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Current Perspectives on the NF-κB Signaling Axis as a Potential Pharmacological Target in Cardiorenal Syndrome
Qian Liu1, Xinting Wang1, Peipei Cheng1
1Institute of Cardiovascular Disease, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, People's Republic of China.
Insights
Nuclear factor kappa-B (NF-κB) inhibition shows promise for treating cardiorenal syndrome (CRS). Targeting NF-κB offers unique cardiorenal protective effects, potentially leading to novel therapies for this complex condition.
Area of Science:
- Cardiorenal medicine
- Molecular biology
- Pharmacology
Background:
- Cardiorenal syndrome (CRS) is a complex, life-threatening condition affecting the heart and kidneys.
- Current treatments for CRS are limited due to its rapid progression and high mortality rate.
- Nuclear factor kappa-B (NF-κB) plays a key role in inflammation and oxidative stress in both cardiac and renal tissues.
Purpose of the Study:
- To review the role of NF-κB in CRS.
- To explore the potential of NF-κB inhibition as a novel therapeutic strategy for CRS.
- To identify natural compounds with dual NF-κB inhibitory effects on cardiac and renal tissues.
Main Methods:
- Comprehensive review of preclinical and clinical research on CRS.
- Analysis of the structure and function of NF-κB in cardiovascular and renal systems.
- Identification of natural compounds targeting NF-κB.
Main Results:
- NF-κB is mechanistically involved in the pathogenesis of CRS.
- NF-κB inhibition demonstrates potential cardiorenal protective effects.
- Natural compounds capable of dual NF-κB inhibition in cardiac and renal tissues were identified.
Conclusions:
- Targeting NF-κB offers a novel therapeutic avenue for CRS.
- Dual NF-κB inhibitors may provide concurrent protection to the heart and kidneys.
- Further research into NF-κB-targeted pharmacology is crucial for developing new CRS treatments.
Abstract:
Cardiorenal syndrome (CRS) is a disease involving two vital organs, the heart and the kidney, which has been increasingly recognized in recent years. The treatment of CRS is highly challenging due to its complex nature, rapid progression, poor prognosis, and high mortality rate. As a protein complex, nuclear factor kappa-B (NF-κB) regulates the transcription of target genes by entering the nucleus and affects cardiac and renal functions through its involvement in inflammatory reactions and oxidative stress. By evaluating established preclinical and clinical research on CRS to date, we explored the potential of NF-κB inhibition to exert unique cardiorenal protective effects as a novel treatment for CRS. In this review, we have synthesized recent advances in the structure and function of NF-κB within the cardiovascular and renal systems, and explored the mechanistic involvement of NF-κB in CRS. Innovatively, we have identified natural compounds that dually inhibit NF-κB activity in both cardiac and renal tissues, thereby conferring concurrent protection to both organs. Furthermore, we discuss the translational potential and clinical applicability of NF-κB-targeted pharmacology, which may provide critical insights for developing novel therapeutics against CRS.
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