Why the study?
Platelet plasma membrane ENaC overexpression is a hallmark of arterial hypertension, prompting evaluation of a gold nanoparticle-based diagnostic assay for hypertension.
Does an AuNP-anti-ENaC diagnostic assay accurately detect arterial hypertension in an open population?
Cross-Sectional (n=167)
Double-blind
Does an AuNP-anti-ENaC diagnostic assay accurately detect arterial hypertension in an open population?
An AuNP-anti-ENaC assay shows potential for initial screening and early diagnosis of arterial hypertension, though discrimination accuracy requires improvement.
Arterial hypertension (HTN) is a global public health concern and an important risk factor for cardiovascular diseases and renal failure. We previously reported overexpression of ENaC on the plasma membrane of human platelets is a hallmark of HTN. In this double-blinded study of an open population (n = 167), we evaluated the sensitivity and specificity of a diagnostic assay based on gold nanoparticles (AuNPs) conjugated to an antibody against epithelial sodium channel (ENaC) expressed on platelets, which is detected using a fluorescent anti-ENaC secondary antibody and spectrofluorometry. Using the cutoff value for the AuNP-anti-ENaC assay, we confirmed the diagnosis for 62.1% of patients with clinical HTN and detected 59.7% of patients had previously undiagnosed HTN. Although some shortcomings in terms of accurately discriminating healthy individuals and patients with HTN still need to be resolved, we propose this AuNP-anti-ENaC assay could be used for initial screening and early diagnosis to critically improve opportune clinical management of HTN.
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García-Rubio et al. (2022) conducted a cross-sectional in Arterial hypertension (n=167). AuNP-anti-ENaC diagnostic assay was evaluated on Sensitivity and specificity of the AuNP-anti-ENaC assay.
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