Key result
Baseline urinary angiotensinogen excretion was significantly and negatively correlated with the annual change in eGFR (r=-0.31, p=0.015), predicting progressive renal dysfunction in CKD patients.
Cohort (n=62)
No
Effect estimate: r=-0.31
p-value: p=0.015
Elevated baseline urinary angiotensinogen levels can predict rapid renal dysfunction and eGFR decline in patients with chronic kidney disease.
Baseline urinary AGT may flag faster eGFR decline in CKD; leaves open added value beyond standard predictors and requires validation.
. We performed 24-hour ambulatory BP monitoring at 30-min intervals and daily urinary collection to examine the urinary AGT levels and albumin excretion and measured the levels of plasma angiotensin II (Ang II), a surrogate marker of circulating RAS. In addition, annual changes in the eGFR were followed up for 3.4±1.5 years. Results Annual changes in the eGFR were significantly and negatively associated with urinary AGT levels (r=-0.31, p=0.015) as well as the age, systolic BP, and urinary albumin levels. In contrast, annual changes in the eGFR were not correlated with plasma Ang II levels. Furthermore, when dividing patients into quartiles according to urinary AGT levels, patients with the highest urinary AGT levels showed a progressive decline in the eGFR. Conclusion These results suggest that elevated baseline urinary AGT levels can predict renal dysfunction in patients with CKD.
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Ishigaki et al. (2021) conducted a cohort in Chronic Kidney Disease (n=62). Baseline urinary angiotensinogen excretion vs. Lower baseline urinary angiotensinogen excretion was evaluated on Annual change in estimated glomerular filtration rate (eGFR) (r=-0.31, p=0.015). Baseline urinary angiotensinogen excretion was significantly and negatively correlated with the annual change in eGFR (r=-0.31, p=0.015), predicting progressive renal dysfunction in CKD patients.
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