In order to elucidate the relationships between Zn and Cu and blood pr
essure, the present case-control study was carried out. Zn and Cu stat
us was evaluated in 60 subjects, pharmacologically untreated, affected
by mild stable hypertension and in 60 normotensives matched for sex,
age and smoking habits. Different markers of Zn and Cu status, includi
ng serum, erythrocyte and urine levels of the two trace elements and a
ctivities of some Zn- or Cu-dependent enzymes (alkaline phosphatase, l
actic dehydrogenase, superoxide dismutase and lysyl oxidase) were eval
uated. No significant difference between hypertensives and normotensiv
es was observed in the mean levels of Zn and Cu as well as in Zn- or C
u-dependent enzymes, though higher levels of serum copper were associa
ted with increased risk of hypertension. Interesting relationships bet
ween the biological parameters investigated were observed in the hyper
tensive subjects. Inverse correlations between blood pressures and ser
um Zn were observed. Furthermore, blood pressure was inversely related
to lysyl oxidase activity. These findings give further support to the
hypothesis that an imbalance of Zn and Cu bioavailability may be asso
ciated to hypertensive condition.