Amlodipine improves endothelial function and metabolic parameters in patients with hypertension.
BACKGROUND
Reciprocal relationships between endothelial dysfunction and insulin resistance imply that improvement in endothelial dysfunction will have beneficial metabolic consequences. We hypothesized that amlodipine therapy in hypertensive subjects will improve endothelial dysfunction and metabolic parameters.


METHODS
Amlodipine (10 mg daily for 8 weeks) or placebo was given to each 45 patients with mild to moderate hypertension in a randomized, double-blind, placebo-controlled, and parallel study. Age, sex, and body mass index were matched.


RESULTS
Amlodipine therapy significantly reduced systolic and diastolic blood pressure and increased HDL-cholesterol to greater extent than placebo therapy (all P<0.001). Amlodipine therapy significantly improved flow-mediated dilator response to hyperemia and reduced plasma malondialdehyde levels to a greater extent than placebo (P<0.001 and P=0.035). Amlodipine therapy significantly increased plasma adiponectin levels (P=0.009) and decreased plasma leptin and resistin levels (P<0.001 and P=0.025, respectively) to a greater extent than placebo. Correlations were noted between percent changes in adiponectin levels and percent changes in HDL-cholesterol (r=0.348, P=0.019) and QUICKI (r=0.326, P=0.029) following amlodipine therapy. Only changes in HDL-cholesterol (beta=0.469, P=0.019) and QUICKI (beta=1.786, P=0.069) were independent predictors of changes in adiponectin levels (multivariate regression analysis). We also observed inverse correlations between percent changes in leptin levels and percent changes in QUICKI (r=-0.569, P<0.001) following amlodipine therapy with changes in QUICKI (beta=1.810, P<0.001) as an independent predictor of changes in leptin levels.


CONCLUSIONS
Amlodipine therapy improves blood pressure, endothelial function, and metabolic parameters in patients with hypertension.
Koh
Kwang Kon
KK
Gil Medical Center, Gachon University, Incheon, Korea. kwangk@gilhospital.com
Han
Seung Hwan
SH
Ahn
Jeong Yeal
JY
Chung
Wook-Jin
WJ
Lee
Yonghee
Y
Shin
Eak Kyun
EK
D052242:Adiponectin / Q000097:blood; D017311:Amlodipine / Q000627:therapeutic use*; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D015415:Biomarkers / Q000097:blood*; D008076:Cholesterol, HDL / Q000097:blood / Q000187:drug effects; D004311:Double-Blind Method; D004730:Endothelium, Vascular / Q000187:drug effects*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000378:metabolism; D020738:Leptin / Q000097:blood; D008297:Male; D008315:Malondialdehyde / Q000097:blood; D008875:Middle Aged; D010919:Placebos; D012044:Regression Analysis; D052243:Resistin / Q000097:blood; D018709:Statistics, Nonparametric; D016896:Treatment Outcome
D052242:Adiponectin; D000959:Antihypertensive Agents; D015415:Biomarkers; D008076:Cholesterol, HDL; D020738:Leptin; D010919:Placebos; D052243:Resistin; D017311:Amlodipine; D008315:Malondialdehyde