SULFUR-CONTAINING AMINO ACIDS AND THE RISK OF DEVELOPMENT OF ARTERIAL HYPERTENSION IN CHILDREN

Introduction. Currently, sulfur-containing amino acids are potential candidates as risk factors for cardiovascular disease. The purpose: to establish the role of sulfur-containing amino acids and their derivatives in the risk of developing arterial hypertension in children. Matherial and methods. 111 children aged 14 to 18 years were examined. All patients were divided into 3 groups: the 1st group (n=51) consisted of children with arterial hypertension, the 2nd group (n=30) – with high normal blood pressure, the 3rd group – 30 healthy children. The content of sulfur-containing amino acids and their derivatives in blood plasma was determined by high-performance liquid chromatography. Result. The concentration of sulfur-containing amino acids methionine, homocysteine, cysteine and cysteinylglycine in the blood plasma of children with arterial hypertension tend to increase in comparison with the group of healthy children. Pathological decrease in endothelium-dependent vasodilation accompanied by an increase in the concentration of methionine, homocysteine, cysteine, cysteinylglycine, glutathione in blood plasma and a decrease – taurine. A prognostic model has been developed based on the determination of the concentration of homocysteine and cysteinylglycine in the blood plasma of children. With a calculated value of p≥0,44, makes it possible to predict a high probability of arterial hypertension with a sensitivity of 90,2%, a specificity of 66,7% and a diagnostic efficiency of 82,1%. Conclusions. The concentration of sulfur-containing amino acids methionine, homocysteine, cysteine and cysteinylglycine in the blood plasma of children with arterial hypertension tend to increase in comparison with the group of healthy children.