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Sorted By Test Name - Mayo Medical Laboratories

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FANGI<br />

90429<br />

FANG<br />

90428<br />

Interpretation: An elevation in the level of serum angiotensin converting enzyme (ACE), along with<br />

radiographic evidence of infiltrates and/or adenopathy and organ biopsies showing noncaseating epithelial<br />

granulomas is suggestive of a diagnosis of sarcoidosis. Serum ACE is significantly higher in most<br />

(approximately 80%) patients with active sarcoidosis. ACE is also elevated in a number of other diseases<br />

and in approximately 5% of the normal adult population.<br />

Reference Values:<br />

> or =18 years: 8-53 U/L<br />

The reference interval for pediatric patients may be up to 50% higher than that of adults.<br />

Clinical References: 1. Liebermann J: Elevation of serum angiotensin-converting-enzyme (ACE)<br />

level in sarcoidosis. Am J Med 1975;59:365-372 2. Rodriguez GE, Shin BC, Abernathy RS, Kendig EL<br />

Jr: Serum angiotensin-converting enzyme activity in normal children and in those with sarcoidosis. J<br />

Pediatr 1981;99:68-72 3. Personal observations from a <strong>Mayo</strong> pediatric normal range study using a manual<br />

method (Hana) 4. Maguire GA, Price CP: A continuous monitoring spectrophotometric method for the<br />

measurement of angiotensin-converting enzyme in human serum. Ann Clin Biochem 1985;22:204-210<br />

Angiotensin I, Plasma<br />

Clinical Information: Angiotensin I is a ten amino acid peptide formed by Renin cleavage of<br />

Angiotensinogen (Renin Substrate). Angiotensin I has little biological activity except that high levels can<br />

stimulate Catecholamine production. It is metabolized to its biologically active byproduct Angiotensin II<br />

by Angiotensin Converting Enzyme (ACE). The formation of Angiotensin I is controlled by negative<br />

feedback of Angiotensin II and II on Renin release and by Aldosterone concentration. Levels of<br />

Angiotensin I are increased in many types of hypertension. Angiotensin I levels are used to determine<br />

Renin activity. Angiotensin I is excreted directly into the urine.<br />

Reference Values:<br />

Up to 25 pg/mL<br />

This test was performed using a kit that has not been cleared or<br />

approved by the FDA and is designated as research use only.<br />

The analytic performance characteristics of this test have been<br />

determined by Inter Science Institute. This test is not intended for<br />

diagnosis or patient management decisions without confirmation<br />

by other medically established means.<br />

<strong>Test</strong> Performed by: Inter Science Institute<br />

944 West Hyde Park Blvd.<br />

Inglewood, CA 90302<br />

Angiotensin II, Plasma<br />

Clinical Information: Angiotensin II is a eight amino acid peptide formed by Angiotensin<br />

Converting Enzyme (ACE) cleavage of Angiotensin I. Angiotensin II is metabolized further to<br />

Angiotensin III. Angiotensin II release is controlled by Renin, blood pressure, blood volume, sodium<br />

balance and by Aldosterone concentration. Levels of Angiotensin II are increased in many types of<br />

hypertension. Angiotensin II stimulates the release of Anti-Diuretic Hormone, ACTH, Prolactin,<br />

Luteinizing Hormone, Oxytocin and Aldosterone. Angiotensin II increases vasoconstriction and inhibits<br />

tubular resorption of sodium, and can increase endothelial cell growth.<br />

Reference Values:<br />

10-60 pg/mL<br />

This test was performed using a kit that has not been cleared or<br />

approved by the FDA and is designated as research use only.<br />

The analytic performance characteristics of this test have been<br />

Current as of January 4, 2013 7:15 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong><strong>Laboratories</strong>.com Page 142

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