title: Roles of human urotensin II in volume resistance hypertension in peritoneal dialysis patients.
abstract: Human urotensin II (hUII) is a newly discovered substance that can dilate small blood vessels to decrease the blood pressure (BP). Our previous studies showed that some volume-overloaded patients on peritoneal dialysis can maintain normal BP (congestive heart failure excluded), suggesting that these patients have volume resistance capacity. This study is to investigate whether hUII plays an important role in this subgroup of patients on peritoneal dialysis. In this study, 105 patients on continuous ambulatory peritoneal dialysis were enrolled. Volume load was evaluated by the overhydration (OH) value obtained by bioimpedance analysis. OH < 2.0 kg was defined as normal volume (NV), and OH ≥ 2.0 kg as high volume (HV). Systolic blood pressure (SBP) <130 mmHg was defined as normotension (NT) and ≥130 mmHg as hypertension (HT). The patients were thus divided into four subgroups: (1) normotension with normal volume (NT-NV), (2) normotension with high volume (NT-HV), (3) normal volume with hypertension (HT-NV), and (4) high volume with hypertension (HT-HV). hUII was measured using radioimmunoassay method. hUII was significantly higher in normal SBP group than that in high SBP group (p < 0.05). hUII was higher in the NT-HV group compared with that in the HT-HV group (p < 0.05). Our study suggests that hUII may be involved in the pathogenesis of the volume resistance HT in peritoneal dialysis patients.
authors.affiliation: Department of Nephrology, Peking University Third Hospital, Beijing, PR China.
authors.forename: Qiong
authors.initials: Q
authors.lastname: Bai
authors.forename: Jing
authors.initials: J
authors.lastname: Zhang
authors.forename: Ai-Hua
authors.initials: AH
authors.lastname: Zhang
authors.forename: Li-Tao
authors.initials: LT
authors.lastname: Cheng
authors.forename: Lian
authors.initials: L
authors.lastname: He
authors.forename: Min-Hua
authors.initials: MH
authors.lastname: Fan
authors.forename: Ya-Jun
authors.initials: YJ
authors.lastname: Luo
authors.forename: Tao
authors.initials: T
authors.lastname: Wang
mesh_terms: D000704:Analysis of Variance; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D006973:Hypertension / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory; D011863:Radioimmunoassay; D014511:Uremia / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy*; D014579:Urotensins / Q000502:physiology*; D014655:Vascular Resistance / Q000502:physiology
chemical_list: D014579:Urotensins; C029677:urotensin II