Gamma Glutamyl Transferase Activity is Associated With Both Paraoxonase Activity and Aortic Stiffness in Hypertensive Patients

J Clin Lab Anal. 2015 Sep;29(5):390-6. doi: 10.1002/jcla.21785. Epub 2014 Aug 17.

Abstract

Background: We aimed to investigate relationship between gamma glutamyl transferase (GGT) activity with paraoxonase 1 (PON1) activity and aortic stiffness (AS) parameters such as pulse wave velocity (PWV) and augmentation index (AIx).

Methods: Measurements were obtained from 324 patients with newly diagnosed essential hypertension (mean age: 55.0 ± 8.2 years). The patients were divided into two groups according to their median GGT values. PWV and AIx were calculated using the single-point method via the Mobil-O-Graph® ARCsolver algorithm.

Results: PWV, Aix, and high-sensitive C-reactive protein (hs-CRP) values were higher and PON1 activity values were lower in GGThigh group compared with GGTlow group (P < 0.05, for all). Multiple linear regression analysis showed that GGT activity was independently associated with PWV (β = 0.496, P < 0.001) and PON1 activity (β = -0.343, P < 0.001) as well as hs-CRP (β = 0.334, P < 0.001).

Conclusion: These results may support that increased GGT activity would be associated with both impaired antioxidant system and increased AS in hypertensive patients.

Keywords: CRP; GGT; PWV; aortic stiffness; hypertension; paraoxonase.

MeSH terms

  • Aorta / physiopathology*
  • Aryldialkylphosphatase / blood*
  • Cohort Studies
  • Essential Hypertension
  • Female
  • Humans
  • Hypertension / physiopathology*
  • Male
  • Middle Aged
  • Pulse Wave Analysis
  • Vascular Stiffness / physiology*
  • gamma-Glutamyltransferase / blood*

Substances

  • gamma-Glutamyltransferase
  • Aryldialkylphosphatase