Protein-bound uremic toxins as therapeutic targets for cardiovascular, kidney, and metabolic disorders

Shihan Zhang1, Shasha Tang1, Yalei Liu1

  • 1Department of Endocrinology, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Henan Provincial Key Medicine Laboratory of Intestinal Microecology and Diabetes, Zhengzhou, China.

Frontiers in Endocrinology
|February 11, 2025
PubMed

Insights

Cardiovascular-kidney-metabolic (CKM) syndrome involves complex interactions between heart, kidney, and metabolic issues. Targeting uremic toxins offers a promising strategy for managing CKM syndrome and improving patient outcomes.

Area of Science:

  • Nephrology
  • Cardiology
  • Metabolic Diseases

Background:

  • Cardiovascular-kidney-metabolic (CKM) syndrome is a complex condition involving interactions between metabolic abnormalities, chronic kidney disease, and cardiovascular diseases.
  • This syndrome leads to multi-organ dysfunction and increased cardiovascular events.
  • Current management strategies for CKM syndrome risk are insufficient.

Purpose of the Study:

  • To explore the intricate interactions among cardiac, renal, and metabolic pathways within the context of uremic toxins.
  • To highlight the critical role of uremic toxins as potential therapeutic targets in CKM syndrome pathophysiology.
  • To review strategies for regulating uremic toxins for CKM syndrome management.

Main Methods:

  • Literature review focusing on the interplay of uremic toxins with cardiovascular, kidney, and metabolic systems.
  • Analysis of evidence supporting the role of uremic toxins in CKM syndrome development and progression.
  • Exploration of therapeutic strategies targeting uremic toxins.

Main Results:

  • Uremic toxins significantly contribute to the pathophysiology of CKM syndrome.
  • Addressing uremic toxins and their pathways shows potential in reducing CKM syndrome risk.
  • Regulation of uremic toxins may offer avenues for disease reversal and management.

Conclusions:

  • Uremic toxins are key players in CKM syndrome and represent viable therapeutic targets.
  • Targeting uremic toxins may provide novel approaches for clinical diagnosis and treatment of CKM syndrome.
  • Further research into uremic toxin regulation is warranted for effective CKM syndrome management.

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