Erythrocyte Na+/Li+ countertransport and Na+/K+-2Cl(-) co-transport measurement in essential hypertension: Useful diagnostic tools or failure? A meta-analysis of 17 years of literature

T Tepper, WJ Sluiter, RM Huisman*, D de Zeeuw

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

12 Citations (Scopus)

Abstract

1 A meta-analysis of 17 years of literature on erythrocyte Na+/Li+ countertransport (NLCT) and Na+/K+ co-transport (COT) measurements in relation to essential hypertension is presented. The analysis aimed to answer two questions: (i) Which clinical or laboratory variables influence NLCT and COT flux values i (ii) How useful are NLCT and COT measurements as a diagnostic aid in essential hypertension

2. Regression analysis was performed on the mean flux values and relevant clinical and laboratory values. Studies in both normotensive and hypertensive subjects were stratified for variables which showed a significant association with the measured flux. For hypertensive subjects the studies were also stratified for medication. Means of strata were calculated after weighing the mean of a study by the inverse of its own variance and were compared in normotensive as well as hypertensive subjects using a t-test.

3. The analysis did not demonstrate systematic effects of laboratory variables for either NLCT or GOT. It was found that essential hypertension, family history of hypertension, gender and antihypertensive medication are main determinants for the flux values of both transport systems. After stratification for these determinants, significant differences in weighed mean flux values between normotensive and hypertensive subjects were demonstrated. However, these differences are much smaller than the variance in the weighed mean flux values, suggesting the existence of other unknown variables that strongly affect the flux rates.

4. In conclusion, NLCT and COT measurements cannot be of diagnostic use in essential hypertension.

Original languageEnglish
Pages (from-to)649-657
Number of pages9
JournalClinical Science
Volume95
Issue number6
Publication statusPublished - Dec-1998

Keywords

  • erythrocyte
  • essential hypertension
  • sodium-lithium countertransport
  • sodium-potassium co-transport
  • SODIUM-LITHIUM COUNTERTRANSPORT
  • NA+-K+ COTRANSPORT
  • HUMAN RED-CELLS
  • POTASSIUM COTRANSPORT
  • TRANSMEMBRANE FLUXES
  • CATION-TRANSPORT
  • BLOOD-PRESSURE
  • KINETICS
  • PLASMA
  • WOMEN

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