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• W2518957407 abstract "Antenatal corticosteroid (ANCS) treatment hastens fetal lung maturity and improves survival of premature infants, but the long-term effects of ANCS are not well-described. Animal models suggest that ANCS increases the risk of cardiovascular disease through programmed changes in the renin-angiotensin (Ang)-aldosterone system (RAAS). We hypothesized that ANCS exposure alters the RAAS in adolescents born prematurely. A cohort of 173 adolescents born prematurely was evaluated, of whom 92 were exposed to ANCS. We measured plasma and urine Ang II and Ang-(1–7) and calculated Ang II/Ang-(1–7) ratios. We used general linear regression models to estimate the difference in the RAAS between the ANCS-exposed and unexposed groups, adjusting for confounding variables. In unadjusted analyses, and after adjustment for sex, race, and maternal hypertension, ANCS exposure was associated with increased urinary Ang II/Ang-(1–7) (estimate 0.27 (95% CI 0.03, 0.5), P = 0.03), increased plasma Ang-(1–7) (0.66 (0.26, 1.07), P = 0.002), and decreased plasma Ang II/Ang-(1–7) (−0.48 (−0.91, −0.06), P = 0.03). These alterations indicate an imbalance in the urinary RAAS, promoting the actions of Ang II at the expense of Ang-(1–7), which over time may increase the risk of renal inflammation and fibrosis and ultimately hypertension and renal disease." @default.
• W2518957407 created "2016-09-23" @default.
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• W2518957407 date "2016-09-16" @default.
• W2518957407 modified "2023-10-10" @default.
• W2518957407 title "Antenatal corticosteroids and the renin-angiotensin-aldosterone system in adolescents born preterm" @default.
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• W2518957407 doi "https://doi.org/10.1038/pr.2016.179" @default.
• W2518957407 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5646358" @default.
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