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Biomedical subjects

F Fyhrquist

Publications and source records attributed to F Fyhrquist.

At least 253 records · Page 14Linked to original sources

Plasma renin activity and angiotensin II during oral contraception.

Plasma renin activity (PRA) and angiotensin II (A II) concentrations were measured in the first and second half of the menstrual cycle for four months in 27 healthy young women, in three groups. During month II and III group I received lynestrenol 0.5 mg, group II lynestrenol 0.5 mg + ethinyl estradiol 0.05 mg and group III d-norgestrel 0.25 mg + ethinyl estradiol 0.05 mg as contraceptive treatment. In group I no changes of PRA or A II were observed. In group II and III both PRA and A II rose significantly during oral contraceptive treatment. Progestagens may offer an advantage as they do not stimulate the renin-angiotensin axis.

Adult↗

Renin/angiotensin system in hypertension after traumatic renal-artery thrombosis.

Hypertension was found in four patients after unilateral renal-artery thrombosis following blunt abdominal trauma. In one patient, who was followed up from the time of injury, renin hypersecretion and secondary aldosteronism developed within a few days, and hypertension was present 12 weeks later. Increasing haemoglobin and raised blood-erythropoietin concentrations were also found. In the three other patients, hypertension was found casually within 3 years of trauma. In all patients, unilateral renin production by the affected kidney was significantly increased. Nephrectomy of the diseased kidney corrected hypertension and endocrine abnormalities in all patients. The delayed onset of hypertension despite early activation of the renin/angiotensin/aldosterone axis accords with the course of events observed in experimentally induced hypertension in rats, and suggests that several weeks or even months are required for hypertension to develop after sudden renal-artery occlusion in man. Slowly acting mechanisms, probably initiated by hypersecretion of renin, may be responsible for the hypertension.

Abdominal Injuries↗

Renin-aldosterone axis in ethanol intoxication and hangover.

The renin-aldosterone system was studied in human volunteers during ethanol intoxication and hangover. Plasma renin activity increased more than 100%, when 1.5 - 2.3 g ethanol per kg body weight was ingested over a three hour period. During hangover the increase even exceeded 200%. Plasma aldosterone concentration decreased during ethanol intoxication, but increased greatly during hangover. It is suggested that the stimulation of the renin-aldosterone axis during ethanol intoxication and hangover is due to dehydration and increased activity of the sympathetic nervous system.

Adult↗

Solitary renal cyst, hypertension and renin.

Solitary renal cysts may cause renin hypersecretion with associated hypertension by compressing surrounding tissue and by distortion of renal vessels. Selective measurements of plasma renin activity in the renal veins can predict the antihypertensive effect of decompression. An illustrative case is presented and its significance is discussed.

Adult↗

Plasma renin activity following central infusion of angiotensin II and altered CSF sodium concentration in the conscious goat.

To study central influences on the renal release of renin, angiotensin II was infused into the lateral cerebral ventricle of conscious hydrated goats. CSF sodium concentrations was increased or lowered by similar infusions of hypertonic NaCl or of isotonic fructose solution. Infusion of angiotensin II in doses from 0.5 to 1 mug caused a drop in plasma renin activity (PRA) and elicited a rise in blood pressure, antidiuresis, natriuresis, and thirst. Intraventricular infusion of hypertonic NaCl also supressed PRA, induced antidiuresis, natriuresis, and an inconsistent rise in blood pressure. Lowering of CSF [Na+] by infusion of isotonic fructose caused a rise in PRA and was followed by a water diuresis in the non-hydrated animal. The fructose infusions caused some decrease in renal K+ excretion but no consistent change in renal Na+ excretion. The results indicate that angiotensin II and changes in sodium balance modulate renal renin release also via the central nervous system.

Angiotensin II↗

Binding of iodinated angiotensin congeners to angiotensin II antibodies.

Antibodies against angiotensin II (A II) were generated in rabbits by immunization with val5-angiotensin II coupled to albumin. All antisera bound significant amounts of 125I-labelled A II hepta (2-8) and hexapeptide (3-8), but angiotensin I (A I) was not bound. High specificity for A II was found in 3 sera out of 10. The other sera showed above 50% cross-reaction with hepta- or hexapeptide, or both. No sera were found to cross-react with A I. The amino acids in position 1 and 2 may become additional immunological determinants, providing the basis for the generation of antibodies highly specific for A II. Labelling with 125I using the chloramine method may alter the immunoreactivity of angiotensin congeners. Selected antisera against A II may be used for radioimmunoassays of the biologically active angiotensin "III" (2-8 heptapeptide) and the 3-8 hexapeptide fragment of A II.

Angiotensin II↗

Plasma renin activity in abortion.

Healthy women (N = 96) were investigated for changes in plasma renin activity (PRA) in abortion. In spontaneous abortion PRA levels were significantly lower than in induced abortion although higher than in healthy women. These findings may be explained by differences in corpus luteum function and renin production of the feto-placental unit. Alternatively, prostaglandins, released by the contracting uterus in spontaneous abortion may cause PRA suppression, as observed in 9 pregnant women with abortion induced by the intra-amniotic use of prostaglandin F2alpha.

Abortion, Induced↗

Radioimmunoassay of vasopressin in unextracted plasma.

A radioimmunoassay (RIA) for arg8-vasopressin (AVP) in unextracted human plasma was based on a sensitive anti-AVP rabbit antiserum, inhibition of enzymatic damage to [125I]AVP and AVP, and the use of an individual plasma blank, to correct for interference of plasma factors with the RIA. Sensitivity was 0.4 pg of synthetic AVP detected, corresponding to 1.2 pg/ml of AVP in human plasma. Recovery of AVP added to pooled plasma was 94 +/- 9.3% (mean +/- S.D.) in the low range (AVP, 2.8 pg/ml added) and 106 +/- 11.7% in the high range (45.0 pg/ml added). In 26 healthy, ambulatory subjects on ad lib, water intake, plasma AVP concentration was 2.0 +/- 1.22 pg/ml in the supine position and in 28 healthy subjects, 6.2 +/- 4.3 pg/ml in the upright position. Water loading suppressed the plasma AVP concentration. Smoking caused increased plasma AVP in 3 subjects despite water loading.

Drinking↗

Peptide-binding macromolecules in the blood of seriously ill or mentally retarded patients.

This report describes macromolecules that bind (des-aspartic acid1)-angiotensin II, the des aspartic acid1 derivative of angiotensin I, and several biologically active and inactive analogues of these polypeptides. The macromolecules were found in the plasma of approximately 2 per cent of ambulatory adults and hospitalized children and 32 per cent of the patients at two institutions for the mentally retarded. The binding properties of these macromolecules were studied by incubating with peptides labeled with 125iodine, and separating bound from free labeled peptide using small gel filtration columns. The peptide-binding macromolecules from several patients were compared. They showed very similar specificity for a group of arginyl peptides of the des-aspartyl1-angiotensin sequence. The plasma binders differed from one another in their optimum pH and their mobility in electrophoretic fields. Those with more acid pH optima displayed more rapid electrophoretic mobility. The binders fell into two classes based on apparent molecular weight, approximately 140,000 and 250,000. Those with the higher apparent molecular weight contained a large proportion of binder that could be precipitated with antiserum to human IgA. Kinetic measurements showed that the plasma binders were somewhat heterogeneous with respect to affinity for (des-asp1)-angiotensin, with apparent association constants ranging from 10(7) to 10(8) M-1. Binding activity was labile to heat, and to treatment with pepsin or trypsin. It was inhibited by calcium, protamine, streptomycin, and some other cationic compounds. The plasma peptide binder differed in specificity and molecular weight from soluble angiotensin-binding molecules extracted from tissues, and from properties expected of a receptor for angiotensin. These macromolecules may be useful reagents for measuring (des-asp1)-angiotensins. Their presence in plasma samples may interfere with angiotensin assays in some circumstances.

Angiotensin II↗

Radioimmunoassay of plasma renin activity.

We describe a sensitive, simplified radioimmunoassay method for determination of plasma renin activity. Plasma was acidified to the optimal pH (6.0) of angiotensin l generation with the least possible dilution, by using a single addition of hydrochloric acid and the enzyme inhibitor hydroxyquinoline. Recovery of unlabeled angiotensin l added to plasma was 92-97%; that of monoiodinated angiotensin l exceeded 90%, indicating satisfactory protection from proteolytic enzymes. Plasma constituents interfered little with the radioimmunoassay. Bland values for plasma kept at 0 degrees C were 10.7 +/- 2.3 (mean +/- SD) percent of the activity values for samples kept at +37 degrees C (n equals 63). In the routine setting, 6.25 pg of angiotensin l or 10(-6) Goldblatt units of Standard Human Renin was detected. We report results of plasma renin activity measurements and a comparison with seven renin kits, and with bioassay for plasma renin activity.

Adult↗

Renin-angiotensin system in an infant with malignant renovascular hypertension.

A one-year-old girl with malignant renovascular hypertension had increased levels of plasma renin activity and angiotensin II concentration in peripheral blood and in blood from the affected kidneys as compared with that from the contralateral kidney. Unilateral nephrectomy was followed by resolution of the hypertension and normalization of the activity of the renin-angiotensin system.

Angiotensin II↗

Plasma renin activity in maternal and umbilical cord blood during parturition.

Plasma renin activity (PRA) in umbilical cord blood exceeded that of maternal blood in 14 out of 20 cases. Fetal PRA was not significantly correlated to maternal PRA. Significantly higher fetal renin values than the corresponding maternal ones were restricted to shorter labor (N equals 10). In cases with uterine inertia (N equals 8) higher values than in normals (N equals 7) were observed, whereas suppressed maternal and cord blood levels were found in maternal fluid retention with edema (N equals 3). The data suggest that fetal production of renin may be largely independent of maternal renin secretion.

Adult↗

Angiotensin-induced variations of receptors in rat uterine membranes.

1. 3H-labelled angiotensin II specfically binds to plasma membranes of rat uterine smooth muscle cells. Two classes of binding sites differing in their affinity for the hormone were demonstrated. The high-affinity binding sites (KD 29 degrees C approximately 2.0 X 10(-8) mol/l) probably correspond to the receptors involved in the biological response. 2. Bilateral nephrectomy significantly increases the concentration of 3H-labelled angiotensin-binding sites, a phenomenon which seems unrelated to the freeing of receptor sites secondary to the suppression of plasma angiotensin. This phenomenon may be responsible for the specific hypersensitivity in vitro to angiotensin of uteri excised in anephric rats as compared with normal rats. 3. Angiotensin II infusion in nephrectomized rats reduced the concentration of 3H-labelled angiotensin-binding sites. 4. It is suggested that the angiotensin receptor concentration is regulated by the concentration of circulating angiotensin.

Angiotensin II↗