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Published on: October 31, 2025
Urinary angiotensinogen level is increased in preterm neonates.
Masashi Suzue1, Maki Urushihara, Ryuji Nakagawa
1Department of Pediatrics, Institute of Health Biosciences, The University of Tokushima Graduate School, Kuramoto-cho 3-18-15, Tokushima, Tokushima, 770-8503, Japan.
Urinary angiotensinogen is higher in preterm infants, indicating potential intrarenal renin-angiotensin system activation during kidney development. Levels decrease with increasing gestational age in neonates.
Area of Science:
- Nephrology
- Developmental Biology
- Endocrinology
Background:
- The renin-angiotensin system (RAS) is crucial for kidney development.
- All RAS components are synthesized in the developing kidney.
Purpose of the Study:
- To measure urinary angiotensinogen in neonates.
- To examine the relationship between urinary angiotensinogen and gestational age.
Main Methods:
- Collected urine and plasma from 20 preterm and 18 full-term neonates.
- Measured angiotensinogen using enzyme-linked immunosorbent assay.
Main Results:
- Urinary angiotensinogen-to-creatinine ratio was higher in preterm neonates.
- Urinary angiotensinogen-to-creatinine ratio decreased with increasing gestational age.
- Plasma angiotensinogen did not differ between groups or correlate with gestational age.
Conclusions:
- Urinary angiotensinogen may reflect intrarenal RAS activation in prenatal kidney development.
- Gestational age influences urinary angiotensinogen levels in neonates.
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