Microalbuminuria and sRAGE in High-Risk Hypertensive Patients Treated with Nifedipine/Telmisartan Combination Treatment: A Substudy of TALENT

Some antihypertensive drugs have also renoprotective and anti-inflammatory properties that go beyond their effect on blood pressure. It has been suggested that microalbuminuria and glomerular filtration rate (GFR) are associated with circulating levels of the soluble form of the receptor, sRAGE (sol...

Full description

Saved in:
Bibliographic Details
Main Authors: Colomba Falcone, Maria Paola Buzzi, Sara Bozzini, Chiara Boiocchi, Angela D'Angelo, Sandra Schirinzi, Ciro Esposito, Massimo Torreggiani, Jasmine Choi, Michael Ochan Kilama, Giuseppe Mancia
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/874149
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832565145725829120
author Colomba Falcone
Maria Paola Buzzi
Sara Bozzini
Chiara Boiocchi
Angela D'Angelo
Sandra Schirinzi
Ciro Esposito
Massimo Torreggiani
Jasmine Choi
Michael Ochan Kilama
Giuseppe Mancia
author_facet Colomba Falcone
Maria Paola Buzzi
Sara Bozzini
Chiara Boiocchi
Angela D'Angelo
Sandra Schirinzi
Ciro Esposito
Massimo Torreggiani
Jasmine Choi
Michael Ochan Kilama
Giuseppe Mancia
author_sort Colomba Falcone
collection DOAJ
description Some antihypertensive drugs have also renoprotective and anti-inflammatory properties that go beyond their effect on blood pressure. It has been suggested that microalbuminuria and glomerular filtration rate (GFR) are associated with circulating levels of the soluble form of the receptor, sRAGE (soluble receptor for advanced glycation ends-products). In the present analysis, we used data from the TALENT study to evaluate soluble receptor for advanced glycation end-products (sRAGE) plasma levels in patients with hypertension and high-cardiovascular risk-treated nifedipine and telmisartan in combination. Treatment with nifedipine-telmisartan significantly decreased mean systolic and diastolic ambulatory blood pressure and resulted in a significant increase in sRAGE plasma concentrations after 24 weeks of therapy. We concluded that in hypertensive patients with early-stage renal disease, sRAGE concentrations are not influenced by either microalbuminuria or GFR. Long-term treatment with a combination of nifedipine-telmisartan may have a beneficial effect increasing sRAGE plasma levels, thus exerting an atheroprotective and anti-inflammatory activity.
format Article
id doaj-art-1a6fcb14f57c4a26afe8d552036fae65
institution Kabale University
issn 0962-9351
1466-1861
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Mediators of Inflammation
spelling doaj-art-1a6fcb14f57c4a26afe8d552036fae652025-02-03T01:09:09ZengWileyMediators of Inflammation0962-93511466-18612012-01-01201210.1155/2012/874149874149Microalbuminuria and sRAGE in High-Risk Hypertensive Patients Treated with Nifedipine/Telmisartan Combination Treatment: A Substudy of TALENTColomba Falcone0Maria Paola Buzzi1Sara Bozzini2Chiara Boiocchi3Angela D'Angelo4Sandra Schirinzi5Ciro Esposito6Massimo Torreggiani7Jasmine Choi8Michael Ochan Kilama9Giuseppe Mancia10Interdepartmental Center of Research in Molecular Medicine (CIRMC), University of Pavia, 27100 Pavia, ItalyInterdepartmental Center of Research in Molecular Medicine (CIRMC), University of Pavia, 27100 Pavia, ItalyInterdepartmental Center of Research in Molecular Medicine (CIRMC), University of Pavia, 27100 Pavia, ItalyInterdepartmental Center of Research in Molecular Medicine (CIRMC), University of Pavia, 27100 Pavia, ItalyInterdepartmental Center of Research in Molecular Medicine (CIRMC), University of Pavia, 27100 Pavia, ItalyDepartment of Cardiology, Istituto di Cura Città di Pavia, University Hospital, 27100 Pavia, ItalyDepartment of Nephrology, IRCCS Policlinico San Matteo, University of Pavia, 27100 Pavia, ItalyDepartment of Nephrology, IRCCS Policlinico San Matteo, University of Pavia, 27100 Pavia, ItalyScientific Relations, Medical Department, Bayer S.p.A-Pharmaceutical, 20156 Milan, ItalyScientific Relations, Medical Department, Bayer S.p.A-Pharmaceutical, 20156 Milan, ItalyDepartment of Clinical Medicine and Prevention, University of Milano-Bicocca, 20126 Milan, ItalySome antihypertensive drugs have also renoprotective and anti-inflammatory properties that go beyond their effect on blood pressure. It has been suggested that microalbuminuria and glomerular filtration rate (GFR) are associated with circulating levels of the soluble form of the receptor, sRAGE (soluble receptor for advanced glycation ends-products). In the present analysis, we used data from the TALENT study to evaluate soluble receptor for advanced glycation end-products (sRAGE) plasma levels in patients with hypertension and high-cardiovascular risk-treated nifedipine and telmisartan in combination. Treatment with nifedipine-telmisartan significantly decreased mean systolic and diastolic ambulatory blood pressure and resulted in a significant increase in sRAGE plasma concentrations after 24 weeks of therapy. We concluded that in hypertensive patients with early-stage renal disease, sRAGE concentrations are not influenced by either microalbuminuria or GFR. Long-term treatment with a combination of nifedipine-telmisartan may have a beneficial effect increasing sRAGE plasma levels, thus exerting an atheroprotective and anti-inflammatory activity.http://dx.doi.org/10.1155/2012/874149
spellingShingle Colomba Falcone
Maria Paola Buzzi
Sara Bozzini
Chiara Boiocchi
Angela D'Angelo
Sandra Schirinzi
Ciro Esposito
Massimo Torreggiani
Jasmine Choi
Michael Ochan Kilama
Giuseppe Mancia
Microalbuminuria and sRAGE in High-Risk Hypertensive Patients Treated with Nifedipine/Telmisartan Combination Treatment: A Substudy of TALENT
Mediators of Inflammation
title Microalbuminuria and sRAGE in High-Risk Hypertensive Patients Treated with Nifedipine/Telmisartan Combination Treatment: A Substudy of TALENT
title_full Microalbuminuria and sRAGE in High-Risk Hypertensive Patients Treated with Nifedipine/Telmisartan Combination Treatment: A Substudy of TALENT
title_fullStr Microalbuminuria and sRAGE in High-Risk Hypertensive Patients Treated with Nifedipine/Telmisartan Combination Treatment: A Substudy of TALENT
title_full_unstemmed Microalbuminuria and sRAGE in High-Risk Hypertensive Patients Treated with Nifedipine/Telmisartan Combination Treatment: A Substudy of TALENT
title_short Microalbuminuria and sRAGE in High-Risk Hypertensive Patients Treated with Nifedipine/Telmisartan Combination Treatment: A Substudy of TALENT
title_sort microalbuminuria and srage in high risk hypertensive patients treated with nifedipine telmisartan combination treatment a substudy of talent
url http://dx.doi.org/10.1155/2012/874149
work_keys_str_mv AT colombafalcone microalbuminuriaandsrageinhighriskhypertensivepatientstreatedwithnifedipinetelmisartancombinationtreatmentasubstudyoftalent
AT mariapaolabuzzi microalbuminuriaandsrageinhighriskhypertensivepatientstreatedwithnifedipinetelmisartancombinationtreatmentasubstudyoftalent
AT sarabozzini microalbuminuriaandsrageinhighriskhypertensivepatientstreatedwithnifedipinetelmisartancombinationtreatmentasubstudyoftalent
AT chiaraboiocchi microalbuminuriaandsrageinhighriskhypertensivepatientstreatedwithnifedipinetelmisartancombinationtreatmentasubstudyoftalent
AT angeladangelo microalbuminuriaandsrageinhighriskhypertensivepatientstreatedwithnifedipinetelmisartancombinationtreatmentasubstudyoftalent
AT sandraschirinzi microalbuminuriaandsrageinhighriskhypertensivepatientstreatedwithnifedipinetelmisartancombinationtreatmentasubstudyoftalent
AT ciroesposito microalbuminuriaandsrageinhighriskhypertensivepatientstreatedwithnifedipinetelmisartancombinationtreatmentasubstudyoftalent
AT massimotorreggiani microalbuminuriaandsrageinhighriskhypertensivepatientstreatedwithnifedipinetelmisartancombinationtreatmentasubstudyoftalent
AT jasminechoi microalbuminuriaandsrageinhighriskhypertensivepatientstreatedwithnifedipinetelmisartancombinationtreatmentasubstudyoftalent
AT michaelochankilama microalbuminuriaandsrageinhighriskhypertensivepatientstreatedwithnifedipinetelmisartancombinationtreatmentasubstudyoftalent
AT giuseppemancia microalbuminuriaandsrageinhighriskhypertensivepatientstreatedwithnifedipinetelmisartancombinationtreatmentasubstudyoftalent