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Vitamin D Plasma 25-Hydroxyvitamin D and Regulation of the Renin-Angiotensin System in Humans John P. Forman, Jonathan S. Williams, Naomi D.L. Fisher Abstract—Vitamin D regulates the renin-angiotensin system (RAS) in experimental animals, but corresponding human data are limited. We examined the relation between plasma 25-hydroxyvitamin D and elements of the RAS in 184 normotensive individuals in high sodium balance; these included circulating levels of plasma renin activity and angiotensin II (Ang II) and the renal plasma flow response to infused Ang II, which is an indirect measure of the intrinsic RAS activity in the kidney. Compared with individuals with sufficient 25-hydroxyvitamin D levels (30.0 ng/mL), those with insufficiency (15.0 to 29.9 ng/mL) and deficiency (15.0 ng/mL) had higher circulating Ang II levels (P for trend0.03). Moreover, those with vitamin D deficiency had significantly blunted renal plasma flow responses to infused Ang II (mean decrease of 115 mL/min per 1.73 m in renal plasma flow versus 145 mL/min per 1.73 m among those with sufficient vitamin D levels; P for trend0.009). Although plasma renin activity was higher among individuals with insufficient levels of vitamin D, the result was not statistically significant. These data suggest that low plasma 25-hydroxyvitamin D levels
Hypertension – Wolters Kluwer Health
Published: May 1, 2010
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