Related Experiment Video
Updated: Jun 18, 2025

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
Published on: April 4, 2025
Progress and Challenges of Understanding Cardiorenal Syndrome Type 3
Raquel Silva Neres-Santos1, Giovana Marchini Armentano1, Jéssica Verônica da Silva1
1Laboratory of Cardiovascular Immunology, Center of Natural and Human Sciences (CCNH), Federal University of ABC, 09210-170 Santo André, SP, Brazil.
Insights
Researchers are exploring cardiorenal syndromes (CRSs) using advanced "omics" technologies. This review focuses on micro-RNAs, epigenetic factors, and extracellular vesicles in understanding CRS type 3.
Area of Science:
- Cardiovascular and Renal Medicine
- Molecular Biology
- Biotechnology
Background:
- Cardiorenal syndromes (CRSs) involve complex interactions between kidney and heart pathologies.
- Recent advancements in "omics" technologies offer new insights into CRS mechanisms.
- Understanding the kidney-heart axis is crucial for developing effective treatments.
Purpose of the Study:
- To review current knowledge on cardiorenal syndromes (CRSs).
- To highlight the role of "omics" technologies in understanding CRSs.
- To focus on future perspectives for CRS type 3.
Main Methods:
- Literature review of cardiorenal syndromes.
- Analysis of "omics" data, including micro-RNAs (miRNAs), epigenetics, and extracellular vesicles (EVs).
- Focus on large-scale analysis techniques for data integration.
Main Results:
- Micro-RNAs (miRNAs), epigenetic factors, and extracellular vesicles (EVs) are key players in CRSs.
- "Omics" approaches are revolutionizing the understanding of the kidney-heart axis.
- Integration of large-scale data is essential for advancing CRS research.
Conclusions:
- Future research should leverage "omics" to unravel CRS pathophysiology.
- Targeting miRNAs, epigenetic factors, and EVs holds therapeutic potential for CRSs.
- Further investigation into CRS type 3 is warranted.
Abstract:
The pathologies of the kidney and heart have instigated a large number of researchers around the world to try to better understand what the exact connectors responsible for the emergence and establishment of these diseases are. The classification of these pathologies into different types of cardiorenal syndromes (CRSs) over the last 15 years has greatly contributed to understanding pathophysiological and diagnostic aspects, as well as treatment strategies. However, with the advent of new technologies classified as "Omics", a new range of knowledge and new possibilities have opened up in order to effectively understand the intermediaries between the kidney-heart axis. The universe of micro-RNAs (miRNAs), epigenetic factors, and components present in extracellular vesicles (EVs) have been protagonists in studying different types of CRSs. Thus, the new challenge that is imposed is to select and link the large amount of information generated from the use of large-scale analysis techniques. The present review seeks to present some of the future perspectives related to understanding CRSs, with an emphasis on CRS type 3.
Related Concept Videos
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Heart Failure Drugs: Diuretics
Pathophysiology of Heart Failure
Renal Tubule and Collecting Duct
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
Dialysis
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Factors Affecting Renal Clearance: Renal Impairment
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...

