Clin Hypertens.  2017 ;23(1):13. 10.1186/s40885-017-0068-y.

Pathophysiology of copeptin in kidney disease and hypertension

Affiliations
  • 1Department of Internal Medicine, Nephrology Division, Suleyman Demirel University, Faculty of Medicine, Isparta, Turkey.
  • 2Suleyman Demirel University, Çünür, DoÄŸu yerleÅŸkesi, Isparta Merkez/Isparta, Postal Code: 32260 Isparta, Turkey. afsarbrs@yahoo.com

Abstract

Copeptin is derived from the cleavage of the precursor of arginine vasopressin (AVP), produced in an equimolar ratio in hypothalamus and processed during axonal transport AVP is an unstable peptide and has a short half-life of 5-20 min. Unlike AVP, copeptin is a stable molecule and can easily be measured. Recent evidence suggest that increased copeptin levels have been associated with worse outcomes in various clinical conditions including chronic kidney disease (CKD) and hypertension. In this review, the data regarding copeptin with kidney function (evaluated as glomerular filtration rate, increased albumin/protein excretion or both) and hypertension with regard to performed studies, prognosis and pathogenesis was summarised.

Keyword

Albuminuria; Copeptin; Kidney damage; Chronic kidney disease

MeSH Terms

Albuminuria
Arginine Vasopressin
Axonal Transport
Glomerular Filtration Rate
Half-Life
Hypertension*
Hypothalamus
Kidney Diseases*
Kidney*
Prognosis
Renal Insufficiency, Chronic
Arginine Vasopressin
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