Abstract
Plasma renin activity (PRA) was studied serially for up to 21 days following transplantation in thirteen patients receiving renal allografts. PRA was measured during fasting and recumvency and its relationship to renal function, diuretic administration, plasma sodium, allograft rejection and blood pressure was examined. PRA fell steadily as renal function improved and plasma sodium rose following transplantation and when rejection episodes were excluded an inverse relationship between PRA and renal function could be seen. It is not possible to say whether the changes in PRA and function are causally related or whether changes in plasma sodium alone account for the observed changes in PRA. Some rejection episodes were accompanied by an increase in PRA, but this was not sufficiently consistent to be of value in the diagnosis of rejection. PRA also increased in relation to frusemide-induced fluid loss. There was no relationship in these patients between PRA and blood pressure.
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Selected References
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- Abbrecht P. H., Turcotte J. G., Vander A. J. Plasma erythropoietin and renin activity afte canine renal allotransplantation. J Lab Clin Med. 1968 May;71(5):766–774. [PubMed] [Google Scholar]
- Bailie M. D., Davis L. E., Loutzenhiser R. Intrarenal secretion of renin in the dog: effect of furosemide. Am J Physiol. 1973 Feb;224(2):425–430. doi: 10.1152/ajplegacy.1973.224.2.425. [DOI] [PubMed] [Google Scholar]
- Beckerhoff R., Uhlschmid G., Vetter W., Armbruster H., Siegenthaler W. Plasma renin and aldosterone after renal transplantation. Kidney Int. 1974 Jan;5(1):39–46. doi: 10.1038/ki.1974.5. [DOI] [PubMed] [Google Scholar]
- Brown J. J., Curtis J. R., Lever A. F., Robertson J. I., De Wardener H. E., Wing A. J. Plasma renin concentration and the control of blood pressure in patients on maintenance haemodialysis. Nephron. 1969;6(3):329–349. doi: 10.1159/000179737. [DOI] [PubMed] [Google Scholar]
- Brown J. J., Gleadle R. I., Lawson D. H., Lever A. F., Linton A. L., Macadam R. F., Prentice E., Tree M., Robertson J. I. Renin and acute renal failure: studies in man. Br Med J. 1970 Jan 31;1(5691):253–258. doi: 10.1136/bmj.1.5691.253. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Clarke T. D., Ashburn A. D., Williams W. L. Cortisone-induced hypertension and cardiovascular lesions in mice. Am J Anat. 1968 Nov;123(3):429–440. doi: 10.1002/aja.1001230303. [DOI] [PubMed] [Google Scholar]
- Gordon R. D., Pawsey C. G. The relative effects of serum sodium concentration and the state of body fluid balance on renin secretion. J Clin Endocrinol Metab. 1971 Jan;32(1):117–119. doi: 10.1210/jcem-32-1-117. [DOI] [PubMed] [Google Scholar]
- Greene J. A., Jr, Vander A. J., Kowalczyk R. S. Plasma renin activity and aldosterone excretion after renal homotransplantation. J Lab Clin Med. 1968 Apr;71(4):586–595. [PubMed] [Google Scholar]
- Gunnells C. J., Jr, Stickel D. L., Robinson R. R. Episodic hypertension associated with positive renin assays after renal transplantation. N Engl J Med. 1966 Mar 10;274(10):543–547. doi: 10.1056/NEJM196603102741004. [DOI] [PubMed] [Google Scholar]
- KNOWLTON A. I., LOEB E. N., STOERK H. C., WHITE J. P., HEFFERNAN J. F. Induction of arterial hypertension in normal and adrenalectomized rats given cortisone acetate. J Exp Med. 1952 Sep;96(3):187–205. doi: 10.1084/jem.96.3.187. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kotchen T. A., Knight E. L., Kashgarian M., Mulrow P. J. A study of the renin-angiotensin system in patients with severe chronic renal insufficiency. Nephron. 1970 Jul;7(4):317–330. doi: 10.1159/000179832. [DOI] [PubMed] [Google Scholar]
- McDonald F. D., Brennan L. A., Turcotte J. G. Severe hypertension and elevated plasma renin activity following transplantation of "hepatorenal donor" kidneys into anephric recipients. Am J Med. 1973 Jan;54(1):39–43. doi: 10.1016/0002-9343(73)90081-8. [DOI] [PubMed] [Google Scholar]
- Nash F. D., Rostorfer H. H., Bailie M. D., Wathen R. L., Schneider E. G. Renin release: relation to renal sodium load and dissociation from hemodynamic changes. Circ Res. 1968 Apr;22(4):473–487. doi: 10.1161/01.res.22.4.473. [DOI] [PubMed] [Google Scholar]
- Newton M. A., Laragh J. H. Effects of glucocorticoid administration on aldosterone excretion and plasma renin in normal subjects, in essential hypertension and in primary aldosteronism. J Clin Endocrinol Metab. 1968 Jul;28(7):1014–1022. doi: 10.1210/jcem-28-7-1014. [DOI] [PubMed] [Google Scholar]
- Popovtzer M. M., Pinnggera W., Katz F. H., Corman J. L., Roninette J., Lanois B., Haglrimson C. G., Starzel T. E. Variations in arterial blood pressure after kidney transplantation. Relation to renal function, plasma renin activity, and the dose of prednisone. Circulation. 1973 Jun;47(6):1297–1305. doi: 10.1161/01.cir.47.6.1297. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Roguska J., Del Greco F., Simon N. M. Serum renin activity in human renal homotransplantation. Nephron. 1971;8(3):289–302. doi: 10.1159/000179930. [DOI] [PubMed] [Google Scholar]
- Skinner S. L. Improved assay methods for renin "concentration" and "activity" in human plasma. Methods using selective denaturation of renin substrate. Circ Res. 1967 Apr;20(4):391–402. doi: 10.1161/01.res.20.4.391. [DOI] [PubMed] [Google Scholar]
- Vander A. J., Carlson J. Mechanism of the effects of furosemide on renin secretion in anesthetized dogs. Circ Res. 1969 Aug;25(2):145–152. doi: 10.1161/01.res.25.2.145. [DOI] [PubMed] [Google Scholar]
- West T. H., Turcotte J. G., Vander A. Plasma renin activity, sodium balance, and hypertension in a group of renal transplant recipients. J Lab Clin Med. 1969 Apr;73(4):564–573. [PubMed] [Google Scholar]
- Yu R., Anderton J., Skinner S. L., Best J. B. Renin in anephric man. Case report with physiologic studies. Am J Med. 1972 May;52(5):707–711. doi: 10.1016/0002-9343(72)90061-7. [DOI] [PubMed] [Google Scholar]
