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Table 5 Tissue expression of intrarenal renin-angiotensin-aldosterone system components in polycystic kidneys compared to normal kidney

From: Increased urinary Angiotensinogen/Creatinine (AGT/Cr) ratio may be associated with reduced renal function in autosomal dominant polycystic kidney disease patients

  

AGT

AngII

Ang-(1-7)

ACE

ACE2

Chymase

Normal

PT

±

+

++

+++

++

+

DT

-

+

+

-

++

+

Case I (ADPKD-CKD)

C

++(diffuse)

++

++

-

±

-

PT

+++(diffuse)

++

+++

+

++++

+++

DT

-

++

+++

-

++

++

Case II (ADPKD-ESRD)

C

++(patchy)

±

+++

-

+

+

PT

+++(patchy)

±

+++

±

++++

+++

DT

-

±

+++

-

++

++

  1. Normal kidney was obtained from 38-year-old male who underwent nephrectomy for renal cell carcinoma. His sCr level was 1.1 mg/dL at the time of operation. The polycystic kidney tissues were obtained from two patients. One patient underwent nephrectomy for renal cell carcinoma and her sCr level was 0.98 mg/dL. The other kidney tissue was obtained from end-stage renal disease patient who was preparing transplantation. ACE angiotensin-converting enzyme, ACE2 angiotensin-converting enzyme 2, AGT angiotensinogen, AngII angiotensin II, Ang-(1-7) angiotensin (1-7), C cyst-lining epithelial cells, DT distal tubules, ADPKD-CKD polycystic kidney disease – chronic kidney disease stage, ADPKD-ESRD polycystic kidney disease – end-stage renal disease stage, PT Proximal tubule