多种尿肽与高血压有关:与分子病理生理学的联系。

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
ACS Applied Electronic Materials Pub Date : 2024-08-01 Epub Date: 2024-03-28 DOI:10.1097/HJH.0000000000003726
Emmanouil Mavrogeorgis, Margarita Kondyli, Harald Mischak, Antonia Vlahou, Justyna Siwy, Peter Rossing, Archie Campbell, Carina M C Mels, Christian Delles, Jan A Staessen, Agnieszka Latosinska, Alexandre Persu
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引用次数: 0

摘要

目的:高血压是一种世界性的常见病,但其潜在的发病机制在很大程度上仍不为人所知。本研究旨在鉴定与高血压相关的尿肽,以进一步探索相关的分子病理生理学:方法:从人类尿液蛋白质组数据库(普通人群(发现)或2型糖尿病患者(验证)队列)中检索了2876名无内脏损害者的肽组数据。根据收缩压(SBP)和舒张压(DBP)将参与者分为高血压(SBP ≥140 mmHg 和/或 DBP ≥90 mmHg)和正常血压(SBP 结果):在发现组(调整)和验证组(名义显著性)中,发现高血压患者和正常血压患者之间有 96 个多肽(主要是 COL1A1 和 COL3A1)存在显著差异,且调控一致。其中 83 个肽段在匹配队列中受到一致调控。此外,还观察到它们的丰度与标准化血压之间存在微弱但重要的关联:结论:高血压与尿肽谱的改变有关,对胶原蛋白衍生肽的调节存在明显差异。与血管钙化和钠调节相关的肽也受到了影响。这些改变是否反映了高血压的病理生理学和/或早期亚临床器官损伤,还需要进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Multiple urinary peptides are associated with hypertension: a link to molecular pathophysiology.

Objectives: Hypertension is a common condition worldwide; however, its underlying mechanisms remain largely unknown. This study aimed to identify urinary peptides associated with hypertension to further explore the relevant molecular pathophysiology.

Methods: Peptidome data from 2876 individuals without end-organ damage were retrieved from the Human Urinary Proteome Database, belonging to general population (discovery) or type 2 diabetic (validation) cohorts. Participants were divided based on systolic blood pressure (SBP) and diastolic BP (DBP) into hypertensive (SBP ≥140 mmHg and/or DBP ≥90 mmHg) and normotensive (SBP <120 mmHg and DBP <80 mmHg, without antihypertensive treatment) groups. Differences in peptide abundance between the two groups were confirmed using an external cohort ( n  = 420) of participants without end-organ damage, matched for age, BMI, eGFR, sex, and the presence of diabetes. Furthermore, the association of the peptides with BP as a continuous variable was investigated. The findings were compared with peptide biomarkers of chronic diseases and bioinformatic analyses were conducted to highlight the underlying molecular mechanisms.

Results: Between hypertensive and normotensive individuals, 96 (mostly COL1A1 and COL3A1) peptides were found to be significantly different in both the discovery (adjusted) and validation (nominal significance) cohorts, with consistent regulation. Of these, 83 were consistently regulated in the matched cohort. A weak, yet significant, association between their abundance and standardized BP was also observed.

Conclusion: Hypertension is associated with an altered urinary peptide profile with evident differential regulation of collagen-derived peptides. Peptides related to vascular calcification and sodium regulation were also affected. Whether these modifications reflect the pathophysiology of hypertension and/or early subclinical organ damage requires further investigation.

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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
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