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Several studies have reported that insulin resistance and compensatory hyperinsulinemia often coexist with hypertension. Increased activity of glutathione peroxidase has been reported in patients with essential hypertension. Recently, overexpression of glutathione peroxidase has also been linked to the etiology of insulin resistance. The aim of this study was to determine the possible relation between the activity of glutathione peroxidase and insulin resistance status in essential hypertensive patients. A case-control study was performed on 35 hypertensive patients and 30 control subjects. The levels of insulin and insulin resistance as measured by the homeostasis model assessment insulin resistance index (HOMA-IR) and glutathione peroxidase were significantly increased in hypertensive patients compared with control subjects. In this study, a direct association was observed between glutathione peroxidase with HOMA-IR and insulin levels in essential hypertensive subjects. In conclusion, our results suggest that increased glutathione peroxidase can be one of the detrimental factors in contributing to insulin resistance in essential hypertensive subjects.

Citation

Nambiar Selvaraj, Viswanathan Sathiyapriya, Zachariah Bobby, Hanumanthappa Nandeesha, Agrawal Aparna. Elevated glutathione peroxidase in newly diagnosed hypertension: its relation to insulin resistance. Clinical and experimental hypertension (New York, N.Y. : 1993). 2013;35(3):195-9

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PMID: 22891788

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