年轻成年人功能与可溶性 (pro) renin受体之间的关系:非洲PREDICT研究
Phuti J Mokgonyana1, Gontse G Mokwatsi1,2, Stella M Gwini3
1Hypertension in Africa Research Team (HART), North-West University, Potchefstroom Campus, Private Bag X6001, Potchefstroom, 2520, South Africa.
BMC nephrology
|April 4, 2025
概括
可溶性 (pro) 素受体 (s(P) RR) 水平和功能标志物在年轻成年人中显示出种族和性别差异. s(P) RR与黑人女性的功能和白人参与者的炎症/纤维化有关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 内分泌学 在内分泌学.
- 心血管研究研究心血管研究
背景情况:
- 高氨酸血管酶-阿尔多素系统 (RAAS) 活性与器官损伤有关.
- 可溶性 (pro) 蛋白受体 (s(P) RR) 通过RAAS依赖和独立的通路参与损伤.
- 在高血压和慢性病 (CKD) 中观察到升高的s(P) RR.
研究的目的:
- 为了比较南非年轻人跨种族和性别群体的P) RR水平.
- 为了确定s(P) RR和功能标志物 (eGFR,uACR,uA1M) 之间的关联.
- 为了确定预防CKD的潜在早期指标.
主要方法:
- 研究包括1156名年轻,健康的黑人和白人南非人 (20-30岁).
- 测量了血清s(P) RR,囊素C,肌素;尿中的白蛋白,肌素,UA1M.
- 计算出估计的淋巴膜过率 (eGFR);使用了t测试和回归分析.
主要成果:
- 白人参与者,特别是白人男性的PRR水平更高.
- 与白人参与者相比,黑人参与者表现出更高的eGFR.
- 在黑人女性中,eGFR和s(P) RR之间的负相关性;在白人参与者中,ua1M和s(P) RR之间的正相关性.
结论:
- 在年轻成年人中存在种族和性别差异,包括P) RR水平和功能标志物.
- 在年轻的白人个体中,PRR可能通过炎症和纤维化导致损伤.
- 了解这些关联可以为有针对性的CKD预防策略提供信息.
相关概念视频
Factors Affecting Renal Clearance: Renal Impairment
37
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
37
Hormonal Regulation
32.8K
The renin-aldosterone system is an endocrine system which guides the renal absorption of water and electrolytes, thus managing blood pressure and osmoregulation. Activation of the system begins in the kidneys with a small cluster of cells adjacent to the afferent and efferent blood vessels of the renal corpuscle. As the nephrons are filtering blood, juxtaglomerular cells monitor blood pressure. If they detect a decrease in pressure, they release the hormone renin into the bloodstream.
32.8K
Kidney Structure
67.4K
The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
67.4K
Introduction to Urinary System
1.8K
The urinary system consists of two kidneys, two ureters, the urinary bladder, and the urethra.
The kidneys are bean-shaped organs located in the retroperitoneal space, on either side of the vertebral column, between the T12 and L3 vertebrae. They are partially protected by the rib cage and surrounded by perirenal fat, which provides cushioning. They are responsible for urine formation and play critical roles in regulating blood pressure, electrolyte levels, and hormone production. The ureters...
The kidneys are bean-shaped organs located in the retroperitoneal space, on either side of the vertebral column, between the T12 and L3 vertebrae. They are partially protected by the rib cage and surrounded by perirenal fat, which provides cushioning. They are responsible for urine formation and play critical roles in regulating blood pressure, electrolyte levels, and hormone production. The ureters...
1.8K
Renal Failure: Dose Adjustments
46
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
46
Glomerular Filtration Rate and its Regulation
2.0K
The Glomerular Filtration Rate (GFR) is a measure of kidney function, reflecting the volume of filtrate formed per minute in the kidneys. On average, GFR is approximately 125 mL/min in males and 105 mL/min in females. Maintaining a relatively constant GFR is essential for the kidneys to effectively regulate body fluid homeostasis and maintain extracellular stability.
GFR regulation involves two primary intrinsic controls: the myogenic and tubuloglomerular feedback mechanisms.
The myogenic...
GFR regulation involves two primary intrinsic controls: the myogenic and tubuloglomerular feedback mechanisms.
The myogenic...
2.0K


