The renin-angiotensin system and natriuretic peptides in obesity-associated hypertension
Abstract
Excessive accumulation of adipose tissue is associated with profound alterations in the cardiovascular system. including an increase in systemic blood pressure. It now appears clear that a central feature of obesity-associated hypertension is related to changes in sodium handling that may result from abnormalities in sympathetic nervous system activity, the renin-angiotensin-aldosterone system, natriuretic peptides, and kidney function. In this paper we review the role of these factors in the development of obesity-associated hypertension, thereby focusing on the potential role of adipose tissue in these alterations.
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Experimental animals and people with obesity generally have modest increases in most components of the renin-angiotensin-aldosterone system, including angiotensin II and aldosterone.
“Experimental animals and people with obesity generally have modest increases in most components of the RAAS, including angiotensin II (AngII) and aldosterone6,59.”
From Obesity, kidney dysfunction and hypertension: mechanistic links (2019) · cites this paper as [59]
Obese subjects, especially those with visceral obesity, often have mild to moderate increases in plasma renin activity (PRA), angiotensinogen, ACE activity, AngII, and aldosterone.
“Obese subjects, especially those with visceral obesity, often have mild to moderate increases in plasma renin activity (PRA), angiotensinogen, ACE activity, AngII, and aldosterone40.”
From Obesity-Induced Hypertension: Interaction of Neurohumoral and Renal Mechanisms (2015) · cites this paper as [40]
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Obesity and the risk of heart failure
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Influence of Weight Reduction on Blood Pressure: A Meta-Analysis of Randomized Controlled Trials
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Impact of Obesity on Plasma Natriuretic Peptide Levels
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Obesity, kidney dysfunction and hypertension: mechanistic links
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Hypertension: Physiology and Pathophysiology
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Body Mass Index, Obstructive Sleep Apnea, and Outcomes of Catheter Ablation of Atrial Fibrillation
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- Authors
- Engeli, S., & Sharma, A. M.
- Affiliations
- Humboldt-Universität zu Berlin (DE)
- Venue
- Journal of Molecular Medicine
- Published
- 2000-10-18
- Volume
- 79
- Issue
- 1
- Pages
- 21-29
- ISSN
- 0946-2716 (ISSN-L)
- 1432-1440
- OpenAlex
- W2135961756
- Cited by
- 225
- References
- 117
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 9 · 2023: 10 · 2022: 6 · 2021: 7 · 2020: 8 · 2019: 6 · 2018: 7 · 2017: 7 · 2016: 10 · 2015: 7 · 2014: 8 · 2013: 9 · 2012: 17
- FWCI
- 3.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Molecular Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Renin-Angiotensin System Studies
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- obesity-related hypertension, renin-angiotensin system, natriuretic peptides, adipose tissue, sodium handling, sympathetic activity, renin-angiotensin-aldosterone system, renal function, blood pressure regulation
- MeSH terms
- Adipose Tissue, Hypertension, Models, Biological, Atrial Natriuretic Factor, Obesity, Renin-Angiotensin System, Research Personnel, Sodium
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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