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Higher plasma renin activity is associated with increased kidney damage risk in patients with hypertension and glucose metabolic disorders

The impact of renin on kidney remain unclear among hypertensives with glucose metabolic disorders (GMD). We aimed to evaluate the association between plasma renin activity (PRA) and kidney damage in hypertensive patients with GMD. Overall, 2033 inpatients with hypertension and GMD free of chronic ki...

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Autores principales: Lin, Mengyue, Heizhati, Mulalibieke, Gan, Lin, Hong, Jing, Wu, Ting, Xiamili, Zuhere, Tong, Ling, Lin, Yue, Li, Nanfang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180335/
https://www.ncbi.nlm.nih.gov/pubmed/35522256
http://dx.doi.org/10.1111/jch.14492
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author Lin, Mengyue
Heizhati, Mulalibieke
Gan, Lin
Hong, Jing
Wu, Ting
Xiamili, Zuhere
Tong, Ling
Lin, Yue
Li, Nanfang
author_facet Lin, Mengyue
Heizhati, Mulalibieke
Gan, Lin
Hong, Jing
Wu, Ting
Xiamili, Zuhere
Tong, Ling
Lin, Yue
Li, Nanfang
author_sort Lin, Mengyue
collection PubMed
description The impact of renin on kidney remain unclear among hypertensives with glucose metabolic disorders (GMD). We aimed to evaluate the association between plasma renin activity (PRA) and kidney damage in hypertensive patients with GMD. Overall, 2033 inpatients with hypertension and GMD free of chronic kidney disease (CKD) at baseline were included. CKD was defined using estimated glomerular filtration rate (eGFR) and urine protein. PRA was treated as continuous variable, and also dichotomized as high (≥0.65) or low (< 0.65) groups. The association of PRA with incident CKD was evaluated using multivariable Cox model controlling for antihypertensive medications and baseline aldosterone, and traditional parameters. Subgroup and interaction analyses were performed to evaluate heterogeneity. During a median follow‐up of 31 months, 291 participants developed CKD. The incidence was higher in high‐renin group than that in low‐renin group (54.6 vs 36.6/1000 person‐years). Significant association was observed between PRA and incident CKD, and the association was mainly driven by an increased risk for proteinuria. Each standard deviation increment in log‐transformed PRA was associated with 16.7% increased risk of proteinuria (hazard ratio = 1.167, P = .03); compared with low‐renin group, there was 78.4% increased risk for high‐renin group (hazard ratio = 1.784, P = .001). Nonlinear associations were observed between PRA and kidney damage. Higher PRA is associated with greater risk of incident kidney damage, especially for positive proteinuria, in patients with coexistence of hypertension and diabetes, independent of aldosterone. In this patient population with high risk for kidney damage, PRA may serve as an important predictor.
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spelling pubmed-91803352022-06-13 Higher plasma renin activity is associated with increased kidney damage risk in patients with hypertension and glucose metabolic disorders Lin, Mengyue Heizhati, Mulalibieke Gan, Lin Hong, Jing Wu, Ting Xiamili, Zuhere Tong, Ling Lin, Yue Li, Nanfang J Clin Hypertens (Greenwich) Target Organ Damage The impact of renin on kidney remain unclear among hypertensives with glucose metabolic disorders (GMD). We aimed to evaluate the association between plasma renin activity (PRA) and kidney damage in hypertensive patients with GMD. Overall, 2033 inpatients with hypertension and GMD free of chronic kidney disease (CKD) at baseline were included. CKD was defined using estimated glomerular filtration rate (eGFR) and urine protein. PRA was treated as continuous variable, and also dichotomized as high (≥0.65) or low (< 0.65) groups. The association of PRA with incident CKD was evaluated using multivariable Cox model controlling for antihypertensive medications and baseline aldosterone, and traditional parameters. Subgroup and interaction analyses were performed to evaluate heterogeneity. During a median follow‐up of 31 months, 291 participants developed CKD. The incidence was higher in high‐renin group than that in low‐renin group (54.6 vs 36.6/1000 person‐years). Significant association was observed between PRA and incident CKD, and the association was mainly driven by an increased risk for proteinuria. Each standard deviation increment in log‐transformed PRA was associated with 16.7% increased risk of proteinuria (hazard ratio = 1.167, P = .03); compared with low‐renin group, there was 78.4% increased risk for high‐renin group (hazard ratio = 1.784, P = .001). Nonlinear associations were observed between PRA and kidney damage. Higher PRA is associated with greater risk of incident kidney damage, especially for positive proteinuria, in patients with coexistence of hypertension and diabetes, independent of aldosterone. In this patient population with high risk for kidney damage, PRA may serve as an important predictor. John Wiley and Sons Inc. 2022-05-06 /pmc/articles/PMC9180335/ /pubmed/35522256 http://dx.doi.org/10.1111/jch.14492 Text en © 2022 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Target Organ Damage
Lin, Mengyue
Heizhati, Mulalibieke
Gan, Lin
Hong, Jing
Wu, Ting
Xiamili, Zuhere
Tong, Ling
Lin, Yue
Li, Nanfang
Higher plasma renin activity is associated with increased kidney damage risk in patients with hypertension and glucose metabolic disorders
title Higher plasma renin activity is associated with increased kidney damage risk in patients with hypertension and glucose metabolic disorders
title_full Higher plasma renin activity is associated with increased kidney damage risk in patients with hypertension and glucose metabolic disorders
title_fullStr Higher plasma renin activity is associated with increased kidney damage risk in patients with hypertension and glucose metabolic disorders
title_full_unstemmed Higher plasma renin activity is associated with increased kidney damage risk in patients with hypertension and glucose metabolic disorders
title_short Higher plasma renin activity is associated with increased kidney damage risk in patients with hypertension and glucose metabolic disorders
title_sort higher plasma renin activity is associated with increased kidney damage risk in patients with hypertension and glucose metabolic disorders
topic Target Organ Damage
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180335/
https://www.ncbi.nlm.nih.gov/pubmed/35522256
http://dx.doi.org/10.1111/jch.14492
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