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. 2024 Nov;296(5):435-448.
doi: 10.1111/joim.20015.

Pyridoxal-5'-phosphate: A cost-effective treatment candidate for hypertensive patients?

Michaela Lellig  1 , Mariano Rodríguez  2   3   4 , Rodrigo López-Baltanás  2   3 , Juliane Hermann  1 , Julia Wollenhaupt  1 , Heidi Noels  1   5 , Walter Zidek  6 , Martin Tepel  7 , Felix Mahfoud  8 , Joachim Jankowski  1   9 , Juan R Muñoz-Castañeda  2   3   4 , Vera Jankowski  1
Affiliations

Pyridoxal-5'-phosphate: A cost-effective treatment candidate for hypertensive patients?

Michaela Lellig et al. J Intern Med. 2024 Nov.

Abstract

Objectives: Because angiotensin (Ang) II is an essential vasoconstrictive peptide, we analyzed the impact of its post-translational modification to pyruvamide-Ang II (Ang P) by pyridoxal-5'-phosphate (PLP) on blood pressure. PLP is a less expensive vitamin B6 derivative and, therefore, could be a cost-effective drug against hypertension.

Methods: Effect of Ang P on calcium ion entry into vascular smooth muscle cells (VSMCs) was analyzed. Binding affinity of Ang P to angiotensin II type 1 receptor (AT1R) was measured. Vasoconstrictive effect of Ang P was investigated using the bioassay of isolated perfused rat kidneys. Spontaneously hypertensive rats (SHR) were administered PLP. Additionally, Wistar Kyoto rats (WKY) received Ang II and PLP. Blood pressure was measured time-dependently.

Results: Ang II, incubated with PLP, was post-translationally modified to Ang P. Calcium ion entry in VSMCs was significantly lower with Ang P compared to Ang II. Binding affinity of Ang P to AT1R was lower compared to Ang II. Perfusion pressure of isolated perfused rat kidneys increased less by Ang P than by Ang II. Blood pressure of SHR treated with PLP decreased significantly. Blood pressure of WKY rats treated with Ang II was increased to hypertensive values, whereas blood pressure of WKY rats cotreated with Ang II and PLP was not.

Conclusion: PLP induces a post-translational modification of Ang II decreasing blood pressure in rats. Assuming that increased PLP intake in the form of vitamin B6 might reduce blood pressure in hypertensive patients, PLP might be a cost-effective drug against hypertension.

Keywords: angiotensin II; hypertension; pyridoxal‐5′‐phosphate; pyruvamide–angiotensin II; renin–angiotensin–aldosterone system; vitamin B6.

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