Renin-Angiotensin Aldosterone System (RAS)
Conditions
Keywords
Renin Angiotensin System, Angiotensin Converting Enzyme 2 (ACE2), Angiotensin II AT1 Receptor Blocker, ACE inhibitors, intestinal amino acid absorption
Brief summary
This study is to find out what role a local intestinal RAS (renin angiotensin system) plays in the context of amino acid absorption in the human intestinal tract and how this RAS and thus the amino acid absorption is influenced by the RAS-active drugs (angiotensin II AT1 receptor blockers (sartans) or ACE inhibitors).
Interventions
4 intestinal tissue biopsies taken from descending Duodenum, 2 intestinal tissue biopsies taken from Ileum, 2 intestinal tissue biopsies taken from ascending colon (additional to routine biopsies taken for gastrointestinal diagnostic)
40 ml blood draw (in Heparin blood tubes) (additional to routine blood draw taken for gastrointestinal diagnostic)
Midstream Urine collection
Sponsors
Study design
Eligibility
Inclusion criteria
* Body Mass Index (BMI): 18-35 kg/m2 * cohort 1: therapy with an angiotensin II AT1 antagonist or ACE Inhibitor * cohort 2: no therapy with an angiotensin II AT1 antagonist or ACE Inhibitor * Carrying out a diagnostic gastroscopy, colonoscopy or a combined gastroscopy / colonoscopy * Existence of written consent after detailed information about the study
Exclusion criteria
* Severe pathological changes in the gastrointestinal tract (e.g. sprue, stomach ulcers, malignancies); (reflux esophagitis and gastritis are not
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| messenger ribonucleic acid (mRNA) quantification in intestinal tissue biopsy | single time-point at baseline | mRNA quantification in intestinal tissue biopsy: mRNA content coding for regulatory RAS protein is measured relative to the mRNA content, which codes for the structural protein villin. |
| amino acid concentration in blood sample | single time-point at baseline | amino acid concentration in blood sample by High Performance Liquid Chromatography (HPLC) |
| amino acid concentration in urine sample | single time-point at baseline | amino acid concentration in urine sample by HPLC (High Performance Liquid Chromatography) |
Countries
Switzerland