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.
Abstract

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