The Role of the Renal Kallikrein-kinin System in Sodium Metabolism in Normal and Low Renin Essential Hypertension : The 12th Conference on the Pathogenesis of Hypertension

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• In order to investigate the pathophysiological role of the renal kallikrein-kinin system in renin subgroups of essential hypertension, the quantity and activity of urinary kallikrein, urinary kinin excretion, and correlations of kallikrein and kinin excretions with renal sodium handling in the renal tubules were studied in 17 normal subjects, 23 patients with normal renin and 12 patients with low renin essential hypertension. Urine samples were collected by the 2-hour clearance method in the early morning. The quantity and activity of urinary kallikrein, and the urinary excretion of kinin were significantly lower in both low and normal renin patients than in normal subjects. Comparing the normal renin and the low renin group, no significant difference was found in the quantity of urinary kallikrein, while the activity of urinary kallikrein and urinary kinin excretion were significantly lower in low renin patients than in normal renin ones. Fractional excretions of sodium (FENa) and inorganic phosphorus (FEP), which reflect renal tubular and proximal tubular sodium reabsorption, respectively, were significantly lower in the low renin patients than in the normal renin ones. A significantly positive correlation was observed between the urinary kallikrein activity or urinary kinin excretion and FENa or FEP in both normal subjects and normal renin patients, but not in low renin patients. Based on these results, the following conjecture may be considered : the renal kallikrein-kinin system may play an important role in the renal sodium reabsorption mechanism in the renal tubules, including the proximal tubules, and thus, a suppression of the renal kallikrein-kinin system may be related, at least in part, to the pathogenesis of essential hypertension, especially to that of low renin essential hypertension, through renal sodium handling and expansion of the body fluid volume.

• 社団法人日本循環器学会の論文
• 1983-10-20

著者

• Takahashi Nobuki

  Department Of Clinical Studies And Genetics Radiation Effects Research Foundation

• Iimura Osamu

  The Second Department Of Internal Medicine Sapporo Medical College

• SHIMAMOTO KAZUAKI

  The Second Department of Internal Medicine, Sapporo Medical College

• Ando Toshiaki

  The Second Department of Internal Medicine, Sapporo Medical College

• Ando Toshiaki

  The Second Department Of Internal Medicine Sapporo Medical College

• Iimura O

  Sapporo Medical Univ.

• Ura Nobuyuki

  The Second Department of Internal Medicine, Sapporo Medical University School of Medicine

• Nakao Takashi

  The Second Department of Internal Medicine, Sapporo Medical College

• Mito Takafumi

  The Second Department of Internal Medicine, Sapporo Medical College

• Tahara Nobuhiro

  Department Of The Third Internal Medicine Kurume University School Of Medicine

• Iimura Osamu

  The Second Department Of Internal Medicine Sappolo Medical College

• Nishimiya Takatoshi

  The Second Department Of Internal Medicine Sapporo Medical College

• TANAKA SHIGEMICHI

  The Second Department of Internal Medicine,Sapporo Medical College

• Mita Teruaki

  The Second Department of Internal Medicine, Sapporo Medical College, Sapporo, Japan

• Mito Takafumi

  The Second Department Of Internal Medicine Sapporo Medical College

• KONDO MAMI

  The Second Department of Internal Medicine, Sapporo Medical College

• NAKAGAWA MOTOYA

  The Second Department of Internal Medicine, Sapporo Medical College

• Tanaka Shigemichi

  The Second Department Of Internal Medicine Sapporo Medical College

• Kondo Mami

  The Second Department Of Internal Medicine Sapporo Medical College

• Shimamoto Kazuaki

  The Seceond Department Of Internal Medicine Sapporo Medical University School Of Medicine

• Takahashi Nobuyuki

  Radiation Effects Research Foundation Hiroshima

• Ando Toshilaki

  Second Department Of Internal Medicine Sapporo Medical College Sapporo

• Mita Teruaki

  The Second Department Of Internal Medicine Sapporo Medical College

• Iimura Osamu

  The 2nd Department Of Internal Medieine Sapporo Medical College Sapporo 060

• IIMURA OSAMU

  The Second Department of Internal Mdicine, Sapporo Medical College

• TANAKA SHIGEMICHI

  The Second Department of Internal Mdicine, Sapporo Medical College

• ANDO TOSHIAKI

  The Second Department of Internal Mdicine, Sapporo Medical College

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