Document Detail


Impaired renal prostaglandin E2 biosynthesis in human hypertensive states.
MedLine Citation:
PMID:  213795     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Urinary Prostaglandin E2 (PGE2), a known indicator of renal production, was measured by specific radioimmunoassay in 111 normal volunteers, 85 patients with essential hypertension, 6 with renovascular hypertension, and 23 patients with primary aldosteronism. Women excreted less PGE2 than men in both normotensive and hypertensive groups. When compared to normals, essential hypertensives demonstrated significantly lower PGE2 levels, with one third excreting less than 100 ng/24 hr, values usually seen only in subjects receiving the prostaglandin synthetase inhibitor, indomethacin. Normal PGE2 was seen in patients with renovascular hypertension, and levels were uninfluenced by treatment with the converting enzyme inhibitor SQ14225, Despite normalization of blood pressure and increased plasma renin activity. Normal PGE2 was also encountered in primary aldosteronism. These data indicate that impaired renal PGE2 biosynthesis is specific for human essential hypertension, and is not secondary to the elevated blood pressure. Although PGE2 excretion tends to be lower in low-renin hypertension, a constant relationship between PGE2 and renin is not always apparent.
Authors:
S Y Tan; E Bravo; P J Mulrow
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Prostaglandins and medicine     Volume:  1     ISSN:  0161-4630     ISO Abbreviation:  Prostaglandins Med     Publication Date:  1978 Jul 
Date Detail:
Created Date:  1979-01-26     Completed Date:  1979-01-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7810330     Medline TA:  Prostaglandins Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  76-85     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Angiotensin-Converting Enzyme Inhibitors
Female
Humans
Hyperaldosteronism / metabolism
Hypertension / enzymology,  metabolism*
Hypertension, Renovascular / metabolism
Indomethacin / pharmacology
Kidney / metabolism*
Male
Middle Aged
Prostaglandins E / biosynthesis*,  urine
Renin / metabolism
Chemical
Reg. No./Substance:
0/Angiotensin-Converting Enzyme Inhibitors; 0/Prostaglandins E; 53-86-1/Indomethacin; EC 3.4.23.15/Renin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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