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Published on: December 5, 2017
Eicosanoids and renal damage in cardiometabolic syndrome
1Vascular Biology Center, Medical College of Georgia, Augusta, GA 30912, USA. jdimig@mcg.edu
Insights
Cardiometabolic syndrome damages kidneys through altered eicosanoids. Soluble epoxide hydrolase inhibitors offer potential therapeutic benefits for chronic kidney disease patients with this condition.
Area of Science:
- Nephrology
- Metabolic Diseases
- Cardiovascular Health
Background:
- Obesity, hypertension, and Type 2 diabetes drive chronic kidney disease.
- Cardiometabolic syndrome involves visceral obesity, cardiovascular risks, and systemic inflammation.
- Inflammation, insulin resistance, and endothelial dysfunction are interconnected, linking metabolic and cardiovascular diseases.
Purpose of the Study:
- To review the role of eicosanoids in kidney damage within cardiometabolic syndrome.
- To explore therapeutic targets for protecting kidneys in this patient population.
Main Methods:
- Literature review of eicosanoid involvement in cardiometabolic syndrome and renal injury.
- Analysis of the relationship between inflammation, endothelial dysfunction, and insulin resistance.
- Evaluation of potential therapeutic strategies targeting eicosanoid pathways.
Main Results:
- Eicosanoid metabolism is significantly altered in cardiometabolic syndrome.
- These alterations contribute to the progression of renal damage.
- Epoxides and soluble epoxide hydrolase inhibitors exhibit antihypertensive and anti-inflammatory effects.
Conclusions:
- Altered eicosanoids are key contributors to kidney injury in cardiometabolic syndrome.
- Epoxides and soluble epoxide hydrolase inhibitors represent promising therapeutic targets.
- Targeting eicosanoids may offer renal protection for patients with cardiometabolic syndrome and chronic kidney disease.
Background:
Obesity, hypertension and Type 2 diabetes are major contributing factors to the increase in the number of patients that have chronic kidney disease. The clustering of visceral obesity and cardiovascular risk factors has been designated metabolic syndrome or cardiometabolic syndrome. Cardiometabolic syndrome is associated with a complex systemic inflammatory state that has been implicated in medically important complications, including endothelial dysfunction. Inflammation, endothelial dysfunction and insulin resistance are interrelated and have reciprocal relationships that link cardiovascular and metabolic diseases. Ultimately, cardiometabolic syndrome increases the risk for cardiovascular events and end-organ damage. Although the number of patients with cardiometabolic syndrome is escalating, therapeutic approaches have not been developed that provide protection to the kidney.
Objective:
The objective of this review is to provide an overview of the contribution of eicosanoids to renal damage in cardiometabolic syndrome.
Results/Conclusion:
Eicosanoids are altered in cardiometabolic syndrome and contribute to the progression of renal injury. The antihypertensive and anti-inflammatory actions of epoxides and soluble epoxide hydrolase inhibitors make these attractive eicosanoid therapeutic targets for chronic kidney disease in patients with cardiometabolic syndrome.
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