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Query: UMLS:C0085580 (essential hypertension)
 14,686 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

In the present work we reported the results of the study of erythrocyte membrane Na+,K(+)-adenosine triphosphatase (ATPase) and Mg(2+)-ATPase in patients with essential hypertension and controls. In the 40 patients with hypertension, a more marked decrease of Na+, K(+)-ATPase was observed. The behavior of the enzyme at Mg2+ activation, ouabain inhibition and the response to different temperature suggest the possibility of differences between the two groups. The normal erythrocyte Mg(2+)-ATPase activity in two groups suggest also the possible role of ratio Na+, K(+)-ATPase/Mg(2+)-ATPase in the study of essential hypertension. However the relevance of magnesium and Mg(2+)-ATPase to the pathogenesis of essential hypertension remains unclear but merits further study. On the basis of these considerations the aim of the present study was to identify, in a kinetic approach, the presence of different abnormalities of Na+ transport and Na+, K(+)-ATPase in erythrocytes from patients with essential hypertension. Much evidence has supported the hypothesis that essential hypertension is a heterogeneous disease in the pathophysiological mechanisms as well as in its clinical and therapeutical consideration.
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PMID:[Various properties of the Na+, K(+)-ATPase and the Mg (2+)-ATPase in erythrocytes from normotensive and hypertensive subjects]. 166 78

We have investigated hypertension-associated alterations in intracellular cations in the kidney by measuring intracellular pH, free Mg2+, free Ca2+, and Na+ concentrations in perfused normotensive and hypertensive rat (8-14 weeks old) kidneys using 31P, 19F, and double quantum-filtered (DQ) 23Na NMR. The effects of both anoxia and ischemia on the 23Na DQ signal confirmed its ability to detect changes in intracellular Na+. However, there was a sizable contribution of the extracellular Na+ to the 23Na DQ signal of the kidney. The intracellular free Ca2+ concentration, measured using 19F NMR and 5,5'difluoro-1,2-bis(2-aminophenoxy)ethane N,N,N',N'-tetraacetic acid, also increased dramatically during ischemia; the increase could be partly reversed by reperfusion. No significant differences were found between normotensive and hypertensive kidneys in the ATP level, intracellular pH, intracellular free Mg2+, and the 23Na DQ signal or in the extent of the extracellular contribution to the 23Na DQ signal. Oxygen consumption rates were also similar for the normotensive (5.02 +/- 0.46 mumol of O2/min/g) and hypertensive (5.47 +/- 0.42 mumol O2/min/g) rat kidneys. The absence of a significant difference in intracellular pH, Na+ concentration, and oxygen consumption between normotensive and hypertensive rat kidneys suggests that an alteration in the luminal Na+/H+ antiport activity in hypertension is unlikely. However, a highly significant increase (64%, p less than 0.01) in free Ca2+ concentration was found in perfused kidneys from hypertensive rats (557 +/- 48 nM, blood pressure = 199 +/- 5 mmHg, n = 6) compared with normotensive rats (339 +/- 21 nM, blood pressure = 134 +/- 6, n = 4) indicating altered renal calcium homeostasis in essential hypertension. An increase in intracellular free Ca2+ concentration without an accompanying change in the intracellular Na+ suggests, among many possibilities, that the Ca2+/Mg(2+)-ATPase may be inhibited in the hypertensive renal tissue.
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PMID:Multinuclear NMR studies of intracellular cations in perfused hypertensive rat kidney. 174 Apr 16

Platelet and erythrocyte membrane Na+,K(+)-ATPase, Ca(2+)-ATPase and Mg(2+)-ATPase activities and platelet, erythrocyte and serum magnesium, calcium, sodium and potassium concentrations were determined in black (n = 52) and white (n = 24) essential hypertensive patients from the city of Johannesburg in South Africa. The hypertensive groups were matched for age and body mass with black (n = 52) and white (n = 26) normotensive controls. In the black group, platelet and erythrocyte membrane ATPase activities were significantly depressed in the hypertensive subjects. In the white group, there were no significant differences for any of the ATPases studied between the normotensive and hypertensive subjects. Platelet sodium and calcium were significantly increased and serum magnesium, serum potassium, platelet magnesium and erythrocyte magnesium significantly decreased in the black hypertensive group compared to the black normotensive group. In the white hypertensive patients, platelet sodium and calcium were significantly raised and platelet magnesium significantly decreased compared to the normotensive controls. In blacks, platelet magnesium and ATPase activity were negatively correlated with mean arterial pressure. Unlike whites, black hypertensives have widespread magnesium changes with associated cell membrane ATPase depression and cytosolic sodium and calcium accumulation. These results suggest possible racial differences in cellular cation regulation in essential hypertension.
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PMID:Racial differences in cell membrane ATPases and cellular cation content in urban South African normotensive and hypertensive subjects. 810 9

The changes of erythrocyte ATPase and superoxide dismutase (SOD) activity, intraerythrocytic ionic concentration and plasma lipid peroxide (LPO) were observed in 59 patients with essential hypertension (EH). The results showed that the Na(+)-K(+)-ATPase, Ca(2+)-Mg(2+)-ATPase activity and SOD were significantly lower, Ca2+ and Na+ concentration and plasma LPO were significantly higher in EH than in normals. A significant linear relationship was found between the decline of ATPase activity and changes of LPO and SOD. Both LPO and Ca(2+)-concentration were positively correlated with mean arterial blood pressure. These findings suggest that lipid peroxidation, through inhibiting ATPase activity and increasing intracellular Ca2+ concentration, plays an important role in the pathogenesis of EH.
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PMID:[Clinical study on the relationship between erythrocyte ATPase activity and lipid peroxidation in essential hypertension]. 822 50