Association between arterial properties and renal sodium handling in a general population.
Open accessAbstract
Mean arterial pressure drives pressure-natriuresis and determines arterial structure and function. In a population sample, we investigated the relation between arterial characteristics and renal sodium handling as assessed by the clearance of endogenous lithium. We ultrasonographically measured diameter, cross-sectional compliance (CC) and distensibility (DC) of the carotid, brachial, and femoral arteries in 1069 untreated subjects (mean age: 41.6 years; 50.1% women; 18.8% hypertensive subjects). While accounting for covariates and standardizing for the sodium excretion rate in both sexes, CC and DC of the femoral artery increased with higher fractional distal sodium reabsorption. Differences associated with a 1-SD change in fractional distal reabsorption of sodium were 51.7 mm(2)/kPax10(-3) (95% CI: 23.9 to 79.5; P=0.0002) and 0.56x10(-3)/kPa (95% CI: 0.17 to 0.94; P=0.004) for femoral CC and DC, respectively. In women as well as in men, a 1-SD increment in fractional proximal sodium reabsorption was associated with decreases in femoral and brachial diameter, amounting to 111.6 mum (95% CI: 38.2 to 185.1; P=0.003) and 52.5 mum (95% CI: 10.0 to 94.9; P=0.016), respectively. There was no consistent association between the properties of the elastic carotid artery and renal sodium handling. In conclusion, higher fractional sodium reabsorption in the distal nephron is associated with higher femoral CC and DC, and higher proximal sodium reabsorption is associated with decreased brachial and femoral diameters. These findings demonstrate that there might be an influence of renal sodium handling on arterial properties or vice versa or that common mechanisms might influence both arterial and renal function.
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The fraction of water load passively reabsorbed in the proximal tubule also includes sodium reabsorbed in the loop of Henle.
“Taking into account details of laboratory measurements, this fraction also includes sodium reabsorbed in the loop of Henle (Seidlerová et al., 2006).”
From Thoroughly Calibrated Modular Agent-Based Model of the Human Cardiovascular and Renal Systems for Blood Pressure Regulation in Health and Disease (2021) · cites this paper as Seidlerová et al., 2006
The Abstract says lithium is reabsorbed alongside sodium and water in the proximal tubule, but may also be partially reabsorbed in the loop of Henle. The Renal Sodium Handling section defines the estimated proximal sodium-reabsorption fraction using lithium excretion. Together, these passages support a possible contribution from loop reabsorption to the estimate, but do not establish that it necessarily includes sodium reabsorbed there. Page numbers are unavailable in our copy. (LLM, conf=0.84)
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- Staessen JA, Wang J, Bianchi G, Birkenha ¨ger WH. Essential hyper- tension. Lancet. 2003;361:1629 -1641.
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“Taking into account details of laboratory measurements, this fraction also includes sodium reabsorbed in the loop of Henle (Seidlerová et al., 2006).”
- Authors
- Seidlerová, J., Staessen, J. A., Maillard, M., Nawrot, T., Zhang, H., Bochud, M., Kuznetsova, T., Richart, T., Van Bortel, L. M., Struijker-Boudier, H. A., Manunta, P., Burnier, M., Fagard, R., & Filipovský, J.
- Affiliations
- From the Studies Coordinating Centre (J.S., J.A.S., T.N., H.Z., T.K., T.R., R.F.), Division of Hypertension and Cardiovascular Rehabilitation, Department of Cardiovascular Diseases, University of Leuven, Leuven, Belgium; the Faculty of Medicine in Pilsen (J.S., J.F.), Charles University, Pilsen, Czech Republic; the Division of Hypertension and Cardiovascular Medicine (M.M., M. Bochud, M. Burnier), University of Lausanne, Lausanne, Switzerland; the Department of Cardiology (H.Z.), First Affiliated...
- University of Milan (IT)
- ORCID
- Venue
- Hypertension
- Published
- 2006-10
- Volume
- 48
- Issue
- 4
- Pages
- 609-615
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- OpenAlex
- W2166477052
- Cited by
- 25
- References
- 33
- Citations by year
- 2024: 3 · 2023: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 1 · 2013: 1
- FWCI
- 2.61
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Hypertension (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- IRIS (submittedVersion)
- Lirias (submittedVersion, cc-by)
- SERVAL (Université de Lausanne) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Renal and Vascular Pathologies
- Keywords
- renal sodium handling, pressure natriuresis, lithium clearance, fractional sodium reabsorption, arterial compliance, arterial distensibility, arterial diameter, femoral artery, brachial artery, carotid artery, distal nephron, proximal sodium reabsorption, sex differences
- MeSH terms
- Absorption, Adult, Arteries, Brachial Artery, Carotid Arteries, Compliance, Elasticity, Female, Femoral Artery, Humans, Hypertension, Kidney, Kidney Tubules, Distal, Kidney Tubules, Proximal, Male, Middle Aged, Natriuresis, Sodium, Ultrasonography
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