Urinary Excretions of Albumin and Type IV Collagen in Normotensive and Hypertensive Subjects

Plasma albumin leaks into urine as a result of glomerular hypertension and basement membrane injury, while urinary type IV collagen derives from mesangial matrix and glomerular basement membrane. The purpose of this study was to elucidate the pathophysiological significance of these urinary micropro...

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Veröffentlicht in:Hypertension Research 2000, Vol.23(5), pp.459-466
Hauptverfasser: ISHIMITSU, Toshihiko, MURAYAMA, Naoki, MEGURO, Teruo, KAGEYAMA, Yo, OKADA, Kazuhisa, OKUBO, Yasuhiro, TAKEDA, Shigeyuki, HASEGAWA, Kazuo, KIKEGAWA, Yoshinobu, OHWADA, Tsuneo, HOSOYA, Hideo, MINAMI, Junichi, ONO, Hidehiko, MATSUOKA, Hiroaki
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container_end_page 466
container_issue 5
container_start_page 459
container_title Hypertension Research
container_volume 23
creator ISHIMITSU, Toshihiko
MURAYAMA, Naoki
MEGURO, Teruo
KAGEYAMA, Yo
OKADA, Kazuhisa
OKUBO, Yasuhiro
TAKEDA, Shigeyuki
HASEGAWA, Kazuo
KIKEGAWA, Yoshinobu
OHWADA, Tsuneo
HOSOYA, Hideo
MINAMI, Junichi
ONO, Hidehiko
MATSUOKA, Hiroaki
description Plasma albumin leaks into urine as a result of glomerular hypertension and basement membrane injury, while urinary type IV collagen derives from mesangial matrix and glomerular basement membrane. The purpose of this study was to elucidate the pathophysiological significance of these urinary microproteins as an indicator of cardiovascular organ injuries in hypertension. In health-checkup participants without diabetes, proteinuria, or microhematuria, and who were not being treated for hypertension or any other disease at the time of enrollment, urinary albumin and type IV collagen were measured and their relations to organ injuries and cardiovascular risk factors were evaluated. Of 1, 079 subjects (40- to 65-year-old; 256 men and 823 women) enrolled in the study, 120 (11.1%) had untreated hypertension exceeding 140/90 mmHg. Urinary albumin was positively correlated with both age (r=0.16, p
doi_str_mv 10.1291/hypres.23.459
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The purpose of this study was to elucidate the pathophysiological significance of these urinary microproteins as an indicator of cardiovascular organ injuries in hypertension. In health-checkup participants without diabetes, proteinuria, or microhematuria, and who were not being treated for hypertension or any other disease at the time of enrollment, urinary albumin and type IV collagen were measured and their relations to organ injuries and cardiovascular risk factors were evaluated. Of 1, 079 subjects (40- to 65-year-old; 256 men and 823 women) enrolled in the study, 120 (11.1%) had untreated hypertension exceeding 140/90 mmHg. Urinary albumin was positively correlated with both age (r=0.16, p<0.001) and systolic blood pressure (r=0.27, p<0.001). Urinary type IV collagen was not only positively correlated with age (r=0.12, p<0.001) and diastolic blood pressure (r=0.14, p<0.001) but also negatively correlated with blood hemoglobin (r=-0.12, p<0.001). Urinary albumin, but not type IV collagen, had a significant relation to electrocardiographic signs of left ventricular hypertrophy (p=0.012) and retinal arteriosclerosis on fundoscopy (p <0.001). Thus both albumin and type IV collagen would seem to have increased in association with age and hypertension in this cohort. It is suggested that urinary albumin is an indicator not only of renal injury, but also possibly of development of cardiac hypertrophy and arteriosclerotic changes. Urinary type IV collagen, on the other hand, may be associated with renal tissue injuries that affect erythrokinetics. 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The purpose of this study was to elucidate the pathophysiological significance of these urinary microproteins as an indicator of cardiovascular organ injuries in hypertension. In health-checkup participants without diabetes, proteinuria, or microhematuria, and who were not being treated for hypertension or any other disease at the time of enrollment, urinary albumin and type IV collagen were measured and their relations to organ injuries and cardiovascular risk factors were evaluated. Of 1, 079 subjects (40- to 65-year-old; 256 men and 823 women) enrolled in the study, 120 (11.1%) had untreated hypertension exceeding 140/90 mmHg. Urinary albumin was positively correlated with both age (r=0.16, p<0.001) and systolic blood pressure (r=0.27, p<0.001). Urinary type IV collagen was not only positively correlated with age (r=0.12, p<0.001) and diastolic blood pressure (r=0.14, p<0.001) but also negatively correlated with blood hemoglobin (r=-0.12, p<0.001). Urinary albumin, but not type IV collagen, had a significant relation to electrocardiographic signs of left ventricular hypertrophy (p=0.012) and retinal arteriosclerosis on fundoscopy (p <0.001). Thus both albumin and type IV collagen would seem to have increased in association with age and hypertension in this cohort. It is suggested that urinary albumin is an indicator not only of renal injury, but also possibly of development of cardiac hypertrophy and arteriosclerotic changes. Urinary type IV collagen, on the other hand, may be associated with renal tissue injuries that affect erythrokinetics. (Hypertens Res 2000; 23: 459-466)]]></abstract><cop>England</cop><pub>The Japanese Society of Hypertension</pub><pmid>11016800</pmid><doi>10.1291/hypres.23.459</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
albumin
Albuminuria - blood
Albuminuria - diagnosis
Albuminuria - urine
Arteriosclerosis - blood
Arteriosclerosis - diagnosis
Arteriosclerosis - urine
Blood Pressure
Cholesterol, HDL - blood
Cholesterol, LDL - blood
Collagen - urine
Echocardiography
Female
Humans
hypertension
Hypertension - blood
Hypertension - diagnosis
Hypertension - urine
Hypertrophy, Left Ventricular - blood
Hypertrophy, Left Ventricular - diagnostic imaging
Hypertrophy, Left Ventricular - urine
Male
Middle Aged
Predictive Value of Tests
proteinuria
Regression Analysis
Triglycerides - blood
type IV collagen
title Urinary Excretions of Albumin and Type IV Collagen in Normotensive and Hypertensive Subjects
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