Skip to main content
Log in

Correlation of blood pressure in end-stage renal disease with platelet cytosolic free-calcium concentration

  • Originals
  • Published:
Klinische Wochenschrift Aims and scope Submit manuscript

Summary

The fluorescent probe Quin-2 showed the cytosolic free-calcium concentration in platelets to be elevated in 12 hypertensive hemodialysis patients, who were compared with 12 normotensive hemodialysis patients. There was a close correlation between the free-calcium level of platelets and mean arterial pressure (r=0.88). Short-term antihypertensive treatment resulted in a reduction of free-calcium concentration and a concomitant fall in blood pressure. These results suggest an integrative contributory role for calcium in the pathophysiology of hypertension accompanying endstage renal disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bisordi JE, Holt S (1989) Digitalis like immunoreactive substances and extracellular fluid volume status in chronic hemodialysis patients. Am J Kidney Dis 13:396–403

    Google Scholar 

  2. Blaustein MP (1977) Sodium ions, calcium ions, blood pressure regulation and hypertension. A reassessment and a hypothesis. Am J Physiol 231: C165-C173

    Google Scholar 

  3. Blind E, Schmidt-Gayk H, Scharia S, Flentje D, Fischer S, Göhring U, Hitzler W (1988) Two-site assay of intact parathyroid hormone in the investigation of primary hyperparathyroidism and other disorders of calcium metabolism compared with a mid-region assay. J Clin Endocrinol Metabol 67:353–360

    Google Scholar 

  4. Bühler FR, Resink TJ (1988) Platelet membrane and calcium control abnormalities in essential hypertension. A J H 1:42–46

    Google Scholar 

  5. Da Prada M, Zürcher G (1976) Simultaneous radioenzymatic determinations of plasma and tissue adrenaline, nor-adrenaline, and dopamine within fentomole range. Life Sci 19:1161–1174

    Google Scholar 

  6. Davies DL, Schalekamp MA, Beevers DG, Brown JJ, Briggs JD, Lever AF, Morton JJ, Robertson JIS, Tree M (1973) Abnormal relation between exchangeable sodium and the renin angiotensin system in malignant hypertension and in chronic renal failure. Lancet i: 683–687

    Google Scholar 

  7. Del Greco E, Simon NM, Roguska J, Walker C (1969) Hemodynamic studies in chronic uremia. Circulation 40:87–95

    Google Scholar 

  8. Erne P, Bolli P, Burrgisser E, Bühler FR (1984) Correlation of platelet calcium with blood pressure: effect of antihypertensive therapy. N Engl J Med 310:1084–1088

    Google Scholar 

  9. Haber E, Koerner T, Page KB, Kliman B, Purnode A (1969) Application of radioimmunoassay for the angiotensin I to the physiologic measurements of plasma renin activity in normal subjects. J Clin Endocrinol 29:1349–1355

    Google Scholar 

  10. Haller H, Philipp TH (1989) Changes in intracellular free calcium in platelets upon antihypertensive treatment. In: Meyer P, Marche P (eds) Blood cells and arteries in hypertension and atherosclerosis. Raven Press, New York, pp 189–204

    Google Scholar 

  11. Izzo JL, Izzo MS, Sterns RH, Freeman RB (1982) Sympathetic nervous system hyperactivity in hemodialysis patients. Trans Am Soc Artif Intern Organs 28:604–607

    Google Scholar 

  12. Kramer HJ, Heppe M, Penning J, Knipowski J, Klingmüller D, Düsing R, Krück F (1985) Relation of endogenous digoxin-like immunoreactive activities to salt balance and renal function in man. Klin Wochenschr 63 [Suppl 3]: 107–110

    Google Scholar 

  13. Krzesinski JM, Rorive G (1988) Influence of sodium balance on uremic blood cell ion transport. Nephron 49:126–131

    Google Scholar 

  14. Kusano E, Asano Y, Takeda K, Terao N, Hosoda S (1984) Acute and chronic hypotensive effects of nifedipine and nildipine in hypertensive patients with chronic renal failure. Drug Res 34:624–629

    Google Scholar 

  15. Lindner A, Kenny M, Meacham AJ (1987) Effects of a circulating factor in patients with essential hypertension on intracellular free calcium in normal platelets. N Engl J Med 316:509–513

    Google Scholar 

  16. Neff MS, Kim KE, Persoff M, Onesti G, Schwartz C (1971) Hemodynamics of uremic anemia. Circulation 43:876–883

    Google Scholar 

  17. Resink TJ, Tkachuk VA, Erne P, Bühler FR (1986) Platelet membrane calmodulin-stimulated calcium-adenosine triphosphatase. Altered activity in essential hypertension. Hypertension 8:159–166

    Google Scholar 

  18. Rink TJ, Smith SW, Tsien RW (1982) Cytoplasmic free Ca2+ in human platelets: Ca2+-thresholds and Ca-independent activation for shape-change and secretion. FEBS Lett 148:21–26

    Google Scholar 

  19. Schiffl H (1987) Modifications in cardiovascular norepinephrine responsiveness by diuretic treatment in mild renal parenchymal disease. In: Andreucci VE, Dal Canton A (eds) Diuretics: basic, pharmacological and clinical aspects. Martinus Nijhoff, Boston, pp 280–282

    Google Scholar 

  20. Schiffl H (1989) Platelet cytosolic free calcium concentration in hypertension associated with early stage kidney disease. Klin Wochenschr 67:676–681

    Google Scholar 

  21. Schohn D, Weidmann P, Jahn H, Beretta-Piccoli C (1985) Norepinephrine-related mechanisms in hypertension accompanying renal failure. Kidney Int 28:814–822

    Google Scholar 

  22. Tsien RY, Pozzan T, Rink TJ (1982) Calcium homeostasis in intact lymphocytes: cytoplasmic free calcium monitored with a new intracellularly trapped fluorescent indicator. J Cell Biol 94:325–334

    Google Scholar 

  23. Vanhoutte PM (1985) Calcium-entry blockers, vascular smooth muscle and systemic hypertension. Am J Cardiol 55:17B-23B

    Google Scholar 

  24. Veall NR, Vetter H (1985) Radioisotope techniques in clinical research and diagnosis. Butterworths, London

    Google Scholar 

  25. Weidmann P, Massry SG, Coburn JW, Maxwell MH, Atle-son J, Kleeman CR (1972) Blood pressure effects of acute hypercalcemia. Studies in patients with chronic renal failure. Ann Intern Med 76:741–745

    Google Scholar 

  26. Weidmann P, Maxwell MH (1975) The renin-angiotensin-aldosterone system in terminal renal failure. Kidney Int 8:S219-S234

    Google Scholar 

  27. Weidmann P, Beretta-Piccoli C, Steffen F, Blumberg A, Reubi FC (1976) Hypertension in terminal renal failure. Kidney Int 9:294–301

    Google Scholar 

  28. Welt L, Sach J, Mc Manus T (1964) An ion transport defect in erythrocytes from uremic patients. Trans Assoc Am Physicians 77:169–181

    Google Scholar 

  29. Zidek W, Spieker C, Vetter H (1986) Ca2+: Ki + ratio and total extracellular calcium in essential and renal hypertension. J Hypertens 4:507–510

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schiffl, H. Correlation of blood pressure in end-stage renal disease with platelet cytosolic free-calcium concentration. Klin Wochenschr 68, 718–722 (1990). https://doi.org/10.1007/BF01647579

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01647579

Key words

Navigation