PMID- 29416120 OWN - NLM STAT- MEDLINE DCOM- 20191018 LR - 20191018 IS - 1476-5527 (Electronic) IS - 0950-9240 (Linking) VI - 32 IP - 3 DP - 2018 Mar TI - Relationship of serum immunoglobulin levels to blood pressure and hypertension in an adult population. PG - 212-218 LID - 10.1038/s41371-018-0029-2 [doi] AB - Evidence suggests long-term chronic inflammation, as the pathological basis of formation and development, plays an important part in atherosclerosis. Immunoglobulins (Igs) provided key information on the humoral immune status. However, few studies have evaluated the correlation between Igs and hypertension and blood pressure (BP) in a general population. We designed a cross-sectional study to evaluate whether serum Ig levels are related to BP and the prevalence of hypertension. About 12,373 participants in Tianjin, China were recruited for this study. Hypertension was diagnosed according to the criteria of the JNC 7 and serum levels of Igs were determined by the immunonephelometric technique. Multiple logistic regression analysis and analysis of covariance were used to assess relationships between serum Ig concentrations and the prevalence of hypertension and BP. The overall prevalence of hypertension was 35.5%. The means (standard deviation) of immunoglobulins [immunoglobulin G (IgG), immunoglobulin E (IgE), immunoglobulin M (IgM), and immunoglobulin A (IgA)] were 1206.0 (249.0) mg/dL, 93.8 (235.4) IU/mL, 105.3 (56.8) mg/dL, and 236.7 (98.1) mg/dL, respectively. The multivariable-adjusted odds ratios (95% confidence interval) of hypertension for the highest immunoglobulins (IgG, IgE, IgM, and IgA) quintile, when compared to the lowest quintile were 1.10 (0.96-1.26), 1.04 (0.91-1.19), 0.83 (0.72-0.96), and 1.32 (1.15-1.51), respectively. Decreased IgM and increased IgG and IgA were related to a higher prevalence of hypertension. IgM was negatively correlated with BP, while IgG and IgA were positively correlated with BP. FAU - Wang, Xiaotong AU - Wang X AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Li, Yajun AU - Li Y AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Li, Huihui AU - Li H AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Gu, Yeqing AU - Gu Y AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Song, Yanqi AU - Song Y AD - Tianjin University of Traditional Chinese Medicine, Tianjin, China. FAU - Zhang, Qing AU - Zhang Q AD - Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China. FAU - Liu, Li AU - Liu L AD - Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China. FAU - Meng, Ge AU - Meng G AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Yao, Zhanxin AU - Yao Z AD - Tianjin Institute of Health and Environmental Medicine, Tianjin, China. FAU - Wu, Hongmei AU - Wu H AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Xia, Yang AU - Xia Y AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Bao, Xue AU - Bao X AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Shi, Hongbin AU - Shi H AD - Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China. FAU - Su, Qian AU - Su Q AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Fang, Liyun AU - Fang L AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Yang, Huijun AU - Yang H AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Yu, Fei AU - Yu F AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Sun, Shaomei AU - Sun S AD - Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China. FAU - Wang, Xing AU - Wang X AD - Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China. FAU - Zhou, Ming AU - Zhou M AD - Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China. FAU - Jiao, Huanli AU - Jiao H AD - Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China. FAU - Jia, Qiyu AU - Jia Q AD - Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China. FAU - Song, Kun AU - Song K AD - Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China. FAU - Wu, Yuntang AU - Wu Y AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. FAU - Chang, Hong AU - Chang H AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. nkj0809@gmail.com. FAU - Niu, Kaijun AU - Niu K AD - Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, Tianjin, China. niukaijun@tmu.edu.cn. AD - Health Management Centre, Tianjin Medical University General Hospital, Tianjin, China. niukaijun@tmu.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180207 PL - England TA - J Hum Hypertens JT - Journal of human hypertension JID - 8811625 RN - 0 (Immunoglobulins) SB - IM MH - Blood Pressure/*immunology MH - Cross-Sectional Studies MH - Female MH - Humans MH - Hypertension/blood/*immunology MH - Immunoglobulins/*blood MH - Male MH - Middle Aged EDAT- 2018/02/09 06:00 MHDA- 2019/10/19 06:00 CRDT- 2018/02/09 06:00 PHST- 2017/04/14 00:00 [received] PHST- 2017/11/02 00:00 [accepted] PHST- 2017/10/16 00:00 [revised] PHST- 2018/02/09 06:00 [pubmed] PHST- 2019/10/19 06:00 [medline] PHST- 2018/02/09 06:00 [entrez] AID - 10.1038/s41371-018-0029-2 [pii] AID - 10.1038/s41371-018-0029-2 [doi] PST - ppublish SO - J Hum Hypertens. 2018 Mar;32(3):212-218. doi: 10.1038/s41371-018-0029-2. Epub 2018 Feb 7.