학술논문

Urinary Angiotensinogen and Renin Excretion are Associated with Chronic Kidney Disease
Document Type
article
Source
Kidney & Blood Pressure Research, Vol 42, Iss 1, Pp 145-155 (2017)
Subject
Chronic kidney disease
Biomarkers
Angiotensinogen
Renin-angiotensin system
Epidemiology
Dermatology
RL1-803
Diseases of the circulatory (Cardiovascular) system
RC666-701
Diseases of the genitourinary system. Urology
RC870-923
Language
English
ISSN
1420-4096
1423-0143
Abstract
Background/Aims: Several studies sought to identify new biomarkers for chronic kidney disease (CKD). As the renal renin-angiotensin system is activated in CKD, urinary angiotensinogen or renin excretion may be suitable candidates. We tested whether urinary angiotensinogen or renin excretion is elevated in CKD and whether these parameters are associated with estimated glomerular filtration rate (eGFR). We further tested whether urinary angiotensinogen or renin excretion may convey additional information beyond that provided by albuminuria. Methods: We measured urinary and plasma angiotensinogen, renin, albumin and creatinine in 177 CKD patients from the Greifswald Approach to Individualized Medicine project and in 283 healthy controls from the Study of Health in Pomerania. The urinary excretion of specific proteins is given as protein-to-creatinine ratio. Receiver operating characteristic (ROC) curves, spearman correlation coefficients and linear regression models were calculated. Results: Urinary angiotensinogen [2,511 (196-31,909) vs. 18.6 (8.3-44.0) pmol/g, *P