Association between serum uric acid level and endothelial dysfunction in elderly individuals with untreated mild hypertension

Background Endothelial dysfunction is the initial stage in atherosclerotic formation and progression and is associated with high serum uric acid(SUA)level.We hypothesized that reactive hyperemia index(RHI),which reflects endothelial function,is associated with SUA levels in elderly individuals with untreated mild hypertension.Methods We recruited 123 patients≥60 years with untreated mild hypertension.The association between SUA level and RHI was analyzed using univariate correlation analysis and multiple regression analysis.The receiver operating characteristic(ROC)curve was performed to validate the cutoff value of SUA that can be used to predict endothelial dysfunction.Results The serum uric acid level significantly increased in the RHI<1.67 group,and this result was still observed in the subgroup of men.RHI was inversely associated with SUA level(P=0.006)and the association was still observed after adjusting for factors,such as age,sex,smoking status,and creatinine level(P=0.014).In the subgroup analysis,a positive association was observed only in men.In the ROC curve analysis,the optimal cutoff values of SUA for predicting endothelial dysfunction was 293.5μmol/L in elderly mild hypertension patients and 287.0μmol/L in men.Conclusion A high SUA level was considered an independent predictor of endothelial dysfunction among elderly individuals,particularly men with untreated mild hypertension.

Differences in vascular endothelial function and serum proteome between obese people with phlegm-dampness constitution and balanced constitution

OBJECTIVE:To evaluate the extent of vascular endothelial dysfunction and preliminary identify serum protein biomarkers associated with obese individuals at risk for cardiovascular disease(CVD).METHODS:Fifteen obese volunteers with the phlegmdampness constitution or balanced constitution were recruited for this study respectively.The clinical baseline data was collected,and the vascular endothelial function was evaluated using the EndoPAT?.Blood samples were collected for the serum proteome analysis.The differences in the serum protein expression levels between the two groups were detected and the protein interaction network analysis,correlation analysis,receiver operating characteristic(ROC)curve analysis,and random forest model investigation were conducted.RESULTS:There were no statistical differences found in the baseline data.For vascular endothelial function,the reactive hyperemia index(RHI)of the phlegm-dampness constitution obese group was significantly lower than that of the balanced constitution obese group(1.46±0.30 vs 2.82±0.78,P<0.0001),indicating vascular endothelial dysfunction.There are 66 differentially expressed serum proteins between the two groups.apolipoprotein A2(Apo A2),angiotensin-converting enzyme 2(ACE-2),interleukin-33(IL-33),and forkhead box P3(FoxP3)showed significant differences and area under curve values of their ROC curves were greater than 0.7 and correlated significantly with RHI.CONCLUSION:Vascular endothelial dysfunction was present in the phlegm-dampness constitution obese group.Thus,alterations in the expression levels of key serum proteins,including Apo A2,ACE-2,IL-33,and Fox P3 could serve as potential biomarkers in the obese population at risk of CVD.