Direct Renin inhibitor: aliskiren in chronic kidney disease

Yoshiyuki Morishita1, Eiji Kusano

  • 1Division of Nephrology, Department of Medicine, Jichi Medical University, Tochigi, Japan.

Nephro-Urology Monthly
|April 12, 2013
PubMed

Insights

Aliskiren, a direct renin inhibitor, may effectively manage chronic kidney disease (CKD) and its complications by blocking the renin-angiotensin-aldosterone system (RAAS). This review examines aliskiren

Area of Science:

  • Nephrology
  • Cardiovascular Medicine
  • Pharmacology

Background:

  • The renin-angiotensin-aldosterone system (RAAS) is implicated in chronic kidney disease (CKD) progression.
  • RAAS activation contributes to hypertension (HT) and cardiovascular diseases (CVD), common CKD complications.

Purpose of the Study:

  • To review the effects of aliskiren, a direct renin inhibitor, on chronic kidney disease (CKD).
  • To evaluate aliskiren's potential in managing CKD and associated complications like hypertension and CVD.

Main Methods:

  • Literature review of studies investigating aliskiren's impact on CKD.
  • Analysis of aliskiren's mechanism as a direct renin inhibitor within the RAAS.

Main Results:

  • Aliskiren effectively blocks the renin-angiotensin-aldosterone system (RAAS).
  • Evidence suggests aliskiren's potential efficacy in managing chronic kidney disease (CKD).
  • Aliskiren may help mitigate complications such as hypertension (HT) and cardiovascular diseases (CVD).

Conclusions:

  • Aliskiren demonstrates promise as a therapeutic agent for chronic kidney disease (CKD).
  • Targeting the renin-angiotensin-aldosterone system (RAAS) with aliskiren may improve outcomes for CKD patients.

Related Concept Videos

Antihypertensive Drugs: Direct Renin Inhibitors01:25

Antihypertensive Drugs: Direct Renin Inhibitors

The renin-angiotensin-aldosterone system (RAAS) is an intricate physiological pathway involving numerous enzymes and hormones, including renin, angiotensin-converting enzyme (ACE), angiotensin I and II, and aldosterone. Imbalances within this system increase the production of angiotensin II and aldosterone. Increased angiotensin II levels promote vasoconstriction and blood pressure elevation. Concurrently, higher aldosterone levels stimulate sodium and water reabsorption in the kidneys,...
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors01:30

Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors

Angiotensin-converting enzyme (ACE), a vital component of the renin-angiotensin-aldosterone system, is abundant in lung endothelial cells. ACE converts the inactive decapeptide, angiotensin I, into the active octapeptide, angiotensin II. This potent vasoconstrictor narrows blood vessels, increasing resistance to blood flow and elevating blood pressure. Angiotensin II also stimulates aldosterone production, encouraging kidney cells to reabsorb more sodium and water from urine, thereby increasing...
Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...