title: Effects of angiotensin II receptor blocker on proteinuria in renal transplant recipients.
abstract: BACKGROUND
  Therapeutic approaches directed at reducing proteinuria are under development. The aim of the present study was to prospectively elucidate the impact of losartan treatment in renal transplant recipients with persistent proteinuria.
  
  
  METHODS
  Twenty-eight patients with persistent proteinuria or mild hypertension were assigned to receive losartan. Proteinuria was defined as a ratio of urinary protein to urinary creatinine (U(P)/U(Cr)) >0.5 in continual urinary tests in the outpatient setting.
  
  
  RESULTS
  All patients with mild hypertension reached target blood pressure (BP) with losartan treatment, but the change was not significant. In twelve patients with proteinuria before initiation of the study, urinary protein excretion was significantly reduced with treatment. No correlation was observed between reductions in proteinuria and mean BP. A significant decrease was identified in the hemoglobin concentration of patients with serum creatinine concentrations >2.0 mg/dl before the study.
  
  
  CONCLUSIONS
  Losartan efficiently reduces proteinuria in renal transplant recipients with adequate tolerance. Multicentric prospective studies are required to confirm its clinical effectiveness.
authors.affiliation: Department of Urology, Ehime University School of Medicine, Onsen-gun, Ehime 791-0295, Japan. tanji@m.ehime-u.ac.jp
authors.forename: Nozomu
authors.initials: N
authors.lastname: Tanji
authors.forename: Hiroji
authors.initials: H
authors.lastname: Ohoka
authors.forename: Kenji
authors.initials: K
authors.lastname: Shimamoto
authors.forename: Tetsuhiro
authors.initials: T
authors.lastname: Ikeda
authors.forename: Yuuki
authors.initials: Y
authors.lastname: Miyauchi
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Yokoyama
mesh_terms: D000328:Adult; D047228:Angiotensin II Type 1 Receptor Blockers / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000209:etiology; D016030:Kidney Transplantation / Q000009:adverse effects; D019808:Losartan / Q000627:therapeutic use*; D008297:Male; D010045:Outpatients; D011183:Postoperative Complications / Q000188:drug therapy*; D011507:Proteinuria / Q000188:drug therapy* / Q000209:etiology
chemical_list: D047228:Angiotensin II Type 1 Receptor Blockers; D019808:Losartan