Plasma 25-hydroxyvitamin D and regulation of the renin-angiotensin system in humans

Hypertension. 2010 May;55(5):1283-8. doi: 10.1161/HYPERTENSIONAHA.109.148619. Epub 2010 Mar 29.


Vitamin D regulates the renin-angiotensin system (RAS) in experimental animals, but corresponding human data are limited. We examined the relation between plasma 25-hydroxyvitamin D and elements of the RAS in 184 normotensive individuals in high sodium balance; these included circulating levels of plasma renin activity and angiotensin II (Ang II) and the renal plasma flow response to infused Ang II, which is an indirect measure of the intrinsic RAS activity in the kidney. Compared with individuals with sufficient 25-hydroxyvitamin D levels (> or = 30.0 ng/mL), those with insufficiency (15.0 to 29.9 ng/mL) and deficiency (<15.0 ng/mL) had higher circulating Ang II levels (P for trend=0.03). Moreover, those with vitamin D deficiency had significantly blunted renal plasma flow responses to infused Ang II (mean decrease of 115 mL/min per 1.73 m(2) in renal plasma flow versus 145 mL/min per 1.73 m(2) among those with sufficient vitamin D levels; P for trend=0.009). Although plasma renin activity was higher among individuals with insufficient levels of vitamin D, the result was not statistically significant. These data suggest that low plasma 25-hydroxyvitamin D levels may result in upregulation of the RAS in otherwise healthy humans.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • African Continental Ancestry Group
  • Angiotensin II / blood
  • Angiotensin II / drug effects
  • Angiotensin II / pharmacology*
  • European Continental Ancestry Group
  • Female
  • Homeostasis
  • Humans
  • Infusions, Intravenous
  • Male
  • Middle Aged
  • Patient Selection
  • Reference Values
  • Renal Circulation / drug effects
  • Renin-Angiotensin System / drug effects
  • Renin-Angiotensin System / physiology*
  • Sodium / blood
  • Sodium, Dietary / pharmacology*
  • Vitamin D / analogs & derivatives*
  • Vitamin D / blood
  • Vitamin D / pharmacology
  • p-Aminohippuric Acid / administration & dosage
  • p-Aminohippuric Acid / pharmacology


  • Sodium, Dietary
  • Angiotensin II
  • Vitamin D
  • Sodium
  • 25-hydroxyvitamin D
  • p-Aminohippuric Acid