Inappropriate activity of local renin-angiotensin-aldosterone system during high salt intake: impact on the cardio-renal axis

Autor: Sabrina Ribeiro Gonsalez, Fernanda Magalhães Ferrão, Alessandro Miranda de Souza, Jennifer Lowe, Lucienne da Silva Lara Morcillo
Jazyk: English<br />Portuguese
Rok vydání: 2018
Předmět:
Zdroj: Brazilian Journal of Nephrology, Vol 40, Iss 2, Pp 170-178 (2018)
Druh dokumentu: article
ISSN: 2175-8239
46258388
DOI: 10.1590/2175-8239-jbn-3661
Popis: ABSTRACT Although there is a general agreement on the recommendation for reduced salt intake as a public health issue, the mechanism by which high salt intake triggers pathological effects on the cardio-renal axis is not completely understood. Emerging evidence indicates that the renin-angiotensin-aldosterone system (RAAS) is the main target of high Na+ intake. An inappropriate activation of tissue RAAS may lead to hypertension and organ damage. We reviewed the impact of high salt intake on the RAAS on the cardio-renal axis highlighting the molecular pathways that leads to injury effects. We also provide an assessment of recent observational studies related to the consequences of non-osmotically active Na+ accumulation, breaking the paradigm that high salt intake necessarily increases plasma Na+ concentration promoting water retention
Databáze: Directory of Open Access Journals