Effects of dietary potassium and race on urinary excretion of kallikrein and aldosterone in man

D HORWITZ, HS MARGOLIUS… - The Journal of Clinical …, 1978 - academic.oup.com
D HORWITZ, HS MARGOLIUS, HR REISER
The Journal of Clinical Endocrinology & Metabolism, 1978academic.oup.com
Urinary excretion of kallikrein by 16 normal and 8 hypertensive subjects was studied at three
levels of dietary potassium: 85 meq/day for 5 days, 185 meq/day for 7 days, and 25 meq/day
for 10 days. Excretion of kallikrein varied directly with potassium intake and paralleled
excretion of aldosterone in both normotensive and hypertensive subjects. Mean levels of
excretion of kallikrein at 85, 185, and 25 meq intake of potassium were 10.8, 19.1, and 5.8
esterase U/day (EU/day), respectively, for the normotensive subjects and 8.8, 13.9, and 6.1 …
Urinary excretion of kallikrein by 16 normal and 8 hypertensive subjects was studied at three levels of dietary potassium: 85 meq/day for 5 days, 185 meq/day for 7 days, and 25 meq/day for 10 days. Excretion of kallikrein varied directly with potassium intake and paralleled excretion of aldosterone in both normotensive and hypertensive subjects. Mean levels of excretion of kallikrein at 85, 185, and 25 meq intake of potassium were 10.8, 19.1, and 5.8 esterase U/day (EU/day), respectively, for the normotensive subjects and 8.8, 13.9, and 6.1 EU/day for the hypertensive subjects. Mean levels of excretion of kallikrein were significantly higher in white than in black subjects among normals and hypertensives [13.0 vs. 5.9 EU/day for normals (P < 0.05) and 13.7 vs. 4.0 EU/day for hypertensives (P < 0.05) on the 85 meq/day diet]. The parallel changes in excretion of kallikrein and aldosterone support the hypothesis that changes in effective levels of aldosterone induce changes in the excretion of kallikrein. Because of racial differences in excretion of kallikrein, matched groups should be used for comparisons of the kallikrein system in disease states.
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