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CRRL269.

Yang Chen1,2, Gail J Harty1, Ye Zheng1

  • 1From the Cardiorenal Research Laboratory, Department of Cardiovascular Medicine (Y.C., G.J.H., Y.Z., S.R.I., S.S., S.J.S., T.I., J.C.B.), Mayo Clinic, Rochester, MN.

Circulation Research
|April 2, 2019
PubMed
Summary

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This summary is machine-generated.

A novel drug, CRRL269, shows promise for treating acute kidney injury (AKI) by protecting the heart and kidneys without causing hypotension. This study also identified urinary C-type natriuretic peptide (uCNP) as a potential biomarker for AKI.

Area of Science:

  • Nephrology
  • Cardiology
  • Pharmacology

Background:

  • Acute kidney injury (AKI) is prevalent in critically ill patients, increasing heart failure risk.
  • Existing treatments for AKI are limited, with no FDA-approved drugs.
  • Endogenous particulate guanylyl cyclase A (pGC-A) activators show potential but cause hypotension.

Purpose of the Study:

  • To investigate the therapeutic potential of CRRL269, a nonhypotensive pGC-A activator, in a canine model of ischemia-induced AKI.
  • To evaluate CRRL269's renocardiac protective effects and its impact on hemodynamic parameters.
  • To explore urinary C-type natriuretic peptide (uCNP) as a potential biomarker for AKI.

Main Methods:

  • Administered CRRL269 to a canine model of ischemia-induced AKI.
Keywords:
acute kidney injuryapoptosiscardiorenal syndromeheart failurenatriuretic peptide

Related Experiment Videos

  • Measured cGMP generation, plasma angiotensin II, cardiac filling pressures, and blood pressure.
  • Assessed glomerular filtration rate, renal blood flow, diuresis, natriuresis, kidney injury, and apoptosis.
  • Analyzed intracellular Ca2+ concentration and gene expression related to apoptosis.
  • Main Results:

    • CRRL269 increased cGMP, suppressed angiotensin II, and reduced cardiac filling pressures without lowering blood pressure.
    • CRRL269 preserved renal function, enhanced renal blood flow, and promoted diuresis and natriuresis.
    • CRRL269 reduced kidney injury and apoptosis, demonstrating potent antiapoptotic effects in renal cells.
    • AKI was associated with increased uCNP levels, suggesting its potential as a biomarker.

    Conclusions:

    • CRRL269 demonstrates significant renocardiac protective effects in an AKI model.
    • CRRL269's ability to avoid hypotension makes it a promising therapeutic candidate.
    • The study supports the development of CRRL269 as a novel treatment for AKI.
    • uCNP may serve as a valuable biomarker for detecting and monitoring AKI.