Endothelin Receptor Antagonists: New Hope for Renal Protection?

Abstract:

:Endothelin receptor antagonists (ERAs) have the potential to be a new paradigm in the treatment of chronic kidney disease (CKD). ERAs inhibit the effects of endothelin-1 (ET-1), which is known to promote CKD by causing renal cellular injury, proteinuria, inflammation, fibrosis, and hypertrophy. ERAs have been extensively studied preclinically in models of CKD and now in a large clinical trial to determine their effect on slowing the progression of CKD. Initial clinical trials show promise with regard to ERA effects on reducing proteinuria in patients with diabetic nephropathy (DN) who are already on renin-angiotensin system (RAS) blocking agents. A common side effect of peripheral edema has been consistently reported in clinical trials using ERAs; hence, finding a safe balance between renoprotective actions and side effects needs to be achieved.

journal_name

Curr Hypertens Rep

authors

Tobe S,Kohan DE,Singarayer R

doi

10.1007/s11906-015-0568-7

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

57

issue

7

eissn

1522-6417

issn

1534-3111

journal_volume

17

pub_type

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