{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T22:46:49Z","timestamp":1754261209447,"version":"3.40.4"},"reference-count":31,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiorenal Med"],"published-print":{"date-parts":[[2019]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background and Objectives:&lt;\/i&gt;&lt;\/b&gt; Cyst pressure induces renin-angiotensin-aldosterone system activation and kidney hypoxia in autosomal dominant polycystic kidney disease (ADPKD). Lipopolysaccharide-induced Toll-like receptor activation causes metabolic disturbances that are triggered by increased succinate levels and hypoxia inducible factors, which results in inflammation via &lt;i&gt;IL-1\u03b2&lt;\/i&gt; activation. Since we aimed to investigate the role of both inflammation and hypoxia in the clinical course of ADPKD, via succinate levels from sera samples, &lt;i&gt;HIF-1\u03b1&lt;\/i&gt; gene expression from whole blood and urine samples and &lt;i&gt;IL-1\u03b2&lt;\/i&gt;gene expression from whole blood were measured. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; One hundred ADPKD patients and 100 matched healthy controls were enrolled to this cross-sectional study. Twenty-four-hour ambulatory blood pressure monitoring was conducted in all participants. Blood, serum, and urine samples were taken after 12-h fasting for the measurement of biochemical parameters and succinate levels. Whole blood and urine samples were used for &lt;i&gt;HIF-1\u03b1&lt;\/i&gt; and &lt;i&gt;IL-1\u03b2&lt;\/i&gt; gene&lt;i&gt;&lt;\/i&gt;expression by using quantitative real-time PCR. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; There were significant differences in whole blood &lt;i&gt;HIF-1\u03b1&lt;\/i&gt;,&lt;i&gt; IL-1\u03b2&lt;\/i&gt; gene&lt;i&gt;&lt;\/i&gt;expression, and serum&lt;i&gt;&lt;\/i&gt;succinate levels between the ADPKD patients and the control subjects. Whole blood &lt;i&gt;HIF-1\u03b1&lt;\/i&gt;gene expression,&lt;i&gt; IL-1\u03b2&lt;\/i&gt; gene&lt;i&gt;&lt;\/i&gt;expression, and serum&lt;i&gt;&lt;\/i&gt;succinate levels were also significantly different in ADPKD patients with hypertension in comparison with normotensive ones (&lt;i&gt;p&lt;\/i&gt; &amp;#x3c; 0.05). Serum succinate levels and blood&lt;i&gt; IL-1\u03b2&lt;\/i&gt; gene&lt;i&gt;&lt;\/i&gt;expression were increased in ADPKD patients with high levels of &lt;i&gt;HIF-1\u03b1 gene&lt;\/i&gt;expression (&lt;i&gt;p&lt;\/i&gt; = 0.018 and &lt;i&gt;p&lt;\/i&gt; = 0.029, respectively). &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; Increased age,&lt;i&gt;&lt;\/i&gt;low eGFR, and &lt;i&gt;HIF-1\u03b1&lt;\/i&gt; and &lt;i&gt;IL-1\u03b2&lt;\/i&gt; gene&lt;i&gt;&lt;\/i&gt;expressions were also independently associated with hypertension in ADPKD patients. Inflammation and hypoxia are both relevant factors that might be associated with hypertension in ADPKD.<\/jats:p>","DOI":"10.1159\/000500478","type":"journal-article","created":{"date-parts":[[2019,7,18]],"date-time":"2019-07-18T21:00:28Z","timestamp":1563483628000},"page":"370-381","source":"Crossref","is-referenced-by-count":10,"title":["Systemic Succinate, Hypoxia-Inducible Factor-1 Alpha, and IL-1\u03b2 Gene Expression in Autosomal Dominant Polycystic Kidney Disease with and without 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