Normal human pregnancy is characterized by increased angiotensinogen [I], plasma renin activity (PRA), plasma renin concentration (PRC), plasma angiotensin 11 levels, and plasma aldosterone levels [2—4]. In the hypertensive pregnant women, plasma angiotensin II levels are variously reported as being higher [51 or lower [4] than they are in normal pregnancy. In the late course of hypertensive pregnancies, PRA and PRC levels are relatively low [4, 61, although higher than those found in nonpregnant normotensive women. The cause for such findings in hypertensive pregnancies remains uncertain, and the role of the renin-producing system within the maternal kidney has not been directly investigated. Using a specific antirenin antiserum, we previously showed that in patients with various glomerular and vascular renal diseases, the number of renin-containing cells was increased when compared to normal kidney biopsy samples [71. We now extend our study to hypertensive pregnant women who have either preeclampsia or isolated high blood pressure (HBP) or previous renal disease. The study shows that, in comparison with nonpregnant normotensive women, all these patients have fewer renin-containing cells upon postpartum renal biopsy examination. Methods: Patients. Sixty renal needle biopsy samples from women presenting with HBP during their pregnancy were studied retrospectively. The samples were taken 6 to 8 days after delivery. HBP was defined as diastolic pressure 90 mm Hg. The patients were divided into three groups. Group 1. The preeclamptic group included 19 women (mean age, 25 years) presenting with HBP, proteinuria 1 g per day, and uricemia 340 moles/liter appearing during the last 3 months of pregnancy. Seven had the nephrotic syndrome at the time of biopsy. All but 3 women were primigravidae. Group 2. The group of isolated HBP ofpregnancy involved 29 patients (mean age, 28 years). Twenty-two of these patients had HBP that developed in the last trimester, five patients had HBP that appeared in the first 6 months of pregnancy, and two patients had recurrent HBP in the course of successive pregnancies. Of the 48 renal biopsy samples from these two groups, 34 displayed typical aspects of pregnancy-induced nephrop-
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