G. Vivoli et al., ZINC, COPPER, AND ZINC-DEPENDENT OR COPPER-DEPENDENT ENZYMES IN HUMANHYPERTENSION, Biological trace element research, 49(2-3), 1995, pp. 97-106
Imbalance of zinc and copper status has been hypothesized in human hyp
ertension. A ease-control study was carried out to elucidate the possi
ble relationship between zinc and copper status and essential hyperten
sion. Thirty-one subjects affected by mild stable hypertension, pharma
cologically untreated, were investigated together with 31 normotensive
controls individually matched for sex, age, and smoking habits. Zinc
and copper in serum and urine were measured, and serum activities of a
lkaline phosphatase (AP), lactic dehydrogenase (LDH), copper-zinc supe
roxide dismutase (Cu-Zn SOD), lysyl oxidase (LOX), and monoamine oxida
se (MAO) were evaluated. No significant difference in serum and urine
zinc and copper content as far as in serum activity of zinc (AP and LD
H) or copper (Cu-Zn SOD, LOX, and MAO)-dependent enzymes was found bet
ween hypertensives and normotensives. Positive relationships were foun
d in normotensives between serum and urine levels of zinc (r = 0.577;
p = 0.001) and copper (r = 0.394; p = 0.028), and between serum copper
and Cu-Zn SOD (r = 0.534; p = 0.002). In normotensives, diastolic blo
od pressure and serum zinc were positively related (r = 0.370; p = 0.0
41). In hypertensives, inverse correlations were observed between dias
tolic blood pressure and AP (r = -0.498; p = 0.004) and Cu-Zn SOD (r =
-0.452; p = 0.011), and between systolic blood pressure and LOX (r =
-0.385 p = 0.033). Diastolic blood pressure was related to LDH inverse
ly in hypertensives (r = -0.357; p = 0.049) and positively in normoten
sives (r = 0.457; p = 0.010). In normotensives, diastolic blood pressu
re was inversely related with MAO (r = -0.360; p = 0.046). These findi
ngs support the hypothesis that an imbalance of zinc and copper status
might he involved in human hypertension.