Evidence map›Paper›PMID 34440064›Full record

ArticleBiomedicines2021

Expression and Change of miRs 145, 221 and 222 in Hypertensive Subjects Treated with Enalapril, Losartan or Olmesartan.

Giuseppe Mandraffino, Alberto Lo Gullo, Maria Cinquegrani, Angela D'Ascola, Davide Sinicropi, Egidio Imbalzano, Giuseppe Blando, Giuseppe Maurizio Campo, Carmela Morace, Clemente Giuffrida and 3 more

Abstract read
In one paragraph

Article in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
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

13 authors.

Giuseppe MandraffinoInternal Medicine Unit, Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy.ORCID 0000-0003-0272-2237
Alberto Lo GulloIRCCS Neurolesi Bonino Pulejo, 98123 Messina, Italy.ORCID 0000-0003-4383-0314
Maria CinquegraniInternal Medicine Unit, Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy.
Angela D'AscolaLaboratory of Clinical Biochemistry, Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy.
Davide SinicropiInternal Medicine Unit, Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy.
Egidio ImbalzanoInternal Medicine Unit, Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy.ORCID 0000-0003-2656-5467
Giuseppe BlandoInternal Medicine Unit, Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy.
Giuseppe Maurizio CampoLaboratory of Clinical Biochemistry, Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy.
Carmela MoraceInternal Medicine Unit, Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy.
Clemente GiuffridaIRCCS Neurolesi Bonino Pulejo, 98123 Messina, Italy.
Salvatore CampoLaboratory of Molecular Biology, Department of Biomedical and Dental Sciences and Morphofunctional Images, University of Messina, 98122 Messina, Italy.
Giovanni SquadritoInternal Medicine Unit, Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy.
Michele ScuruchiLipid Center, Internal Medicine Unit, University of Messina, 98122 Messina, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

miR profile could be associated to CV risk, and also to prognosis/outcome in response to therapeutic approach. We aimed to evaluate if anti-hypertensive drugs enalapril, losartan or olmesartan have effects on monocyte miR profile in essential hypertensives without target organ involvement. For this purpose, 82 hypertensives and 49 controls were included; we evaluated SBP/DBP, lipid profile, glucose, CRP, fibrinogen, arterial stiffness indices (PWV; AIx), and cIMT at baseline (T0) and after 24 weeks of treatment (T1). Subjects with LDL-C ≥ 160 mg/dL, TG ≥ 200 mg/dL, BMI ≥ 30, and other additional CV risk factors were excluded. Patients who were prescribed to receive once-a-day enalapril 20 mg, losartan 100 mg or olmesartan 20 mg were eligible for the study. At T1, we found a significant improvement of SBP (-18.5%), DBP (-18%), HDL-C and LDL-C (+3% and -5.42%), glucose (-2.15%), BMI (-3.23%), fibrinogen (-11%), CRP (-17.5%,), AIx (-49.1%) PWV (-32.2%), and monocyte miR expression (miR-221: -28.4%; miR-222: -36%; miR-145: +41.7%) with respect to baseline. miR profile was compared to control subjects at baseline and at T1. We found some little difference in the behaviour of the three treatments on some variables: olmesartan was the most effective in reducing fibrinogen, DBP, CRP, and AIx (-13.1%, -19.3%, -21.4%, and -56.8%, respectively). Enalapril was the drug more significantly increasing the expression of miR-145. In conclusion, enalapril, losartan and olmesartan are effective in improving mechanical and humoral factors associated to AS and atherogenesis. These drugs appear to be able to modify miRs 221/222 and miR-145 expression in drug-naïve hypertensives, making it closer to that of control subjects; additionally, this provides a good blood pressure compensation, contributing to slow the progression of vascular damage.

Indexed as

arterial hypertensionarterial stiffnessatherosclerosiscell programmingmicroRNA

Identifiers

PMID34440064
PMCPMC8389596

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Registered trials

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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.