TY - JOUR
T1 - Endothelin-1 plasma levels in normal-tension glaucoma
T2 - abnormal response to postural changes
AU - Kaiser, Hedwig J.
AU - Flammer, Josef
AU - Wenk, Markus
AU - Lüscher, Thomas
PY - 1995/8
Y1 - 1995/8
N2 - • Background: Endothelin-1 (ET-1) is a potent vasoconstrictor peptide produced by vascular endothelial cells. ET-1 may have a role in the pathogenesis of various vascular diseases. There are reports in the literature that ET-1 plasma levels are raised in normal-tension glaucoma (NTG) patients. • Methods: ET-1 concentration, plasma renin activity, and 24-h blood pressure were measured in 2I high-tension glaucoma (HTG) patients, 19 NTG patients, and 20 non-glaucomatous controls in supine and upright positions.• Results: ET-1 plasma levels tended to be higher in NTG patients (3.2 ± 2.2 pg/ml) than in HTG patients (2.2 ±0.6 pg/ml) and controls (2.6 ±0.7 pg/ml). The differences, however, were not statistically significant. The individual scatter was significantly greater in the NTG group, indicating that our NTG patients are a heterogeneous population. The physiological increase in ET-1 plasma level after changing from the supine to the upright position was absent in NTG patients. Plasma renin activities tended to be lower in NTG patients (1.2 ±1.2 ng/ml/h) than in HTG patients (1.30.8 ng/ml/h) and controls (2.0 ± 1.7 ng/ml/h). This may explain why NTG patients had relatively low blood pressure despite high ET-1 levels. • Conclusions: Our data support the hypothesis that vascular dysfunction may be involved in the pathogenesis of optic nerve damage in normal-tension glaucoma.
AB - • Background: Endothelin-1 (ET-1) is a potent vasoconstrictor peptide produced by vascular endothelial cells. ET-1 may have a role in the pathogenesis of various vascular diseases. There are reports in the literature that ET-1 plasma levels are raised in normal-tension glaucoma (NTG) patients. • Methods: ET-1 concentration, plasma renin activity, and 24-h blood pressure were measured in 2I high-tension glaucoma (HTG) patients, 19 NTG patients, and 20 non-glaucomatous controls in supine and upright positions.• Results: ET-1 plasma levels tended to be higher in NTG patients (3.2 ± 2.2 pg/ml) than in HTG patients (2.2 ±0.6 pg/ml) and controls (2.6 ±0.7 pg/ml). The differences, however, were not statistically significant. The individual scatter was significantly greater in the NTG group, indicating that our NTG patients are a heterogeneous population. The physiological increase in ET-1 plasma level after changing from the supine to the upright position was absent in NTG patients. Plasma renin activities tended to be lower in NTG patients (1.2 ±1.2 ng/ml/h) than in HTG patients (1.30.8 ng/ml/h) and controls (2.0 ± 1.7 ng/ml/h). This may explain why NTG patients had relatively low blood pressure despite high ET-1 levels. • Conclusions: Our data support the hypothesis that vascular dysfunction may be involved in the pathogenesis of optic nerve damage in normal-tension glaucoma.
UR - http://www.scopus.com/inward/record.url?scp=0029148006&partnerID=8YFLogxK
U2 - 10.1007/BF00183429
DO - 10.1007/BF00183429
M3 - Article
C2 - 8537023
AN - SCOPUS:0029148006
SN - 0721-832X
VL - 233
SP - 484
EP - 488
JO - Graefe's Archive for Clinical and Experimental Ophthalmology
JF - Graefe's Archive for Clinical and Experimental Ophthalmology
IS - 8
ER -