Cardiorenal medicine

The apelin signaling system as an additional target alongside RAAS blockers in heart and kidney disease

Updated

Abstract

Maladaptive neurohormonal activation is a central driver in cardiorenal disease.

  • Cardiorenal disease involves injury among the heart, blood vessels, kidneys, and metabolic organs.
  • Despite advancements in treatment, including RAAS blockade, significant residual risk remains.
  • Apelin/APJ signaling may play a role in regulating the renin-angiotensin-aldosterone system.
  • Interactions between APJ and AT1R could influence pathways related to inflammation and fibrosis.
  • The ACE2/Ang-(1-7)/Mas signaling pathway is associated with endothelial and metabolic protection.
  • Emerging APJ agonists may offer new therapeutic avenues in managing cardiorenal disease.

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