Osteoprotegerin is associated with cardiovascular risk in hypertension and/or diabetes.

Abstract

BACKGROUND:

Osteoprotegerin (OPG), a secreted member of the tumour necrosis factor receptor superfamily of cytokines, has been associated with endothelial dysfunction. We studied in type 2 diabetic and/or hypertensive patients the relationship between serum OPG and vascular alterations associated with these pathologies.

MATERIALS AND METHODS:

We analysed 191 consecutive patients (52 with type 2 diabetes and 139 hypertensive nondiabetic patients) and 54 healthy controls. We assessed the relationship of OPG serum levels measured by ELISA with basal glycaemia, glycosylated haemoglobin, blood pressure, endothelial dysfunction (assessed by pulse wave velocity), retinopathy (by Keith-Wagener classification), left ventricular hypertrophy (by Cornell index), cardiovascular risk and target organs (heart, vascular, kidney) damage.

RESULTS:

Serum OPG levels were higher in either hypertensive or diabetic patients and in patients with non-dipper and riser circadian blood pressure patterns. We found significant correlations between OPG levels and age, height, glycaemia, systolic, diastolic and pulse blood pressure, pulse wave velocity and left ventricular hypertrophy in both hypertensive and diabetic patients. OPG levels were also higher in hypertensive patients with retinopathy, patients with high probability of 10-year cardiovascular risk, patients with three or more damaged target organs (heart, vessels, kidneys) and patients with previous episodes of ischaemic cardiopathy or hypercholesterolaemia.

CONCLUSIONS:

Osteoprotegerin is an indicator of diabetes- and hypertension-associated vascular pathologies as endothelial dysfunction and cardiovascular risk.

• Authors: Ana M Blázquez-Medela, Luis García-Ortiz, Manuel A Gómez-Marcos, José I Recio-Rodriguez, Angel Sánchez-Rodríguez, José M López-Novoa, Carlos Martínez-Salgado
• Journal: European journal of clinical investigation (Eur J Clin Invest) Vol. 42 Issue 5 Pg. 548-56 (May 2012) ISSN: 1365-2362 [Electronic] England
• PMID: 22050177 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: © 2011 The Authors. European Journal of Clinical Investigation © 2011 Stichting European Society for Clinical Investigation Journal Foundation.

Chemical References

• Biomarkers
• Osteoprotegerin

Topics

• Adult
• Aged
• Biomarkers (blood)
• Blood Pressure
• Cardiovascular Diseases (blood)
• Case-Control Studies
• Cross-Sectional Studies
• Diabetes Mellitus, Type 2 (blood)
• Enzyme-Linked Immunosorbent Assay
• Female
• Humans
• Hypertension (blood)
• Male
• Middle Aged
• Osteoprotegerin (blood)
• Risk Factors
• Time Factors