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March 1, 2001Journal of the Renin-Angiotensin-Aldosterone SystemOpen Access

Salt intake and non-ACE pathways for intrarenal angiotensin II generation in man

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Why the study?

Does candesartan compared to captopril increase renal plasma flow differently in normal humans on low-salt versus high-salt diets?

Population

Normal humans when in balance on a low-salt, as well as a high-salt, diet

Comparison

Candesartan at the top of the dose-response vs Captopril at the top of the dose-response

Design

Other

Authors

NHNorman K. HollenbergSOSuzette Y. OseiMLM. Cecilia Lansang

Discussion

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Overview

May favor ARBs over ACEIs for renal hemodynamics on high salt; leaves open translation to patients.

Structured PICO

Does candesartan compared to captopril increase renal plasma flow differently in normal humans on low-salt versus high-salt diets?

P
Population
Normal humans when in balance on a low-salt, as well as a high-salt, diet
I
Intervention
Candesartan at the top of the dose-response
C
Comparator
Captopril at the top of the dose-response
O
Outcome
Increase in renal plasma flow (RPF)surrogate

Non-ACE-dependent Ang II generation in the kidney is less influenced by salt intake than the classical ACE pathway, accounting for 60-70% of Ang II generation on a high-salt diet.

Cite This Study

Hollenberg et al. (2001) studied this question.

synapsesocial.com/papers/6a89a7fa176d2ac34cfbaeb8https://doi.org/10.3317/jraas.2001.002
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Also Consider

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

  1. 1Pathways for Angiotensin II Generation in Intact Human Tissue1998 · 340 citations
  2. 2Effect of ACE inhibition on pressor, renal vascular, and adrenal responses to infusion of angiotensin I in normal subjects eating a low-salt diet2000 · 3 citations
  3. 3Dissociation between the renal effects of angiotensin I and II in sodium-restricted normal subjects1998 · 8 citations
  4. 4Hyperglycemia and Angiotensin-Mediated Control of the Renal Circulation in Healthy Humans1999 · 41 citations
  5. 5Functional and Biochemical Analysis of Angiotensin II–Forming Pathways in the Human Heart1997 · 246 citations