© Elsevier Masson SAS. All rights reserved.
184 Archives of Cardiovascular Diseases Supplements (2015) 7, 183-184
Results: Hypertensive subjects compared to normotensive controls, have
higher values of TC, LDL and TG (62.11% versus 22.5%, respectively, P=0.02),
and lower HDL values (48.3% versus 8.5% respectively, P=0.04). Hypercholes-
terolemia was observed in 58% patients, hypertriglyceridemia in 11.5%, and
mixed hyperlipidemia in 30.5% patients. TC values were significantly higher in
women with unbalanced hypertension (P=0.001).
Conclusion: The prevalence of dyslipidemia in our study population
increases with hypertension. Screening of these risk factors, promotion of
healthy lifestyle, and the institution of therapy is desirable to reduce their mul-
tiplicative effects.
0368
Aortic impedance in older subjects: MR and applanation tonometry
study by wave intensity analysis
Delphine Lambert (1), Paolo Salvi (2), Athanase Benetos (2), Damien
Mandry (3), Pierre-Yves Marie (4), Laure Joly (2)
(1) Faculté de Médecine, Laboratoire Rigidité et Thrombose, UMR S
1116, Vandoeuvre Les Nancy, France – (2) CHU Nancy, Gériatrie, Van-
doeuvre Les Nancy, France – (3) CHU Nancy, Radiologie, Vandoeuvre
Les Nancy, France – (4) CHU Nancy, Médecine Nucléaire, Vandoeuvre
Les Nancy, France
Introduction: Central pressure waveform can be decomposed into pres-
sure transmission and reflection waves. Zc, characteristic impedance of aorta
can be measured through the recording of pulse pressure and aortic flow sig-
nals and reflects structural and functional properties of elastic central and
peripheral muscular arteries.
Methods: This study proposes a novel method using wave intensity analysis
to assess reflected waves by decomposition of magnetic resonance imaging cen-
tral aortic flow and central aortic pressure waveform measured by tonometry in
30 older subjects allowing to obtain the aortic characteristic impedance in the
time domain and reflection index (IR) and reflection magnitude (MR).
Results: Elderly patients were mean aged of 75.25±5.85 years (14 female,
16 male). Mean Zc value was 424.34±94.41 DSC for the whole aging population.
We found a strong negative association between Zc and LVET (r=–0.53,
p=0.004). We found also a trend of negative association between Zc and
aortic diameter, at the aortic root, (r=–0.36, p=0.05), and pressure augmen-
tation (r=–0.36, p=0.06), and also with Aix (r = –0.32, p=0.09). Zc was pos-
itively associated with PPA (r = 0.41, p=0.02), and also strongly with HR
(r= 0.54, p=0.003).
Association between RM and IR were positively significant with aorta
length measure by MRI, respectively (r=0.41, p=0.03) for RM and (r=0.42,
p=0.03) for IR.
RM associated positively with thoracic aorta length (r
2
= 0.15, p=0.04) after
adjustment to age and height, IR also associated positively with thoracic aorta
length (r
2
= 0.16, p=0.04) after adjustment to age and height.
Conclusions: This automatic signal treatment of aortic flow and pulse
pressure waveform is a good method for assessment of wave reflections in
older subjects allowing obtaining reflection magnitude. Aortic characteristic
impedance is inversely correlated to left ventricular ejection time and aortic
diameter as new insights suggest.
0068
Protective role of nucleotidases against the development of hypertension
Charlotte Roy (1), Bertrand Toutain (1), Anne-Laure Guihot (1), Jean
Sévigny (2), Daniel Henrion (1), Gilles Kauffenstein (1)
(1) Université d’Angers, UMR CNRS 6214 – INSERM 1083 BNMI,
Angers, France – (2) Département de microbiologie-infectiologie et
d’immunologie, Québec, Canada
Hypertension is characterized by a hypertrophic remodeling of big
arteries, increased tone in smallest, endothelial dysfunction and accompa-
nied by oxidative stress, inflammation and fibrosis. Extracellular nucleo-
tides, which are released under cellular stress, promote deleterious
pathological responses (vasoconstriction, inflammation, vascular permea-
bility) through P2 receptors activation although the contribution of puri-
nergic signaling to cardiovascular pathologies remains to be established.
Hydrolysis of these molecules is provided by nucleoside triphosphate
diphosphohydrolases (NTPDases), especially NTPDase1 (CD39), highly
expressed in the arterial wall. Together with ecto-5’nucleotidase (CD73),
these enzymes generate vasoprotective adenosine (ADO anti inflammatory,
vasodilatory). Using Apyrase (APY, soluble potato nucleotidase) treatment
and CD39 deficient (Entpd1-/-) mice, we evaluated the potential benefit of
nucleotides hydrolysis in experimental hypertension. After 12 days of
AngII (1mg/kg/day) infusion, with or without APY (45U sc, 15U ip every
3 days), the increase in systolic blood pressure (SBP) and the hypertrophic
aortic remodeling were significantly reduced in AngII/APY-treated mice
compared to AngII-treated mice. Reversely, in Entpd1-/- mice treated with
intermediate dose of AngII (0.5mg/kg/day) the increase in SBP was greater
than in Entpd1+/+ mice. This was associated with exacerbated hypertro-
phic aortic remodeling. Interestingly, RT-qPCR revealed a decreased CD39
expression level in resistance arteries of AngII-treated mice and SHR rats,
suggesting a role for the enzyme in hypertension. The role of CD39 as a
regulator of arterial tone through the control of P2Y6 receptor activation is
likely, although its contribution in the prevention of vascular inflammation
remains to be investigated. Consequently, nucleotidases protect against
high blood pressure and represent new therapeutic area in the treatment of
hypertension.
0347
Diuretic, antihypertensive and antioxidant effect of olea europaea lea-
ves extract, in rats
Steliana Ghibu (1), Claudiu Morgovan (2), Oliviu Vostinaru (1), Neli
Olah (2), Cristina Mogosan (1), Adriana Muresan (3)
(1) Université de Médicine et Pharmacie, Pharmacologie, Cluj Napoca,
Roumanie – (2) “Vasile Goldis” Université de l’Ouest, Science Pharma-
ceutique, Arad, Roumanie – (3) Université de Médicine et Pharmacie,
Physiologie, Cluj Napoca, Roumanie
Introduction: Although, there are known the beneficial effects of the fruits
and the olive oil, lately a special attention was given to extracts obtained from
olive leaves. The studies have reported that oleuropein (the main active com-
ponent of olive leaves) has antioxidant, vasodilator, anti-inflammatory proper-
ties.
Methods: 30 male Sprague-Dawley rats were randomized in 3 groups
(n=10) that received orally for seven days: 1. distillate water (control group),
2. Furosemide (10mg/kg), and 3. Leaves extract of Olea europaea (OE). After
the first and last dose of vegetal extract, the diuresis and saluresis (urinary Na
+
and K
+
concentration) were determined. At the end of the study the systolic
blood pressure was recorded, by a non-invasive method. Human erythrocytes
were subjected to an oxidative stress induced by 2,2’-azobis (2-amidinopro-
pane) hydrochloride (AAPH) in the presence or absence of increasing concen-
trations of OE, lipoic acid and trolox (the last two substances were used like
reference antioxidants).
Results: Furosemide and OE leaves extract induced a significant (p<0.05)
increase in rats diuresis and saluresis as compared to control group. For OE
extract, the same effect intensity was recorded after the first and the last doses.
Also after seven days of treatment, the rats’ systolic blood pressure was sig-
nificantly reduced in OE group. In vitro conditions, in the presence of OE
extract, extracellular potassium efflux, the signs of erythrocyte membranes
early degradation by oxidative stress, was decreased significantly and dose-
dependent manner.
Conclusions: In our experimental conditions it appears that, OE leaves
extract presented diuretic and antihypertensive effects. Also erythrocyte mem-
branes are very significantly protected by the antioxidant compound from OE.
Our results could open new perspectives for the use of Olea europaea leaves
extract like adjuvant therapy in diseases associated with hypertension and oxi-
dative stress.