PMID- 37196041 OWN - NLM STAT- MEDLINE DCOM- 20230608 LR - 20230919 IS - 1751-7176 (Electronic) IS - 1524-6175 (Print) IS - 1524-6175 (Linking) VI - 25 IP - 6 DP - 2023 Jun TI - Deficiency of Tregs in hypertension-associated left ventricular hypertrophy. PG - 562-572 LID - 10.1111/jch.14660 [doi] AB - Left ventricular hypertrophy (LVH) is the most common target organ damage in hypertension. Abnormal numbers or functions of CD4(+) CD25(+) Foxp3(+) regulatory T lymphocytes (Tregs) can cause immune disorders, which participates in LVH. This study aimed to explore the role of Tregs in LVH by investigating circulating Tregs and associated cytokine levels in hypertensive patients with or without LVH. Blood samples were collected from 83 hypertensive patients without LVH (essential hypertension group, EH), 91 hypertensive patients with LVH (left ventricular hypertrophy group, LVH), and 69 normotensive controls without LVH (control group, CG). Tregs and cytokines were measured by flow cytometry and enzyme-linked immunosorbent assays. We found that circulating Tregs were significantly lower in hypertensive patients than in CG subjects. It was lower in LVH than in EH patients. No correlation between blood pressure regulation and Tregs was found in EH or LVH patients. Furthermore, Tregs in older females were lower than those in older males among LVH patients. Additionally, serum interleukin-10 (IL-10) and transforming growth factor beta 1 (TGFbeta1) decreased in hypertensive patients, and interleukin-6 (IL-6) increased in LVH patients. Tregs were negatively correlated with creatine kinase, low-density lipoprotein cholesterol, apoprotein B, high-sensitivity C-reactive protein, and left ventricular mass index (LVMI) values. In general, our study demonstrates significantly decreased circulating Tregs in hypertensive LVH patients. Decreased circulating Tregs in LVH is independent of blood pressure regulation. IL-6, IL-10, and TGF-beta1 are related with LVH in hypertension. CI - (c) 2023 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC. FAU - Tang, Ying AU - Tang Y AD - Department of Internal Cardiovascular Medicine, Second Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Shen, Li AU - Shen L AD - Department of Internal Cardiovascular Medicine, Second Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Bao, Jing-Hui AU - Bao JH AD - Department of Internal Cardiovascular Medicine, Second Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Xu, Dan-Yan AU - Xu DY AUID- ORCID: 0000-0003-2113-0800 AD - Department of Internal Cardiovascular Medicine, Second Xiangya Hospital, Central South University, Changsha, Hunan, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230517 PL - United States TA - J Clin Hypertens (Greenwich) JT - Journal of clinical hypertension (Greenwich, Conn.) JID - 100888554 RN - 130068-27-8 (Interleukin-10) RN - 0 (Interleukin-6) RN - 0 (Cytokines) SB - IM MH - Male MH - Female MH - Humans MH - Aged MH - *Hypertension MH - Hypertrophy, Left Ventricular MH - Interleukin-10 MH - Interleukin-6 MH - Blood Pressure MH - Cytokines PMC - PMC10246464 OTO - NOTNLM OT - IL-10 OT - IL-6 OT - TGF-beta1 OT - Tregs OT - hypertension OT - left ventricular hypertrophy COIS- The authors declare no conflicts of interest. EDAT- 2023/05/17 19:13 MHDA- 2023/06/08 06:42 PMCR- 2023/05/17 CRDT- 2023/05/17 13:45 PHST- 2023/04/04 00:00 [revised] PHST- 2023/01/08 00:00 [received] PHST- 2023/04/05 00:00 [accepted] PHST- 2023/06/08 06:42 [medline] PHST- 2023/05/17 19:13 [pubmed] PHST- 2023/05/17 13:45 [entrez] PHST- 2023/05/17 00:00 [pmc-release] AID - JCH14660 [pii] AID - 10.1111/jch.14660 [doi] PST - ppublish SO - J Clin Hypertens (Greenwich). 2023 Jun;25(6):562-572. doi: 10.1111/jch.14660. Epub 2023 May 17.