Nifedipine Improves Endothelial Function

  • Tomonori Sugiura
    From the Department of Cardiology (T.S., T.K., Y.K-B., Y.N., O.Y., T.M.), Nagoya University Graduate School of Medicine, Nagoya, Japan; Departments of Cardio-Renal Medicine and Hypertension (T.S., Y.D., G.K.) and Internal Medicine and Molecular Science (T.S., R.U.), Nagoya City University Graduate School of Medical Science, Nagoya, Japan; and the Department of Nephrology and Hypertension (T.J.R.), Leiden University Medical Center, Leiden, The Netherlands.
  • Takahisa Kondo
    From the Department of Cardiology (T.S., T.K., Y.K-B., Y.N., O.Y., T.M.), Nagoya University Graduate School of Medicine, Nagoya, Japan; Departments of Cardio-Renal Medicine and Hypertension (T.S., Y.D., G.K.) and Internal Medicine and Molecular Science (T.S., R.U.), Nagoya City University Graduate School of Medical Science, Nagoya, Japan; and the Department of Nephrology and Hypertension (T.J.R.), Leiden University Medical Center, Leiden, The Netherlands.
  • Yasuko Kureishi-Bando
    From the Department of Cardiology (T.S., T.K., Y.K-B., Y.N., O.Y., T.M.), Nagoya University Graduate School of Medicine, Nagoya, Japan; Departments of Cardio-Renal Medicine and Hypertension (T.S., Y.D., G.K.) and Internal Medicine and Molecular Science (T.S., R.U.), Nagoya City University Graduate School of Medical Science, Nagoya, Japan; and the Department of Nephrology and Hypertension (T.J.R.), Leiden University Medical Center, Leiden, The Netherlands.
  • Yasushi Numaguchi
    From the Department of Cardiology (T.S., T.K., Y.K-B., Y.N., O.Y., T.M.), Nagoya University Graduate School of Medicine, Nagoya, Japan; Departments of Cardio-Renal Medicine and Hypertension (T.S., Y.D., G.K.) and Internal Medicine and Molecular Science (T.S., R.U.), Nagoya City University Graduate School of Medical Science, Nagoya, Japan; and the Department of Nephrology and Hypertension (T.J.R.), Leiden University Medical Center, Leiden, The Netherlands.
  • Osamu Yoshida
    From the Department of Cardiology (T.S., T.K., Y.K-B., Y.N., O.Y., T.M.), Nagoya University Graduate School of Medicine, Nagoya, Japan; Departments of Cardio-Renal Medicine and Hypertension (T.S., Y.D., G.K.) and Internal Medicine and Molecular Science (T.S., R.U.), Nagoya City University Graduate School of Medical Science, Nagoya, Japan; and the Department of Nephrology and Hypertension (T.J.R.), Leiden University Medical Center, Leiden, The Netherlands.
  • Yasuaki Dohi
    From the Department of Cardiology (T.S., T.K., Y.K-B., Y.N., O.Y., T.M.), Nagoya University Graduate School of Medicine, Nagoya, Japan; Departments of Cardio-Renal Medicine and Hypertension (T.S., Y.D., G.K.) and Internal Medicine and Molecular Science (T.S., R.U.), Nagoya City University Graduate School of Medical Science, Nagoya, Japan; and the Department of Nephrology and Hypertension (T.J.R.), Leiden University Medical Center, Leiden, The Netherlands.
  • Genjiro Kimura
    From the Department of Cardiology (T.S., T.K., Y.K-B., Y.N., O.Y., T.M.), Nagoya University Graduate School of Medicine, Nagoya, Japan; Departments of Cardio-Renal Medicine and Hypertension (T.S., Y.D., G.K.) and Internal Medicine and Molecular Science (T.S., R.U.), Nagoya City University Graduate School of Medical Science, Nagoya, Japan; and the Department of Nephrology and Hypertension (T.J.R.), Leiden University Medical Center, Leiden, The Netherlands.
  • Ryuzo Ueda
    From the Department of Cardiology (T.S., T.K., Y.K-B., Y.N., O.Y., T.M.), Nagoya University Graduate School of Medicine, Nagoya, Japan; Departments of Cardio-Renal Medicine and Hypertension (T.S., Y.D., G.K.) and Internal Medicine and Molecular Science (T.S., R.U.), Nagoya City University Graduate School of Medical Science, Nagoya, Japan; and the Department of Nephrology and Hypertension (T.J.R.), Leiden University Medical Center, Leiden, The Netherlands.
  • Ton J. Rabelink
    From the Department of Cardiology (T.S., T.K., Y.K-B., Y.N., O.Y., T.M.), Nagoya University Graduate School of Medicine, Nagoya, Japan; Departments of Cardio-Renal Medicine and Hypertension (T.S., Y.D., G.K.) and Internal Medicine and Molecular Science (T.S., R.U.), Nagoya City University Graduate School of Medical Science, Nagoya, Japan; and the Department of Nephrology and Hypertension (T.J.R.), Leiden University Medical Center, Leiden, The Netherlands.
  • Toyoaki Murohara
    From the Department of Cardiology (T.S., T.K., Y.K-B., Y.N., O.Y., T.M.), Nagoya University Graduate School of Medicine, Nagoya, Japan; Departments of Cardio-Renal Medicine and Hypertension (T.S., Y.D., G.K.) and Internal Medicine and Molecular Science (T.S., R.U.), Nagoya City University Graduate School of Medical Science, Nagoya, Japan; and the Department of Nephrology and Hypertension (T.J.R.), Leiden University Medical Center, Leiden, The Netherlands.

書誌事項

タイトル別名
  • Role of Endothelial Progenitor Cells
公開日
2008-09
DOI
  • 10.1161/hypertensionaha.108.111914
公開者
Ovid Technologies (Wolters Kluwer Health)

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説明

<jats:p> Nifedipine has been shown to improve endothelial function. Recent studies have indicated that endothelial function is correlated with the number of circulating endothelial progenitor cells (EPCs), but it is unclear whether nifedipine affects the number and function of EPCs. The aims of this study were to determine the effects of nifedipine on the number and function of EPCs and to investigate the relationship between improvement of endothelial function and EPC numbers in patients with hypertension. Stage 1 hypertensive men (n=37) were randomly divided into the nifedipine group and the control untreated group. The nifedipine group was administered slow-release nifedipine (20 mg) once daily. At baseline and after 4 weeks, flow-mediated dilation, blood pressure, biochemical data, and number of circulating CD34+CD133+ progenitor cells and EPCs were measured. The direct effects of nifedipine on EPC number and function were assessed in vitro. In the nifedipine group, flow-mediated dilation and the number <jats:italic>s</jats:italic> of circulating CD34+CD133+ progenitor cells and EPCs were increased, along with a decrease of serum malondialdehyde low-density lipoprotein. The improvement of flow-mediated dilation by nifedipine was correlated with the increase of circulating CD34+CD133+ progenitor cells. Nifedipine also improved angiogenesis-related functions of EPCs (differentiation, migration, and resistance to oxidative stress) in vitro. Thus, nifedipine improved endothelial function and EPC function in stage 1 hypertensive subjects. The latter action may be mediated by reduction of oxidative stress and suppression of EPC apoptosis. These results demonstrate that nifedipine preserves endothelial integrity in patients with hypertension, at least partly, by enhancing EPC numbers and activity. </jats:p>

収録刊行物

  • Hypertension

    Hypertension 52 (3), 491-498, 2008-09

    Ovid Technologies (Wolters Kluwer Health)

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