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Salivary Lysozyme and Prevalent Hypertension

Identifieur interne : 002082 ( Pmc/Curation ); précédent : 002081; suivant : 002083

Salivary Lysozyme and Prevalent Hypertension

Auteurs : M. Qvarnstrom [Finlande] ; S. Janket [États-Unis] ; J. A. Jones [États-Unis] ; P. Nuutinen [Finlande] ; A. E. Baird [États-Unis] ; M. E. Nunn [États-Unis] ; T. E. Van Dyke [États-Unis] ; J. H. Meurman [Finlande]

Source :

RBID : PMC:2895412

Abstract

Although the etiology of essential hypertension is not clearly understood, endothelial dysfunction from chronic infection and/or impaired glucose metabolism may be involved. We hypothesized that salivary lysozyme, a marker for oral infection and hyperglycemia, might display a significant relationship with hypertension, an early stage of cardiovascular disease. Logistic regression analyses of the Kuopio Oral Health and Heart Study demonstrated that persons with higher lysozyme levels were more likely to have hypertension, after adjustment for age, gender, smoking, BMI, diabetes, the ratio of total cholesterol to HDL cholesterol, and C-reactive protein. The exposure to increasing quartiles of lysozyme was associated with adjusted Odds Ratios for the outcome, hypertension, 1.00 (referent), 1.25, 1.42, and 2.56 (linear trend p < 0.003). When we restricted the sample to the individuals without heart disease (N = 250), we observed a non-significant trend for increasing odds. Our hypothesis—"high salivary lysozyme levels are associated with the odds of hypertension"—was confirmed.


Url:
PubMed: 18434581
PubMed Central: 2895412

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PMC:2895412

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<p id="P1">Although the etiology of essential hypertension is not clearly understood, endothelial dysfunction from chronic infection and/or impaired glucose metabolism may be involved. We hypothesized that salivary lysozyme, a marker for oral infection and hyperglycemia, might display a significant relationship with hypertension, an early stage of cardiovascular disease. Logistic regression analyses of the Kuopio Oral Health and Heart Study demonstrated that persons with higher lysozyme levels were more likely to have hypertension, after adjustment for age, gender, smoking, BMI, diabetes, the ratio of total cholesterol to HDL cholesterol, and C-reactive protein. The exposure to increasing quartiles of lysozyme was associated with adjusted Odds Ratios for the outcome, hypertension, 1.00 (referent), 1.25, 1.42, and 2.56 (linear trend p < 0.003). When we restricted the sample to the individuals without heart disease (N = 250), we observed a non-significant trend for increasing odds. Our hypothesis—"high salivary lysozyme levels are associated with the odds of hypertension"—was confirmed.</p>
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<name>
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<name>
<surname>Baird</surname>
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Otorhinolaryngology/Oral and Maxillofacial Surgery, Kuopio University, Kuopio, Finland</aff>
<aff id="A2">
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General Dentistry, Boston University School of Dental Medicine, 100 East Newton Street, Rm. G-619, Boston, MA 02118, USA</aff>
<aff id="A3">
<label>3</label>
Cardiothoracic Surgery, Kuopio University Hospital, Kuopio, Finland</aff>
<aff id="A4">
<label>4</label>
National Institute of Neurologic Disorders and Stroke, NIH, Bethesda, MD, USA</aff>
<aff id="A5">
<label>5</label>
Health Policy and Health Services Research, Boston University School of Dental Medicine, 100 East Newton Street, Rm. G-619, Boston, MA 02118, USA</aff>
<aff id="A6">
<label>6</label>
Periodontology and Oral Biology, Boston University School of Dental Medicine, 100 East Newton Street, Rm. G-619, Boston, MA 02118, USA</aff>
<aff id="A7">
<label>7</label>
University of Helsinki Central Hospital, and Institute of Dentistry, Helsinki, Finland</aff>
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corresponding author,
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<issue>5</issue>
<fpage>480</fpage>
<lpage>484</lpage>
<abstract>
<p id="P1">Although the etiology of essential hypertension is not clearly understood, endothelial dysfunction from chronic infection and/or impaired glucose metabolism may be involved. We hypothesized that salivary lysozyme, a marker for oral infection and hyperglycemia, might display a significant relationship with hypertension, an early stage of cardiovascular disease. Logistic regression analyses of the Kuopio Oral Health and Heart Study demonstrated that persons with higher lysozyme levels were more likely to have hypertension, after adjustment for age, gender, smoking, BMI, diabetes, the ratio of total cholesterol to HDL cholesterol, and C-reactive protein. The exposure to increasing quartiles of lysozyme was associated with adjusted Odds Ratios for the outcome, hypertension, 1.00 (referent), 1.25, 1.42, and 2.56 (linear trend p < 0.003). When we restricted the sample to the individuals without heart disease (N = 250), we observed a non-significant trend for increasing odds. Our hypothesis—"high salivary lysozyme levels are associated with the odds of hypertension"—was confirmed.</p>
</abstract>
<kwd-group>
<kwd>salivary lysozyme</kwd>
<kwd>hypertension</kwd>
<kwd>cytokines</kwd>
<kwd>advanced glycation end-products</kwd>
<kwd>endothelial dysfunction</kwd>
</kwd-group>
<contract-num rid="DE1">R01 DE015566-04 ||DE</contract-num>
<contract-sponsor id="DE1">National Institute of Dental and Craniofacial Research : NIDCR</contract-sponsor>
</article-meta>
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</pmc>
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