We use cookies to improve your experience. By continuing to browse this site, you accept our cookie policy.×
Skip main navigation
Aging Health
Bioelectronics in Medicine
Biomarkers in Medicine
Breast Cancer Management
CNS Oncology
Colorectal Cancer
Concussion
Epigenomics
Future Cardiology
Future Medicine AI
Future Microbiology
Future Neurology
Future Oncology
Future Rare Diseases
Future Virology
Hepatic Oncology
HIV Therapy
Immunotherapy
International Journal of Endocrine Oncology
International Journal of Hematologic Oncology
Journal of 3D Printing in Medicine
Lung Cancer Management
Melanoma Management
Nanomedicine
Neurodegenerative Disease Management
Pain Management
Pediatric Health
Personalized Medicine
Pharmacogenomics
Regenerative Medicine

Comparison of monocyte with high density lipoprotein cholesterol ratio in dipper and nondipper hypertensive patients

    Murat Selcuk

    Department of Cardiology, Van Education & Research Hospital, University of Health Sciences, Van, Turkey

    ,
    Ersin Yildirim

    *Author for correspondence: Tel.: +90 5370 466 515; +90 5059 231 696; Fax: +90 216 3379 719;

    E-mail Address: ersinyild44@gmail.com

    Department of Cardiology, Umraniye Education & Research Hospital, University of Health Sciences, Istanbul, Turkey

    &
    Faysal Saylik

    Department of Cardiology, Van Education & Research Hospital, University of Health Sciences, Van, Turkey

    Published Online:https://doi.org/10.2217/bmm-2019-0062

    Aim: We aimed to compare the monocyte to HDL-cholesterol ratio (MHR) of nondipper hypertension (NDHT) and dipper hypertension patients. Patients & methods: A total of 162 patients were included in the study. Patients were grouped as dipper and nondipper according to 24-h ambulatory blood pressure recordings. Results: The MHR was significantly higher in nondipper hypertension group compared with control (p < 0.001) and dipper hypertension groups (p = 0.03). MHR, hs-CRP and red-cell distribution width (RDW) were independent predictors of nondipper hypertension. Area under the curve was 0.62 (p = 0.034) for MHR and 0.61 (p = 0.012) for hs-CRP in the ROC analysis. Conclusion: MHR has elevated levels in NDHT patients. Increased levels of MHR may evaluate as increased risk of cardiovascular events in NDHT patients.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

    References

    • 1. Kannel WB. Blood pressure as a cardiovascular risk factor: prevention and treatment. JAMA 275(20), 1571–1576 (1996).
    • 2. Panza JA, Quyyumi AA, Brush JE Jr, Epstein SE. Abnormal endothelium-dependent vascular relaxation in patients with essential hypertension. N. Engl. J. Med. 323(1), 22–27 (1990).
    • 3. Verdecchia P, Schillaci G, Porcellati C. Dippers versus nondippers. J. Hypertens. Suppl. 9(8), 42–44 (1991).
    • 4. Fujii T, Uzu T, Nishimura M et al. Circadian rhythm of natriuresis is disturbed in nondipper type of essential hypertension. Am. J. kidney Dis. 33(1), 29–35 (1999).
    • 5. Verdecchia P, Schillaci G, Borgioni C et al. Altered circadian blood pressure profile and prognosis. Blood Press. Monit. 2(6), 347–352 (1997).
    • 6. Timio M, Venanzi S, Lolli S et al. Nondipper hypertensive patients and progressive renal insufficiency: a 3-year longitudinal study. Clin. Nephrol. 43(6), 382–387 (1995).
    • 7. Verdecchia P, Porcellati C, Schillaci G et al. Ambulatory blood pressure. An independent predictor of prognosis in essential hypertension. Hypertension 24(6), 793–801 (1994).
    • 8. Ohkubo T, Hozawa A, Yamaguchi J et al. Prognostic significance of the nocturnal decline in blood pressure in individuals with and without high 24h blood pressure: the Ohasama study. J. Hypertens. 20(11), 2183–2189 (2002). • This study demonstrated that a diminished nocturnal decline in blood pressure is a risk factor for cardiovascular mortality, independent of the overall blood pressure load during a 24-h period, in the general population.
    • 9. Fett JD, McTiernan CF. Towards a unifying hypothesis for the pathogenesis of peripartum cardiomyopathy. Int. J. Cardiol. 153(1), 1–3 (2011).
    • 10. Biteker M, Kayatas K, Duman D, Turkmen M, Bozkurt B. Peripartum cardiomyopathy: current state of knowledge, new developments and future directions. Curr. Cardiol. Rev. 10(4), 317–326 (2014).
    • 11. Libby P. Inflammation in atherosclerosis. Arterioscler. Thromb. Vasc. Biol. 32(9), 2045–2051 (2012).
    • 12. Canpolat U, Çetin EH, Cetin S et al. Association of monocyte-to-HDL cholesterol ratio with slow coronary flow is linked to systemic inflammation. Clin. Appl. Thromb. Hemost. 22(5), 476–482 (2016).
    • 13. Afiune Neto A, Mansur Ade P, Avakian SD, Gomes EP, Ramires JAF. Monocytosis is an independent risk marker for coronary artery disease. Arq. Bras. Cardiol. 86, 240–244 (2006).
    • 14. Aydin E, Ates I, Fettah Arikan M, Yilmaz N, Dede F. The ratio of monocyte frequency to HDL cholesterol level as a predictor of asymptomatic organ damage in patients with primary hypertension. Hypertens. Res. 40(8), 758–764 (2017).
    • 15. Akboga MK, Balci KG, Maden O et al. Usefulness of monocyte to HDL cholesterol ratio to predict high SYNTAX score in patients with stable coronary artery disease. Biom. Med. 10(4), 375–383 (2016).
    • 16. Akboga MK, Yayla C, Balci KG et al. Relationship between serum albumin level and monocyte to high density lipoprotein cholesterol ratio with saphenous vein graft disease in coronary bypass. Thorac. Cardiovasc. Surg. 65(4), 315–321 (2017).
    • 17. Canpolat U, Aytemir K, Yorgun H et al. The role of preprocedural monocyte to high density lipoprotein ratio in prediction of atrial fibrillation recurrence after cryoballoon based catheter ablation. Europace 17(12), 1807–1815 (2015).
    • 18. Blake GJ, Rifai N, Buring JE, Ridker PM. Blood pressure, C reactive protein and risk of future cardiovascular events. Circulation 108(24), 2993–2999 (2003).
    • 19. Stergiou GS, Bliziotis IA. Home blood pressure monitoring in the diagnosis and treatment of hypertension: a systematic review. Am. J. Hypertens. 24(2), 123–134 (2011).
    • 20. Seo WS, Oh HS. The circadian rhythms of blood pressure and heart rate in the hypertensive subjects: dippers and nondippers. Yonsei Med. J. 43(3), 320–328 (2002).
    • 21. Higashi Y, Nakagawa K, Kimura M et al. Circadian variation of blood pressure and endothelial function in patients with essential hypertension: a comparison of dippers and nondippers. J. Am. Coll. Cardiol. 40(11), 2039–2043 (2002).
    • 22. Kim S, Kim NH, Kim YK et al. The number of endothelial progenitor cells is decreased in patients with nondipper hypertension. Korean Circ. J. 42(5), 329–334 (2012).
    • 23. Ersoylu ZD, Tugcu A, Yildirimturk O, Aytekin V, Aytekin S. Comparison of the incidences of left ventricular hypertrophy, left ventricular diastolic dysfunction, and arrhythmia between patients with dipper and nondipper hypertension. Turk. Kard. Dern. Ars. 36(5), 310–317 (2008).
    • 24. Torun D, Ozelsancak R, Yigit F, Micozkadıoğlu H. Increased inflammatory markers are associated with obesity and not with target organ damage in newly diagnosed untreated essential hypertensive patients. Clin. Exp. Hypertens. 34(3), 171–175 (2012).
    • 25. Lurbe E, Redon J, Kesani A et al. Increase in nocturnal blood pressure and progression to microalbuminuria in Type 1 diabetes. N. Engl. J. Med. 347(11), 797–805 (2002).
    • 26. Fan HQ, Li Y, Thijs L et al. Prognostic value of isolated nocturnal hypertension on ambulatory measurement in 8711 individuals from ten populations. J. Hypertens. 28(10), 2036–2045 (2010).
    • 27. Ozdemir E, Yildirimturk O, Cengiz B, Yurdakul S, Aytekin S. Evaluation of carotid intima media thickness and aortic elasticity in patients with nondipper hypertension. Echocardiography 31(5), 663–668 (2014).
    • 28. Ghattas A, Griffiths HR, Devitt A, Lip GY, Shantsila E. Monocytes in coronary artery disease and atherosclerosis: where are we now? J. Am. Coll. Cardiol. 62(12), 1541–1551 (2013). •• Shows the association of monocytes with atherosclerosis and cardiovascular events.
    • 29. Murphy AJ, Chin-Dusting JP, Sviridov D, Woollard KJ. The anti-inflammatory effects of high density lipoproteins. Curr. Med. Chem. 16(6), 667–675 (2009).
    • 30. Murphy AJ, Woollard KJ. High density lipoprotein: a potent inhibitor of inflammation. Clin. Exper. Pharma. Phys. 37(7), 710–718 (2010). •• The present review highlights that, HDL could be applied as an anti-inflammatory molecule for a number of diseases.
    • 31. Tardif JC, Grégoire J, L’Allier PL et al. Effects of reconstituted high-density lipoprotein infusions on coronary atherosclerosis: a randomized controlled trial. JAMA 297(15), 1675–1682 (2007).
    • 32. Murphy AJ, Woollard KJ, Hoang A et al. High density lipoprotein reduces the human monocyte inflammatory response. Arterioscler.Thromb. Vasc. Biol. 28(11), 2071–2077 (2008). • This study showed that, HDL an anti-inflammatory effect on human monocytes by inhibiting activation of CD11b.
    • 33. Kanbay M, Solak Y, Unal HU et al. Monocyte count/HDL cholesterol ratio and cardiovascular events in patients with chronic kidney disease. Int. Urol.Nephrol. 46(8), 1619–1625 (2014).
    • 34. Cetin MS, Ozcan Cetin EH, Kalender E et al. Monocyte to HDL cholesterol ratio predicts coronary artery disease severity and future major cardiovascular adverse events in acute coronary syndrome. Heart Lung Circ. 25(11), 1077–1086 (2016).
    • 35. Kundi H, Gok M, Kiziltunc E et al. Relation between monocyte to high-density lipoprotein cholesterol ratio with presence and severity of isolated coronary artery ectasia. Am. J. Cardiol. 116(11), 1685–1689 (2015).
    • 36. Wei XB, Chen F, Huang JL et al. Novel risk biomarker for infective endocarditis patients with normal left ventricular ejection fraction – monocyte to high-density lipoprotein cholesterol ratio. Circ. J. 82(1), 283–288 (2017).
    • 37. Ganjali S, Gotto AM Jr, Ruscica M et al. Monocyte-to-HDL-cholesterol ratio as a prognostic marker in cardiovascular diseases. J. Cell. Physiol. 233(12), 9237–9246 (2018). • Gives information about the relationship of monocyte to HDL cholesterol ratio with cardiovascular events.