Evidence map›Paper›PMID 31534091›Full record

ArticleInternal medicine (Tokyo, Japan)2020

The Urinary Angiotensinogen to Urinary Albumin Ratio Reflects Whether the Renin-angiotensin System in the Kidney Is Activated due to Filtration of Plasma Angiotensinogen through the Damaged Glomeruli or the Production of Angiotensinogen in the Proximal Tubules.

Naro Ohashi, Taro Aoki, Takashi Matsuyama, Sayaka Ishigaki, Shinsuke Isobe, Naoko Katahashi, Taichi Sato, Tomoyuki Fujikura, Akihiko Kato, Hideo Yasuda

Open access · diamondAbstract read
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Naro OhashiInternal Medicine 1, Hamamatsu University School of Medicine, Japan.
Taro AokiInternal Medicine 1, Hamamatsu University School of Medicine, Japan.
Takashi MatsuyamaInternal Medicine 1, Hamamatsu University School of Medicine, Japan.
Sayaka IshigakiBlood Purification Unit, Hamamatsu University School of Medicine, Japan.
Shinsuke IsobeInternal Medicine 1, Hamamatsu University School of Medicine, Japan.
Naoko KatahashiInternal Medicine 1, Hamamatsu University School of Medicine, Japan.
Taichi SatoInternal Medicine 1, Hamamatsu University School of Medicine, Japan.
Tomoyuki FujikuraInternal Medicine 1, Hamamatsu University School of Medicine, Japan.
Akihiko KatoBlood Purification Unit, Hamamatsu University School of Medicine, Japan.
Hideo YasudaInternal Medicine 1, Hamamatsu University School of Medicine, Japan.
Hamamatsu University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Urinary angiotensinogen (AGT) is a surrogate marker for intrarenal renin-angiotensin system (RAS) activity that plays an important role in the development of renal damage. Urinary AGT levels are determined by the filtration of plasma AGT through the damaged glomeruli and production of AGT in the proximal tubules. However, the relative merits of the filtration and production of urinary AGT levels in chronic kidney diseases (CKD) have not been clarified. Therefore, we investigated them in CKD patients. Methods We recruited 41 biopsy-proven patients diagnosed with IgA nephropathy (IgAN) in 31, membranous nephropathy (MN) in 5, and tubulointerstitial nephritis (TIN) in 5. The patients taking RAS blockers were excluded. Results The urinary albumin levels in MN patients were significantly higher and those in TIN patients significantly lower than in IgAN patients, and the urinary AGT levels in the MN and TIN patients were significantly higher than those in IgAN patients. Conversely, the urinary AGT-to-urinary albumin (urinary AGT/Alb) ratios were the same for IgAN and MN patients, and those of TIN patients were significantly higher than those of IgAN and MN patients. A multiple linear regression analysis revealed that the urinary AGT/Alb ratios had a significant positive association with IgAN and TIN after adjustments (β=0.75, and p<0.01). Conclusion These data suggest that the origins of urinary AGT may differ according to the etiology of renal damage [i.e. glomerular damage (such as IgAN and MN) or tubulointerstitial damage (such as TIN)], and a higher urinary AGT/Alb ratio, as in TIN, may reflect AGT production in the kidney.

Indexed as

AdultAgedAlbuminuriaAngiotensinogenFemaleHumansKidney GlomerulusKidney Tubules, ProximalMaleMiddle AgedRenal Insufficiency, ChronicRenin-Angiotensin SystemAngiotensinogenchronic kidney diseaseintrarenal renin-angiotensin systemurinary angiotensinogen to urinary albumin ratio

Identifiers

PMID31534091
PMCPMC7028426
OpenAlexW2974485696

What Socratic holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.