Angiotensin (1-12) in Humans With Normal Blood Pressure and Primary Hypertension

Carlos M. Ferrario, Seethalakshmi R. Iyer, John C. Burnett, Sarfaraz Ahmad, Kendra N. Wright, Jessica L. Voncannon, Amit Saha, Leanne Groban

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


The importance of canonical versus noncanonical mechanisms for the generation of angiotensins remains a major challenge that, in part, is heavily swayed by the relative efficacy of therapies designed to inhibit renin, ACE (angiotensin-converting enzyme), or the Ang II (Angiotensin II) receptor. Ang (1-12) (angiotensin [1-12]) is an Ang II forming substrate serving as a source for Ang II-mediated tissue actions. This study identifies for the first time the presence of Ang (1-12) in the blood of 52 normal (22 women) and 19 (13 women) patients with hypertension not receiving antihypertensive medication at the time of the study. Normal subjects of comparable ages and body habitus had similar circulating plasma Ang (1-12) concentrations (women: 2.02±0.62 [SD] ng/mL; men 2.05±0.55 [SD] ng/mL, P>0.05). The higher values of plasma Ang (1-12) concentrations in hypertensive men (2.51±0.49 ng/mL, n=6) and women (2.33±0.63 [SD] ng/mL, n=13) were statistically significant (P<0.02) and correlated with elevated plasma renin activity, systolic and pulse pressure, and plasma concentrations of NT-proBNP (N-terminal prohormone BNP). The increased plasma Ang (1-12) in patients with hypertension was not mirrored by similar changes in plasma angiotensinogen and Ang II concentrations. The first identification of an age-independent presence of Ang (1-12) in the blood of normotensive subjects and patients with hypertension, irrespective of sex, implicates this non-renin dependent substrate as a source for Ang II production in the blood and its potential contribution to the hypertensive process.

Original languageEnglish (US)
Pages (from-to)882-890
Number of pages9
Issue number3
StatePublished - Mar 3 2021


  • angiotensinogen
  • angiotensins
  • blood pressure
  • natriuretic peptides
  • renin

ASJC Scopus subject areas

  • Internal Medicine


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