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Hypertension and longevity : role of genetic polymorphisms in renin-angiotensin-aldosterone system and endothelial nitric oxide synthase

dc.contributor.authorSilva, Alda Pereira da
dc.contributor.authorMatos, Andreia
dc.contributor.authorAguiar, Laura
dc.contributor.authorMarques, Nuno Ramos
dc.contributor.authorRibeiro, Ricardo
dc.contributor.authorGil, Ângela
dc.contributor.authorClara, João Gorjão
dc.contributor.authorBicho, Manuel
dc.date.accessioned2018-11-23T15:14:08Z
dc.date.available2018-11-23T15:14:08Z
dc.date.issued2018
dc.description© Springer Science+Business Media, LLC, part of Springer Nature 2018pt_PT
dc.description.abstractHypertension (HT), a common age-related disorder, is an important risk factor for cardiovascular disease. This study aims to identify the prevalence of HT in Portuguese centenarians and evaluate whether gene polymorphisms encoding key molecules in blood pressure (BP) regulation are associated with longevity. There were recruited 253 centenarians (100.26 ± 1.98 years) and 268 control subjects (67.51 ± 3.25 years). Hypertension (ESH/ESC2013 and JNC8) and diabetes (WHO) were evaluate. Genetic polymorphisms of renin-angiotensin-aldosterone system (RAAS) and NOS3 were determined. The prevalence of HT among centenarians was 64.4% and the majority (58.9%) were controlled, differing from control group both on frequency (P < 0.001) and on their control (P < 0.001). We found that HT is a risk factor for not achieving longevity (OR 2.531, 95% CI 1.688-3.793, P < 0.001), the same for diabetes (OR 5.669 95% CI 2.966-10.835, P < 0.001), and male gender (OR 2.196, 95% CI 1.493-3.29, P < 0.001). Hypertension, adjusted for gender and diabetes, was independent risk factor anti-longevity (OR 2.007, 95% CI 1320-3.052, P = 0.001). The ACE_D and NOS3_G alleles were more frequent in centenarians compared to controls (P < 0.001, both cases). ACE_II and NOS3_TT genotypes, adjusted for BP, gender and diabetes, increased risk in 3.748 (95% CI 1.887-7.444) and 2.533 (95% CI 1.483-4.327), respectively, in relation to ACE_DD (P < 0.001) and NOS3_GG (P = 0.001), against longevity. Our findings suggest that the prevalence of hypertension was lower in Portuguese centenarians than in the elderly, reinforcing the importance of better cardiovascular risk profiles to achieve longevity even in the presence of genetic condition.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMol Cell Biochem (2018)pt_PT
dc.identifier.doi10.1007/s11010-018-3470-1pt_PT
dc.identifier.issn0300-8177
dc.identifier.urihttp://hdl.handle.net/10451/35436
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.relation.publisherversionhttps://link.springer.com/journal/11010pt_PT
dc.subjectHypertensionpt_PT
dc.subjectCentenarianspt_PT
dc.subjectACEpt_PT
dc.subjectNOS3pt_PT
dc.subjectGenetic polymorphismpt_PT
dc.subjectLongevitypt_PT
dc.titleHypertension and longevity : role of genetic polymorphisms in renin-angiotensin-aldosterone system and endothelial nitric oxide synthasept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleMolecular and Cellular Biochemistrypt_PT
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT

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