Page 34 - Read Online
P. 34
Bilovol Arterial hypertension and type 2 diabetes progression
correlated with increased concentrations of TG and essential to etiology of cardiometabolic disorders.
glucose (r = 0.415, P = 0.001; r = 0,042, P = 0.014, Despite these findings, research directions continue
respectively). to focus on obesity as the essential therapeutic target
for reducing the risk of metabolic syndrome, T2DM,
Finally, both AH and AH/T2DM patients experienced and associated cardiovascular complications. Given
significant increases in IL-1β levels when compared the widespread incidence of comorbid hypertension in
to controls. The most pronounced differences were diabetic patients, identifying new markers responsible
observed in patients with both AH and T2DM (P = for increased blood pressure during insulin resistance
0.008). These results have been associated with is a paramount research concern.
presumptive stimulation of acute-phase protein
syntheses occurring as a result of AH and T2DM. Authors’ contributions
Additionally, ІL-4 activities were increased and positive O. Bilovol contributed solely to this paper.
correlations were observed between IL-4 and IL-1β (r
= 0.42, P < 0.01) and IL-6 (r = 0.44, P < 0.01). These Financial support and sponsorship
data suggested that compensatory signaling activities
were occurring, given that IL-4 has been regulated to None.
promote stabilization of inflammation. The regularity
in which comorbid AH and T2DM experienced Conflicts of interest
alterations in metabolic signaling factors emphasized There are no conflicts of interest.
the systematic and patterned etiologies of metabolic
disorders. Negative correlations between IL-6 and both Patient consent
omentin and adiponectin (r = -0.46, P < 0.01; r = -0.42, All involved patients gave their consent forms.
P < 0.01, respectively) were observed. These findings
were consistent with previous studies indicating that Ethics approval
IL-6 regulated adipokine production. [18,21,22] The study protocol was approved by the Local Ethics
Committee of the Kharkov National Medical University
DISCUSSION and was performed in accordance to the Declaration
of Helsinki.
Presence of comorbid hypertension and type 2
diabetes is often associated with underlying metabolic
disorders and central obesity. The combined sequelae REFERENCES
lead to increased incidence of disease complications, 1. Pereira M, Lunet N, Azevedo A, Barros H. Differences in prevalence,
and ultimately decreased patient life span. In this awareness, treatment and control of hypertension between developing
study, features of hormonal and metabolic disorders in and developed countries. J Hypertens 2009;27:963-75.
patients with arterial hypertension and type 2 diabetes 2. Kearney PM, Whelton M, Reynolds K, Whelton PK, He J. Worldwide
were investigated. The most significant signals prevalence of hypertension: a systematic review. J Hypertens
identified were regulators of lipid and carbohydrate 2004;22:11-9.
metabolisms, insulin resistance, and systemic 3. Sur G, Sur M, Kudor-Szabadi L, Sur L, Sporis D, Sur D. Arterial
hypertension - prevalence of risk factors and morbide associations that
inflammation development. increase cardiovascular risk. Maedica (Buchar) 2010;5:34-40.
4. Kronborg CN, Hallas J, Jacobsen IA. Prevalence, awareness, and
The data presented here indicated that all known control of arterial hypertension in Denmark. J Am Soc Hypertens
manifestations of metabolic abnormalities dramatically 2009;3:19-24.
increase with BMI in the cohort. The results 5. Harrison L. Hypertension ER Visits Surge 25% in Five Years.
suggested that in hypertensive patients with diabetes Medscape 2014. Available from: http://www.medscape.com/
mellitus adipose tissue signaling was dysfunctional. viewcollection/33205. [Last accessed on 21-03-2017].
Additionally, carbohydrate metabolism signaling 6. Gorbas I, Smyrnova I. Epidemiology of arterial hypertension in
Ukraine: results of the 25-year observation: PP.28.124. J Hypertens
alterations demonstrated that metabolic and hormonal 2010;28:e485-6.
signals were disrupted when hypertensive patients 7. World Health Organization. Global report on diabetes. Geneva, 2016.
also had comorbid T2DM. The data suggested close Available from: http://www.who.int/diabetes/global-report/en/. [Last
pathogenetic links between onset of metabolic disorders Accessed on 08-03-2017].
and expressions of adipokines (omentin, adiponectin, 8. Ametov AS, Demidova TIu, Galieva OR. Angiotensin converting
and resistin). Pro-inflammatory IL-6 secretion was also enzyme inhibitors in the prevention and treatment of vascular
altered, which was a negative regulator of comorbid 9. complications of diabetes. Kardiologiia 2005;45:109-12. (in Russian)
Steppan CM, Bailey ST, Bhat S, Brown EJ, Banerjee RR, Wright CM,
arterial hypertension and T2DM. Patel HR, Ahima RS, Lazar MA. The hormone resistin links obesity to
diabetes. Nature 2001;409:307-12.
Mounting evidence supports that adipokines are 10. Mancia G, Fagard R, Narkiewicz K, Redon J, Zanchetti A, Böhm M,
Vessel Plus ¦ Volume 1 ¦ March 31, 2017 27