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October 4, 2011Journal of Hypertension

Urinary renin, but not angiotensinogen or aldosterone, reflects the renal renin–angiotensin–aldosterone system activity and the efficacy of renin–angiotensin–aldosterone system blockade in the kidney

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Population

101 diabetic and nondiabetic patients with or without hypertension

Design

Cross-sectional

Authors

MHMieke van den HeuvelWBWendy W. BatenburgSJSjaam Jainandunsing

Discussion

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Overview

Urinary renin may better indicate renal RAAS suppression by ACEi/ARBs than other markers in diabetes; hypothesis-generating for biomarker use pending prospective validation.

Structured PICO

P
Population
101 diabetic and nondiabetic patients with or without hypertension
I
Intervention
Angiotensin-converting enzyme inhibitors (ACEi) and angiotensin II type 1 receptor blockers (ARB)
O
Outcome
Urinary and plasma levels of renin, prorenin, angiotensinogen, aldosterone, albumin, and creatininesurrogate

Urinary renin is a more accurate biomarker for assessing renal RAAS activity and the local efficacy of RAAS blockade than urinary angiotensinogen or aldosterone.

Cite This Study

Heuvel et al. (2011) studied this question.

synapsesocial.com/papers/6a719c58f44fa9f079df606chttps://doi.org/10.1097/hjh.0b013e32834bbcbf
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Urinary angiotensinogen reflects the activity of intrarenal renin-angiotensin system in patients with IgA nephropathy2010 · 127 citations
  2. 2Urinary Angiotensinogen as a Novel Biomarker of the Intrarenal Renin-Angiotensin System Status in Hypertensive Patients2008 · 216 citations
  3. 3Increased Plasma Inactive Renin in Diabetes Mellitus1985 · 338 citations
  4. 4Determinants of interindividual variation of renin and prorenin concentrations1998 · 233 citations
  5. 5The Collecting Duct Is the Major Source of Prorenin in Diabetes2008 · 174 citations