Urinary Angiotensinogen as a Biomarker of Nephropathy in Childhood

While most circulating angiotensinogen (AGT) is synthesized in the liver, the kidneys also produce AGT. Recently, we reported that urinary AGT is mainly originated from AGT. Using newly developed human AGT ELISA, we measured urinary AGT levels in chronic glomerulonephritis (GN) patients and patients...

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Main Authors: Maki Urushihara, Shoji Kagami
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Nephrology
Online Access:http://dx.doi.org/10.4061/2011/206835
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author Maki Urushihara
Shoji Kagami
author_facet Maki Urushihara
Shoji Kagami
author_sort Maki Urushihara
collection DOAJ
description While most circulating angiotensinogen (AGT) is synthesized in the liver, the kidneys also produce AGT. Recently, we reported that urinary AGT is mainly originated from AGT. Using newly developed human AGT ELISA, we measured urinary AGT levels in chronic glomerulonephritis (GN) patients and patients with type 1 diabetes in childhood. Urinary AGT level was positively correlated with diastolic blood pressure, urinary albumin, urinary protein levels, and urinary occult blood in chronic GN patients. Furthermore, urinary AGT level was significantly increased in chronic GN patients not treated with renin-angiotensin system (RAS) blockers compared with control subjects. Importantly, patients treated with RAS blockers had a marked attenuation of this increase. Also, urinary AGT level was significantly higher in patients with diabetic nephropathy in the premicroalbuminuric phase than in control subjects. These results suggest that urinary AGT reflects intrarenal RAS status in chronic GN and may be an early marker of diabetic nephropathy.
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spelling doaj-art-f06aab68da234a0b8e2bd15b02e48ac92025-02-03T05:44:47ZengWileyInternational Journal of Nephrology2090-214X2090-21582011-01-01201110.4061/2011/206835206835Urinary Angiotensinogen as a Biomarker of Nephropathy in ChildhoodMaki Urushihara0Shoji Kagami1Department of Pediatrics, Institute of Health Biosciences, The University of Tokushima Graduate School, Kuramoto-cho 3-18-15, Tokushima 770-8503, JapanDepartment of Pediatrics, Institute of Health Biosciences, The University of Tokushima Graduate School, Kuramoto-cho 3-18-15, Tokushima 770-8503, JapanWhile most circulating angiotensinogen (AGT) is synthesized in the liver, the kidneys also produce AGT. Recently, we reported that urinary AGT is mainly originated from AGT. Using newly developed human AGT ELISA, we measured urinary AGT levels in chronic glomerulonephritis (GN) patients and patients with type 1 diabetes in childhood. Urinary AGT level was positively correlated with diastolic blood pressure, urinary albumin, urinary protein levels, and urinary occult blood in chronic GN patients. Furthermore, urinary AGT level was significantly increased in chronic GN patients not treated with renin-angiotensin system (RAS) blockers compared with control subjects. Importantly, patients treated with RAS blockers had a marked attenuation of this increase. Also, urinary AGT level was significantly higher in patients with diabetic nephropathy in the premicroalbuminuric phase than in control subjects. These results suggest that urinary AGT reflects intrarenal RAS status in chronic GN and may be an early marker of diabetic nephropathy.http://dx.doi.org/10.4061/2011/206835
spellingShingle Maki Urushihara
Shoji Kagami
Urinary Angiotensinogen as a Biomarker of Nephropathy in Childhood
International Journal of Nephrology
title Urinary Angiotensinogen as a Biomarker of Nephropathy in Childhood
title_full Urinary Angiotensinogen as a Biomarker of Nephropathy in Childhood
title_fullStr Urinary Angiotensinogen as a Biomarker of Nephropathy in Childhood
title_full_unstemmed Urinary Angiotensinogen as a Biomarker of Nephropathy in Childhood
title_short Urinary Angiotensinogen as a Biomarker of Nephropathy in Childhood
title_sort urinary angiotensinogen as a biomarker of nephropathy in childhood
url http://dx.doi.org/10.4061/2011/206835
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AT shojikagami urinaryangiotensinogenasabiomarkerofnephropathyinchildhood