Estimation of Renin enzyme activity and some biochemical parameters among chronic renal failure patients in Tikrit city

Main Article Content

Tafaoul Jaber Hameed
Muna Mohammed Ibraheem
Maysam Adnan Mezher

Keywords

Chronic renal failure, Renin, spartate Amino Transferase Alanine Amino Transferase, Albumin, Globulin, Calcium, Sodium, Potassium

Abstract

Chronic renal failure is a deficiency and failure in the excretory function of the kidneys, which causes a general imbalance in the body by retaining and accumulating nitrogenous waste and harm-ful substances as a result of metabolic reactions. Other functions of the kidneys, such as the regula-tion of fluids and electrolytes, may also be affected. This study’s primary purpose is to estimate some parameters in the serum of chronic renal failure patients. Data and blood samples were obtained from 90 patients with chronic renal failure and 50 healthy volunteers for this cross-sectional study, con-ducted between 11 April and 26 July 2022. The results of this study show a considerable rise in the level of renin enzyme in patients (4.824±0.045) compared to the control (2.86±0.39), a high level of ALT in patients (19.56±8.13) compared to the control (11.24±0.98), high level of ALP in patients (95.34±67.71) compared to the control (38.81±5.14), high level of AST in patients (25.33±8.63) compared to the control (11.58±0.94), low level of albumin in patients with chronic renal failure (3.12±0.44) compared to the control (3.90±0.49), high level of globulin in patients with chronic renal failure (8.34±0.68) compared to the control (3.01±0.41), low level of calcium in patients with chronic renal failure (1.731±0.053) compared to the control (2.510±0.063), high level of potassium in the serum of patients with chronic renal failure (6.256±0.068) compared to the control (4.513±0.22), low level of sodium in patients with chronic renal failure (119.82±2.15) compared to the control group (143.76±2.11). According to this study, all physiological systems are significantly impacted by chronic renal failure. According to the results, chronic renal failure affects several electrolytes and liver function tests and causes a considerable increase in renin levels.

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References

1. Chertow GM, Burdick E, Honour M, Bonventre JV, Bates DW. Acute kidney injury, mortality, length of stay, and costs in hospitalized patients. J. Am. Soc. Nephrol. 2005 Nov;16(11):3365–70. https://doi.org/10.1681/ASN.2004090740
2. Almirall J. Sodium Excretion, Cardiovascular Disease, and Chronic Kidney Disease. JAMA. 2016 Sep 13;316(10):1112. https://doi.org/10.1001/jama.2016.11553
3. Sabatino A, Regolisti G, Karupaiah T, Sahathevan S, Singh BS, Khor, BH, Salhab N, Karavetian M, Cupisti A, Fiaccadori E. Protein-energy wasting and nutritional supplementation in patients with end-stage renal disease on hemo-dialysis. Clin. Nutr. 2017;36:663–671. https://doi.org/10.1016/j.clnu.2016.06.007
4. Rakova N, Kitada K, Lerchl K, Dahlmann A, Birukov A, Daub S, Kopp C, Pedchenko T, Zhang Y, Beck L, Johannes B. Increased salt consumption induces body water conservation and decreases fluid intake. The Journal of clini-cal investigation. 2017;127:1932–1943. https://doi.org/10.1172/JCI88530
5. Waziri I, Fugu MB, Ndahi NP. Solvent-free syn-thesis, characterization and antimicrobial studies of calcium and potassium complexes with some cephalosporin antibiotics. Res J Chem Sci. 2018;8: 7–14.
6. Levin A, Bakris GL, Molitch M, Smulders M, Tian J, Williams LA, Andress DL Prevalence of abnormal serum vitamin D, PTH, calcium, and phosphorus in patients with chronic kidney disease: results of the study to evaluate early kid-ney disease. Kidney Int. 2007;71:31–38. https://doi.org/10.1038/sj.ki.5002009
7. Kakey MIS, Abdoulrahman KK. Estimation of Liver Parameters and Oxidative Stress in Chronic Renal Failure Patients on Hemodialysis in Erbil Governorate. AIP Conf Proc. 2017;1888:020029. https://doi.org/10.1063/1.5004306. https://doi.org/10.1063/1.5004306
8. Kalbunde RE. “Cardiovascular Physiology Concepts’’ 2nd ed., Lippincott Williams & Wilkins, 2011;199–214.
9. Tissot, AC. “Effect of immunization against angio-tesin II With CYT006-AngQb on ambulatory blood Pressure”. The Lance, 2008;371:821–827. https://doi.org/10.1016/S0140-6736(08)60381-5
10. Cristiana C, GianLuca CO, Elisa N, Alessandra, Ch, Roberta L, Leonardo A, Sara B. “Relationships of Plasma Renin Levels with Renal Function in Patients with Primary Aldosteronism” Hypertension Unit, Division of Internal Medicine, Department of Experimental and Clinical Pathology and Medicine., University of Udine, Udine, Ital, 2007.
11. Reudelhuber T, Santos RA, Patel JM, Raizada MK. The Angiotensin-Converting Enzyme 2/Angiogenesis-(1–7)/Mas Axis Confers Cardiopulmonary Protection against Lung Fibrosis and Pulmonary Hypertension. Crit. Care Med. 2010;182(8):1065–72. https://doi.org/10.1164/rccm.200912-1840OC
12. Alkerwi A, Sauvageot N, El Bahi I, Delagardelle C, Beissel J, Noppe S, et al. Prevalence and related risk factors of chronic kidney disease among adults in Luxembourg: evidence from the obser-vation of cardiovascular risk factors (ORISCAV-LUX) study. BMC Nephrol. 2017;18(1):358.
13. Liberato I, Lopes E, Cavalcante M, Pinto T, Moura I, and Júnior L. Liver enzymes in patients with chronic kidney disease undergoing peritoneal dialysis and hemodialysis. Clinics. 2012;67(2):131–134. https://doi.org/10.6061/clinics/2012(02)07
14. Afshar R, Sanavi S, Izadi - Khah A. Assessment of Nutritional Status in Patients Undergoing Maintenance Hemodialysis A SingleCenter Study From Iran”. Saudi. J. kidney. Dis.Transplant. 2007;18:397–404.
15. Davidison S. Principle and practice of medicine. 7th ed., Churchill livingstone, 1999, p. 112.
16. Israa A. Mohammed Jumaah. A study of some biochemical parameters in blood serum of patients with chronic renal failure. Journal of Basrah. 2013; (39).
17. Recker RR, Saville PD. Calcium absorption in renal failure: its relationship to blood urea nitro-gen, dietary calcium intake, time on dialysis, and other variables. J Lab Clin Med 2008;78:380–8.
18. Mahan LK. Escott-Stump S. “Food, Nutrition and Diet Therapy”, 10th ed., Philadelphia: W.B. Saunders Company, 2011, pp. 810–813.
19. Tiba AK, Al-Taiee Nawal MJ. Al-Shammaa, Adnan Abduladheem Aljber. Study of the Anti-Diuretic Hormone (ADH) on End Stage Renal Failure Disease (ESRD) Pre-Hemodialysis in Iraqi Patients. Ibn Al-Haitham J. Pure Appl. Sci.2019; 32(2).https://doi.org/10.30526/32.2.2135