GARLIC LOWERS BLOOD PRESSURE AND REDUCES OXIDATIVE STRESS BY INCREASING PLASMA H2S CONTENT IN PATIENTS WITH ARTERIAL HYPERTENSION
O.M. Kravchuk1, Yu.V. Goshovska2, Yu.P. Korkach2, V.F. Sagach2
- Kozyatyn Central District Hospital of Kozyatyn District Council Vinnitsia region, Ukraine
- O.O.Bogomoletz Institute of Physiology of the National Academy of Sciences of Ukraine, Kyiv, Ukraine
DOI: https://doi.org/10.15407/fz66.04.055
Abstract
Arterial hypertension (AH) is a multifactorial disease that
is accompanied by the development of oxidative-nitrosative
stress and insufficient production of hydrogen sulfide (H2S).
We hypothesized that garlic bio supplement Full Spectrum
Garlic (Swanson Health Product, USA) may be used as
a potential H2S donor in treatment of AH in patients. The
aim was to study the effect of garlic on blood pressure, ROS
generation and cNOS/iNOS activity, biochemical in male
28-39 years old patients with grade II AH. It was found that
10 days of standard antihypertensive therapy (adrenoblockers, ACE inhibitors) with 30 days of garlic supplementation
reduced mean systolic and diastolic pressures by 9 and 8 mm
Hg respectively. Positive effects of garlic
consumption on hemodynamic parameters were observed: enddiastolic volume increased by 8% and peripheral
vascular resistance decreased by 11,3% . In the blood
plasma of patients, H2S levels increased by 43,6% ,
the production of ROS and the content of lipid peroxidation
products decreased significantly. It is important that the cNOS
activity was increased by 130% and iNOS activity decreased
by 38,3%. No significant changes in
cholesterol, urea, creatinine, glucose, as well as erythrocyte
parameters were observed, which indicates the tolerance of
the garlic supplements. Thus, the hypotonic effect of garlic
is realized by increasing endogenous H2S in plasma, improving endothelium-dependent relaxation of blood vessels and reducing the manifestations of oxidative stress, which makes
it promising to use it in the complex therapy of hypertension.
Keywords:
arterial hypertension; peripheral vascular resistance; garlic; hydrogen sulfide; nitric oxide; oxidative stress.
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