Key result
High-dose total-body irradiation fails to alter blood pressure, while age and obesity drive hypertension.
Why the study?
There is increasing evidence that circulatory disease incidence and mortality is associated with radiation exposure, but the effect of radiation on blood pressure in irradiated rhesus macaques is unclear.
Cohort (n=166)
No
Irradiation does not appear to alter BP in this primate model; leaves open whether age and obesity independently drive hypertension.
There is increasing evidence that circulatory disease incidence and mortality is associated with radiation exposure. Wake Forest School of Medicine is home to a unique cohort of total-body irradiated macaques, some with evidence of vascular end-organ disease in the brain, kidney and heart. Because there is a link between high blood pressure and vascular disease in all these sites, we undertook a retrospective study to evaluate blood pressure and radiation in this cohort of animals. In this work, we utilized a cohort of nonhuman primates (rhesus macaques, Macaca mulatta) long-term survivors of high-dose total-body irradiation (1.1-8.5 Gy, N = 129) and controls (N = 37) to evaluate the effects of radiation on blood pressure and obesity. Subjects were between 3 and 22 years of age (median 9 years). Blood pressure (BP) was measured 1-14 years postirradiation (median 4 years). Subjects were sedated with a combination of ketamine HCl (15 mg/kg body weight, IM) and midazolam (0.1 mg/kg body weight, IM) and systolic, diastolic, and mean arterial pressures were measured using a high definition oscillometer. Obesity was defined by dual energy X-ray absorptiometry as a body fat percentage >35%. Statistical analysis of the collected data indicated significant increases in blood pressure with increasing age and obesity. However, radiation did not significantly alter blood pressure in irradiated animals relative to controls, radiation dose, or age of irradiation.
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Achilles et al. (2023) conducted a cohort in Total-body irradiation exposure (n=166). High-dose total-body irradiation vs. Non-exposed controls was evaluated on Blood pressure (systolic, diastolic, and mean arterial) and incidence of hypertension. High-dose total-body irradiation did not significantly alter blood pressure in rhesus macaques relative to controls, whereas increasing age and obesity were significantly associated with elevated blood pressure.
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