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Renalase Potential as a Marker and Therapeutic Target in Chronic Kidney Disease
Larisa Florina Serban-Feier1,2, Elena Cuiban1,2, Elena Bianca Gogosoiu2
1Department of Nephrology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Insights
Renalase, an enzyme primarily from the kidney, may help manage hypertension and cardiovascular disease in chronic kidney disease (CKD) patients. Further research is exploring its potential as a biomarker and therapeutic target in CKD.
Area of Science:
- Nephrology
- Cardiology
- Biochemistry
Background:
- Hypertension and cardiovascular disease are major complications of chronic kidney disease (CKD).
- These conditions contribute to mortality and disease progression in CKD patients.
- The interaction between the heart and kidneys in CKD is not fully understood.
Purpose of the Study:
- To review clinical evidence on renalase in patients with chronic kidney disease.
- To evaluate the potential of renalase as a diagnostic marker in CKD.
- To explore renalase as a therapeutic target for managing cardiovascular aspects of CKD.
Main Methods:
- Systematic review of clinical studies involving subjects with chronic kidney disease.
- Analysis of data on renalase levels and their correlation with hypertension and cardiovascular outcomes.
- Assessment of preclinical and clinical data regarding renalase's physiological effects.
Main Results:
- Renalase, an enzyme predominantly secreted by the kidney, plays a role in regulating blood pressure.
- Evidence suggests renalase may influence sympathetic nervous system activity.
- The enzyme's levels and function in CKD patients require further investigation.
Conclusions:
- Renalase may be a key factor in the interplay between kidney and heart health in CKD.
- Renalase holds promise as a potential biomarker for cardiovascular risk in CKD.
- Targeting renalase could offer a novel therapeutic strategy for managing hypertension and cardiovascular disease in CKD.
Abstract:
Hypertension and cardiovascular disease are prominent features of chronic kidney disease, and they are associated with premature mortality and progression toward end-stage kidney disease. Renalase, an enzyme secreted predominantly by the kidney and identified in 2005, seems to be one of the missing pieces in the puzzle of heart and kidney interaction in chronic kidney disease by lowering blood pressure and reducing the overactivity of sympathetic tone. This review aims to summarize evidence from clinical studies performed on subjects with CKD in order to explore the value of renalase as a marker and/or a therapeutic target in this disease.
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