Key result
Heparin in concentrations up to 500 U/mL did not significantly inhibit human renin activity or affect activation of inactive renin by trypsin compared to EDTA.
Why the study?
Does heparin inhibit renin activity in human plasma and vascular smooth muscle cell cultures?
Does heparin inhibit renin activity in human plasma and vascular smooth muscle cell cultures?
Heparin does not significantly inhibit human renin activity at practical concentrations, contradicting some earlier reports.
Heparin unlikely to affect renin at clinical doses; challenges prior reports but leaves open in vivo human confirmation.
Although heparin was reported in the 1960s to inhibit renin activity, this has not always been confirmed by other investigators. Hence, we re-examined whether heparin really inhibits renin or not. Renin activities were determined by radioimmunoassay of angiotensin I generated at pH 7.4. (i) No significant difference was found between the two kinds of plasma samples obtained with heparin and with EDTA as anticoagulant, in ARC (renin activity with addition of sheep renin substrate), TRC (ARC after activation of inactive renin by trypsin), or PRA (plasma renin activity without additional substrate). (ii) Even in higher concentrations of heparin up to 500 U/mL, neither PRA, ARC, nor TRC of plasma was affected significantly. (iii) Heparin, in concentrations up to 500 U/mL, exerted no significant effect on TRC of the media of human vascular smooth muscle cell culture. In conclusion, heparin does not exert any significant inhibitory effect on human renin nor does it affect activation of inactive renin by trypsin in the range of concentration of practical use, under the conditions employed in this study.
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Matsunaga et al. (1991) studied this question. Heparin vs. EDTA was evaluated on Renin activity (ARC, TRC, PRA). Heparin in concentrations up to 500 U/mL did not significantly inhibit human renin activity or affect activation of inactive renin by trypsin compared to EDTA.
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