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Updated: Jun 3, 2025

A Modified Two Kidney One Clip Mouse Model of Renin Regulation in Renal Artery Stenosis
Published on: October 26, 2020
Novel therapeutic targets for cardiorenal syndrome
Mansi Vinodkumar Trivedi1, Hemant R Jadhav1, Anil Bhanudas Gaikwad1
1Department of Pharmacy, Birla Institute of Technology and Science Pilani, Pilani Campus, Rajasthan 333031, India.
Insights
Cardiorenal syndrome involves interdependent heart and kidney dysfunction. New therapeutic targets are crucial due to limitations in current cardiorenal syndrome treatments.
Area of Science:
- Nephrology
- Cardiology
- Biomedical Science
Background:
- Cardiorenal syndrome (CRS) is a complex condition characterized by the interdependent dysfunction of the heart and kidneys.
- Pathophysiological mechanisms include renin-angiotensin-aldosterone-system (RAAS) activation, inflammation, fibrosis, and oxidative stress, leading to organ damage.
Purpose of the Study:
- To review the limitations of current cardiorenal syndrome therapies.
- To highlight the urgent need for novel therapeutic targets in CRS management.
Main Methods:
- Literature review of cardiorenal syndrome pathogenesis and treatment.
- Identification and discussion of emerging therapeutic targets.
Main Results:
- Current therapies for cardiorenal syndrome, including RAAS inhibitors and diuretics, exhibit significant limitations such as diuretic resistance.
- Emerging targets like Klotho, SOX9, RIPK3, BAIBA, and TSP-1 show potential for novel therapeutic strategies in CRS.
Conclusions:
- There is a critical need for innovative therapeutic approaches to address cardiorenal syndrome.
- Exploring novel targets involved in CRS pathogenesis offers promising avenues for improved patient outcomes.
Abstract:
Cardiorenal syndrome (CRS) is an interdependent dysfunction of the heart and kidneys, where failure in one organ precipitates failure in the other. The pathophysiology involves sustained renin-angiotensin-aldosterone-system (RAAS) activation, mitochondrial dysfunction, inflammation, fibrosis, oxidative stress and tissue remodeling, culminating in organ dysfunction. Existing therapies targeting the RAAS, diuretics and other agents have limitations, including diuretic resistance and compensatory sodium reabsorption. Therefore, there is a pressing need for novel druggable targets involved in CRS pathogenesis. This review addresses the challenges of existing treatments and emphasizes the importance of discovering new therapeutic targets. It highlights emerging targets such as Klotho, sex-determining region Y box 9 (SOX9), receptor-interacting protein kinase 3 (RIPK3), β-amino-isobutyric acid (BAIBA), thrombospondin-1 (TSP-1), among others, with their potential roles in CRS.
Related Concept Videos
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Antihypertensive Drugs: Direct Renin Inhibitors
Hormonal Regulation
Heart Failure Drugs: Diuretics
Transducer Mechanism: Enzyme-Linked Receptors
Major types that are helpful drug targets include:
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors

