Decreased Prorenin Processing Develops before Autonomic Dysfunction in Type 1 Diabetes1

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Decreased prorenin processing develops before autonomic dysfunction in type 1 diabetes.

It is well documented that diabetic patients with chronic complications have decreased renin secretion and elevations in the renin precursor prorenin. It is uncertain, however, whether the abnormal processing of prorenin is reflective of microvascular disease, hypertension, or autonomic neuropathy. Dechaux et al. (Transplant Proc. 18:1598-1599, 1986) observed abnormalities in prorenin processin...

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Renin, an aspartyl protease that catalyzes the rate-limiting step in the renin angiotensin system (RAS), is proteolytically activated by a second protease (referred to as the prorenin processing enzyme or PPE) before its secretion from the juxtaglomerular (JG) cells of the kidney. Although several enzymes are capable of activating renin in vitro, the leading candidate for the PPE in the kidney ...

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ژورنال

عنوان ژورنال: The Journal of Clinical Endocrinology & Metabolism

سال: 2000

ISSN: 0021-972X,1945-7197

DOI: 10.1210/jcem.85.2.6362