Evidence map›Paper›PMID 25624753›Full record

ArticleClinical interventions in aging2015

Tailored antihypertensive drug therapy prescribed to older women attenuates circulating levels of interleukin-6 and tumor necrosis factor-α.

Juliana O Toledo, Clayton F Moraes, Vinícius C Souza, Audrey C Tonet-Furioso, Luís C C Afonso, Cláudio Córdova, Otávio T Nóbrega

Open access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. A new immune disease: systemic hypertension.Clinical kidney journal · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Juliana O ToledoGraduate Program in Health Sciences, University of Brasília, Brasília, Brazil.
Clayton F MoraesGraduate Program in Medical Sciences, University of Brasília, Brasília, Brazil ; Graduate Program in Gerontology, Catholic University of Brasília, Brasília, Brazil.
Vinícius C SouzaGraduate Program in Medical Sciences, University of Brasília, Brasília, Brazil.
Audrey C Tonet-FuriosoGraduate Program in Medical Sciences, University of Brasília, Brasília, Brazil.
Luís C C AfonsoResearch Center in Biological Sciences, Federal University of Ouro Preto, Ouro Preto, Brazil.
Cláudio CórdovaGraduate Program in Gerontology, Catholic University of Brasília, Brasília, Brazil.
Otávio T NóbregaGraduate Program in Health Sciences, University of Brasília, Brasília, Brazil ; Graduate Program in Medical Sciences, University of Brasília, Brasília, Brazil.
Universidade de Brasília · BRUniversidade Federal de Ouro Preto · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo test the hypothesis that antihypertensive drug therapy produces anti-inflammatory effects in clinical practice, this study investigated circulating levels of selected proinflammatory mediators (interleukin-6 [IL-6], tumor necrosis factor-alpha [TNF-α], and interferon-γ [INF-γ]) in response to multivariate drug directions for blood pressure (BP) control.

methodsProspective study involving 110 hypertensive, community-dwelling older women with different metabolic disorders. A short-term BP-lowering drug therapy was conducted according to current Brazilian guidelines on hypertension, and basal cytokine levels were measured before and after intervention.

resultsInterventions were found to represent current hypertension-management practices in Brazil and corresponded to a significant reduction in systolic and diastolic BP levels in a whole-group analysis, as well as when users and nonusers of the most common therapeutic classes were considered separately. Considering all patients, mean IL-6 and TNF-α levels showed a significant decrease in circulating concentrations (P<0.01) at the endpoint compared with baseline, whereas the mean INF-γ level was not significantly different from baseline values. In separate analyses, only users of antagonists of the renin-angiotensin system and users of diuretics exhibited the same significant treatment-induced reduction in serum IL-6 and TNF-α observed in the whole group.

conclusionOur data demonstrates that a clinically guided antihypertensive treatment is effective in reversing the low-grade proinflammatory state of serum cytokines found in postmenopausal women and support extracardiac benefits from diuretics and renin-angiotensin system antagonists.

Indexed as

Adrenergic beta-AntagonistsAgedAngiotensin-Converting Enzyme InhibitorsAntihypertensive AgentsBlood PressureBrazilCalcium Channel BlockersDiureticsDrug Therapy, CombinationFemaleHumansHypertensionInflammation MediatorsInterferon-gammaInterleukin-6Middle AgedAdrenergic beta-AntagonistsAngiotensin-Converting Enzyme InhibitorsAntihypertensive AgentsCalcium Channel BlockersDiureticsInflammation MediatorsInterferon-gammaInterleukin-6Tumor Necrosis Factor-alphacytokinedrug therapyguidelineshypertensioninflammationrenin–angiotensin system

Identifiers

PMID25624753
PMCPMC4296909
OpenAlexW2026474119

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.