Circulating plasma cholesteryl ester transfer protein activity and blood pressure tracking in the community.

Published

Journal Article

OBJECTIVE: Clinical trials using cholesteryl ester transfer protein (CETP) inhibitors to raise high-density lipoprotein cholesterol (HDL-C) concentrations reported an 'off-target' blood pressure (BP) raising effect. We evaluated the relations of baseline plasma CETP activity and longitudinal BP change. METHODS AND RESULTS: One thousand, three hundred and seven Framingham Study participants free of cardiovascular disease attending consecutive examinations 4 years apart (mean age 48 years) had baseline plasma CETP activity related to change in BP over the 4-year interval, adjusting for standard risk factors. Systolic BP increased [median +2 mmHg, 95% confidence interval (CI) -16,+23 mmHg], whereas diastolic BP decreased (median -3 mmHg, 95% CI -15,+11 mmHg). Plasma CETP activity was not related to change in diastolic BP, but was inversely related to change in systolic BP that was borderline significant (P=0.09). On multivariable analyses, plasma CETP activity was inversely related to change in pulse pressure (PP; beta per SD increment= -0.71 mmHg, P=0.005). When dichotomized at the median, plasma CETP activity above the median was associated with a 1 mmHg lower PP on follow-up (P=0.045). CONCLUSION: Decreasing plasma CETP activity was modestly related to increasing PP on follow-up in our community-based sample, suggesting that inhibition of intrinsic CETP activity itself is likely associated with minimal changes in BP.

Full Text

Duke Authors

Cited Authors

  • Zachariah, JP; Pencina, MJ; Lyass, A; Kaur, G; D'Agostino, RB; Ordovas, JM; Vasan, RS

Published Date

  • May 2011

Published In

Volume / Issue

  • 29 / 5

Start / End Page

  • 863 - 868

PubMed ID

  • 21430561

Pubmed Central ID

  • 21430561

Electronic International Standard Serial Number (EISSN)

  • 1473-5598

Digital Object Identifier (DOI)

  • 10.1097/HJH.0b013e3283450223

Language

  • eng

Conference Location

  • England