PHST- 2011/09/19 00:00 [revised] PHST- 2011/10/02 00:00 [accepted] PHST- 2012/01/04 06:00 [entrez] PHST- 2012/01/04 06:00 [pubmed] PHST- 2013/09/10 06:00 [medline] AID - S0939-4753(11)00237-7 [pii] AID - 10.1016/j.numecd.2011.10.003 [doi] PST - ppublish SO - Nutr Metab Cardiovasc Dis. 2013 Apr;23(4):382-8. doi: 10.1016/j.numecd.2011.10.003. Epub 2011 Dec 31.