Anti-Inflammatory Effects and Prediction of Blood Pressure Response by Baseline Inflammatory State in Catheter-Based Renal Denervation

J Clin Hypertens (Greenwich). 2016 Nov;18(11):1173-1179. doi: 10.1111/jch.12844. Epub 2016 Jun 1.

Abstract

This retrospective analysis aimed to examine off-target effects on inflammatory and renal function parameters in n=78 subsequent patients treated with renal denervation (RDN) for resistant hypertension. Ambulatory and office blood pressure (ABP/OBP), serum creatinine, glomerular filtration rate (GFR), cystatin C, C-reactive protein (CRP), interleukin-6 (IL-6), and white blood cell count (WBC) were assessed before, 6 and 12 months after RDN. ABP was significantly reduced by -8.2/-3.8 mm Hg (P=.002/.021) at 1 year after RDN, while an initial OBP reduction was not sustained during follow-up. IL-6 levels significantly decreased by -0.5 pg/mL (P=.042) and by -1.7 pg/mL (P<.001) at 6 and 12 months, baseline IL-6 levels possibly predicting ABP response to RDN (r=-0.295; P=.020). Concurrently, leukocyte count was reduced by -0.5 × 103 /μL (P=.017) and -0.8 × 103 /μL (P<.001), respectively. Serum creatinine and GFR remained unchanged, but we observed a significant increase in cystatin C by 0.04 mg/L (P=.026) and 0.14 mg/L (P<.001) at 6 and 12 months after the intervention.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Blood Pressure
  • Blood Pressure Monitoring, Ambulatory
  • C-Reactive Protein / metabolism
  • Cystatin C / blood
  • Female
  • Glomerular Filtration Rate
  • Humans
  • Hypertension / immunology
  • Hypertension / surgery*
  • Interleukin-6 / blood
  • Kidney / immunology
  • Kidney / innervation
  • Kidney / physiopathology*
  • Kidney / surgery*
  • Kidney Function Tests
  • Male
  • Middle Aged
  • Retrospective Studies
  • Sympathectomy / methods*
  • Treatment Outcome

Substances

  • Cystatin C
  • IL6 protein, human
  • Interleukin-6
  • C-Reactive Protein