Concentration and molecular forms of active and inactive renin in human fetal kidney, amniotic fluid and adrenal gland: evidence for renin-angiotensin system hyperactivity in 2nd trimester of pregnancy

J Hypertens. 1986 Feb;4(1):121-9. doi: 10.1097/00004872-198602000-00019.

Abstract

In a study of 38 fetuses total kidney renin was significantly correlated with gestational age (r = 0.63). Although whole fetal kidney renin specific activity was found to decrease with gestational age (r = -0.65), the mean value of the specific activity was about 20 times greater than in normal adult cortex and double that in tissue from patients with renal artery stenosis, suggesting renin-angiotensin system hyperactivity. In approximately 40% of fetal kidneys examined, evidence for an inactive (trypsin-activatable) renin precursor was found. The molecular weight of this form was indistinguishable from active renin (45 000 daltons) by Sephadex chromatography. Amniotic fluid from nine cases (100%) contained angiotensin (ANG) 1, angiotensin converting enzyme (ACE), renin substrate, active and inactive renin (both 45 000 daltons). Five of the 38 (13%) fetal adrenal glands contained renin, but no evidence for trypsin-activatable forms. Aldosterone was present in low concentration in the earliest adrenals examined, and a positive correlation existed between total tissue aldosterone and gestational age (r = 0.73). These findings suggest that the fetal renin-angiotensin system has an important role to play in the maintenance of extracellular fluid volume and blood pressure in the developing fetus.

MeSH terms

  • Adrenal Glands / metabolism
  • Aldosterone / metabolism
  • Amniotic Fluid / metabolism
  • Angiotensin I / metabolism
  • Enzyme Activation / drug effects
  • Female
  • Fetus / metabolism*
  • Fetus / ultrastructure
  • Gestational Age
  • Humans
  • In Vitro Techniques
  • Kidney / metabolism
  • Kidney / ultrastructure
  • Male
  • Peptidyl-Dipeptidase A / metabolism
  • Pregnancy
  • Renin / metabolism*
  • Renin-Angiotensin System*
  • Trypsin / pharmacology

Substances

  • Aldosterone
  • Angiotensin I
  • Peptidyl-Dipeptidase A
  • Trypsin
  • Renin