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Published on: June 7, 2016
Urinary angiotensinogen is correlated with blood pressure in men (Bogalusa Heart Study)
Hiroyuki Kobori1, Maki Urushihara, Ji H Xu
1Hypertension and Renal Center of Excellence, Department of Medicine, School of Medicine, Tulane University Health Sciences Center, New Orleans, LA 70112-2699, USA. hkobori@tulane.edu
Insights
Urinary angiotensinogen (UAGT) correlates with blood pressure in young adults, particularly men. This novel biomarker may help identify individuals at risk for hypertension and early kidney disease.
Area of Science:
- Cardiovascular Disease Research
- Renal Medicine
- Biomarker Discovery
Background:
- The Bogalusa Heart Study has tracked cardiovascular disease risk factors in a biracial population for over 35 years.
- Urinary angiotensinogen (UAGT) is a novel biomarker for intrarenal renin-angiotensin system activity.
- Sex and racial differences are known to influence cardiovascular disease outcomes.
Purpose of the Study:
- To investigate the relationship between UAGT and traditional cardiovascular disease risk factors.
- To assess UAGT in asymptomatic young adults within a biracial cohort.
- To explore UAGT as a potential indicator of early hypertension and kidney disease.
Main Methods:
- Recruited 251 individuals, collecting a single random spot urine sample.
- Excluded participants with diabetes or on antihypertensive medication.
- Analyzed data from 190 eligible participants.
Main Results:
- UAGT levels did not significantly differ by race or sex.
- UAGT showed significant correlations with systolic blood pressure (SBP) and diastolic blood pressure (DBP).
- Stronger correlations were observed in men, especially black men, linking UAGT to blood pressure even without proteinuria.
Conclusions:
- UAGT is correlated with blood pressure in men, indicating its potential as an early indicator.
- This biomarker may aid in identifying individuals at risk for developing hypertension.
- UAGT could facilitate early detection of asymptomatic renal disease.
Background:
The Bogalusa Heart Study is a long-term study on cardiovascular disease and has followed a biracial (black/white) population from childhood. Risk factor data pertaining to many patients have been collected over 35 years, and the time course of hypertension has been documented by repeated examinations and measurements. Considerable sex and racial differences have been found to be related to cardiovascular disease. Urinary angiotensinogen (UAGT) is a novel biomarker for the intrarenal activity of the renin-angiotensin system in hypertension and kidney disease. We aimed to determine the relationship of UAGT with traditional cardiovascular disease risk factors in asymptomatic young adults in this biracial population.
Method:
We recruited 251 individuals and collected a single random spot urine sample from each one. Because UAGT is significantly increased in diabetic patients and the use of antihypertensive drugs affects UAGT levels, we excluded patients who had diabetes, who were receiving antihypertensive treatment, or both. Consequently, 190 participants were included for this analysis.
Results:
UAGT levels did not differ with race or sex, but were significantly correlated with SBP (r = +0.23, P = 0.0015) and DBP (r = +0.24, P = 0.0012). Moreover, high correlations were shown in men, especially in black men (SBP, r = +0.85, P = 0.0005 and DBP, r = +0.72, P = 0.0079). Thus, UAGT is correlated with blood pressure in men, even when they do not show overt proteinuria or albuminuria.
Conclusion:
The biomarker, UAGT, may facilitate the identification of individuals that are at increased risk for the development of hypertension and early asymptomatic renal disease.
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