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. Author manuscript; available in PMC: 2022 Aug 1.
Published in final edited form as: Hypertension. 2021 Jun 14;78(2):411–421. doi: 10.1161/HYPERTENSIONAHA.121.17436

Table 2.

Comparison of histopathological findings between PA and EH.

Histological factors PA (n=19) EH (n=22) P value
GGS (%) 11.1 (1.9~64.9) 6.9 (1.3~35.9) 0.08
SGS (%) 5.9 (0~42.9) 0 (0~2.5) <0.01**
SGS/GGS 0.2 (0~5.0) 0 (0~0.3) <0.01**
Glomerular hypertrophy (μm) 153.3 (0.5~536.0) 150.9 (23.6~297.3) <0.01**
Interstitial fibrosis (%) 4.2 (0.1~28.5) 1.1 (0.1~7.6) <0.01**
Inflammatory cells (/mm2) 187.4 (5.5~867.8) 39.6 (5.5~424.8) 0.05*
Luminal stenosis (%) 80.0 (21.6~98.1) 60.0 (43.8~95.0) 0.08
IMR 2.8 (0.3~8.2) 3.6 (1.2~31.3) 0.02*
Hy 6.2 (0~11.1) 2.3 (0~5.3) <0.01*
Hy-af 0 (0~3.5) 1.3 (0~2.2) <0.05*
Hy-ef 1.6 (0~5.8) 0 (0~1.4) <0.01**
11βHSD1 76.8 (33.4~153.8) 89.1 (31.6~147.0) 0.03*
11βHSD2 58.5 (20.0~122.1) 33.5 (5.8~80.2) 0.03*
11βHSD2/11βHSD1 0.86 (0.3~2.4) 0.4 (0.1~0.9) <0.01**
Renin (μm2/glomerulus) 35.5 (0~197.7) 208.4 (3.0~1003.8) <0.01**
MR (%) 11.9 (0~53.7) 0 (0~3.4) <0.01**

There were no significant differences of the proportion of global glomerulosclerosis (GGS) (p=0.08). Segmental glomerulosclerosis (SGS) was significantly more pronounced in PA than EH (p<0.01). SGS was rare in EH. SGS/GGS ratio was also significantly higher in PA than in EH (p<0.01). Glomerular size was more pronounced in PA than EH (p<0.01). Interstitial fibrosis and the number of infiltrating inflammatory cells were significantly more pronounced in PA than EH kidney (p<0.01, p=0.05, respectively). Luminal stenosis tended to be more marked in PA than in EH but the difference did not reach statistical significance (p=0.08). IMR was significantly lower in PA than EH (p=0.02). Hy including all arterioles was significantly higher in PA than EH (p<0.01). Hy-af was significantly lower (p=0.03) and Hy-ef was higher in PA than EH (p<0.01). 11βHSD1 H-score was significantly higher in EH (p=0.03). 11βHSD2 H-score and 11βHSD2/11βHSD1 ratio were significantly higher in PA than EH (11βHSD2 H-score, p<0.01: 11βHSD2/11βHSD1 ratio, p<0.01). Renin immunoreactivity was significantly higher in EH than PA (p<0.01). MR nuclear immunoreactivity in tubular epithelium was significantly more abundant in PA than EH (p< 0.01). Glomerular size was demonstrated after counting the greatest dimension of 2683 and 3463 glomeruli in renal tissues of PA and EH, respectively. GGS; global glomerulosclerosis, SGS; segmental glomerulosclerosis, IMR; intima-to-media ratio, Hy; arteriolar hyalinization, 11βHSD; 11-beta hydroxysteroid dehydrogenase, MR; mineralocorticoid receptor. (the Mann-Whitney U test)

Median (range)

*

p<0.05

**

p<0.01