イチハラ　アツヒロ   ICHIHARA Atsuhiro
  市原　淳弘
   所属   医学部 医学科（東京女子医科大学病院）
   職種   教授・基幹分野長
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Serum-soluble (pro)renin receptor concentration as a biomarker for organ damage in primary aldosteronism.
掲載誌名 正式名：Hypertension research : official journal of the Japanese Society of Hypertension
略　 称：Hypertens Res
ISSNコード：13484214/09169636
掲載区分国外
巻・号・頁 42(12),pp.1951-1960
著者・共著者 YAMASHITA Kaoru†, MORIMOTO Satoshi*, SEKI Yasufumi, WATANABE Daisuke, ICHIHARA Atsuhiro
発行年月 2019/12
概要 Primary aldosteronism is characterized by inappropriate overproduction of aldosterone by adrenal lesions and leads to hypertension. Excess aldosterone causes organ damage; therefore, finding a biomarker for organ damage risk is vital. The (pro)renin receptor regulates the tissue renin-angiotensin-aldosterone system. The blood soluble (pro)renin receptor concentration is a candidate biomarker that reflects the activity of the tissue renin-angiotensin-aldosterone system. This study investigated the relationships between serum soluble (pro)renin receptor concentrations and indices of organ damage in patients with primary aldosteronism. We examined plasma aldosterone and serum soluble (pro)renin receptor concentrations in patients with primary aldosteronism and evaluated the relationships between these values and organ damage indices, such as the cardio-ankle vascular index, urinary albumin excretion, estimated glomerular filtration rate, and high-sensitivity C-reactive protein levels. We enrolled 121 patients with primary aldosteronism (46 males, 54.9 ± 12.2 years of age). Serum soluble (pro)renin receptor concentrations were significantly positively correlated with the cardio-ankle vascular index, urinary albumin excretion, and high-sensitivity C-reactive protein levels and negatively associated with estimated glomerular filtration rates, independent of other factors. Plasma aldosterone concentrations showed no significant relationships with these indices. In patients with primary aldosteronism, serum soluble (pro)renin receptor concentrations, but not plasma aldosterone concentrations, showed significant associations with organ damage, suggesting that the serum soluble (pro)renin receptor level could be a high-risk biomarker of organ damage.
DOI 10.1038/s41440-019-0312-9
PMID 31409916