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

Cardiovascular-kidney-metabolic (CKM) syndrome is a systemic clinical condition characterized by pathological and physiological interactions among metabolic abnormalities, chronic kidney disease, and cardiovascular diseases, leading to multi-organ dysfunction and a higher incidence of cardiovascular...

Full description

Saved in:
Bibliographic Details
Main Authors: Shihan Zhang, Shasha Tang, Yalei Liu, Binghua Xue, Qinyuan Xie, Lingyun Zhao, Huijuan Yuan
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1500336/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832584985597444096
author Shihan Zhang
Shasha Tang
Yalei Liu
Binghua Xue
Qinyuan Xie
Lingyun Zhao
Huijuan Yuan
author_facet Shihan Zhang
Shasha Tang
Yalei Liu
Binghua Xue
Qinyuan Xie
Lingyun Zhao
Huijuan Yuan
author_sort Shihan Zhang
collection DOAJ
description Cardiovascular-kidney-metabolic (CKM) syndrome is a systemic clinical condition characterized by pathological and physiological interactions among metabolic abnormalities, chronic kidney disease, and cardiovascular diseases, leading to multi-organ dysfunction and a higher incidence of cardiovascular endpoints. Traditional approaches to managing CKM syndrome risk are inadequate in these patients, necessitating strategies targeting specific CKM syndrome risk factors. Increasing evidence suggests that addressing uremic toxins and/or pathways induced by uremic toxins may reduce CKM syndrome risk and treat the disease. This review explores the interactions among heart, kidney, and metabolic pathways in the context of uremic toxins and underscores the significant role of uremic toxins as potential therapeutic targets in the pathophysiology of these diseases. Strategies aimed at regulating these uremic toxins offer potential avenues for reversing and managing CKM syndrome, providing new insights for its clinical diagnosis and treatment.
format Article
id doaj-art-37784a13cfec4665b8960603800de9c0
institution Kabale University
issn 1664-2392
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Endocrinology
spelling doaj-art-37784a13cfec4665b8960603800de9c02025-01-27T06:40:39ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-01-011610.3389/fendo.2025.15003361500336Protein-bound uremic toxins as therapeutic targets for cardiovascular, kidney, and metabolic disordersShihan ZhangShasha TangYalei LiuBinghua XueQinyuan XieLingyun ZhaoHuijuan YuanCardiovascular-kidney-metabolic (CKM) syndrome is a systemic clinical condition characterized by pathological and physiological interactions among metabolic abnormalities, chronic kidney disease, and cardiovascular diseases, leading to multi-organ dysfunction and a higher incidence of cardiovascular endpoints. Traditional approaches to managing CKM syndrome risk are inadequate in these patients, necessitating strategies targeting specific CKM syndrome risk factors. Increasing evidence suggests that addressing uremic toxins and/or pathways induced by uremic toxins may reduce CKM syndrome risk and treat the disease. This review explores the interactions among heart, kidney, and metabolic pathways in the context of uremic toxins and underscores the significant role of uremic toxins as potential therapeutic targets in the pathophysiology of these diseases. Strategies aimed at regulating these uremic toxins offer potential avenues for reversing and managing CKM syndrome, providing new insights for its clinical diagnosis and treatment.https://www.frontiersin.org/articles/10.3389/fendo.2025.1500336/fullprotein-bound uremic toxinsgut microbiotacardiovascular-kidney-metabolic syndromemetabolic diseasesmanagement
spellingShingle Shihan Zhang
Shasha Tang
Yalei Liu
Binghua Xue
Qinyuan Xie
Lingyun Zhao
Huijuan Yuan
Protein-bound uremic toxins as therapeutic targets for cardiovascular, kidney, and metabolic disorders
Frontiers in Endocrinology
protein-bound uremic toxins
gut microbiota
cardiovascular-kidney-metabolic syndrome
metabolic diseases
management
title Protein-bound uremic toxins as therapeutic targets for cardiovascular, kidney, and metabolic disorders
title_full Protein-bound uremic toxins as therapeutic targets for cardiovascular, kidney, and metabolic disorders
title_fullStr Protein-bound uremic toxins as therapeutic targets for cardiovascular, kidney, and metabolic disorders
title_full_unstemmed Protein-bound uremic toxins as therapeutic targets for cardiovascular, kidney, and metabolic disorders
title_short Protein-bound uremic toxins as therapeutic targets for cardiovascular, kidney, and metabolic disorders
title_sort protein bound uremic toxins as therapeutic targets for cardiovascular kidney and metabolic disorders
topic protein-bound uremic toxins
gut microbiota
cardiovascular-kidney-metabolic syndrome
metabolic diseases
management
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1500336/full
work_keys_str_mv AT shihanzhang proteinbounduremictoxinsastherapeutictargetsforcardiovascularkidneyandmetabolicdisorders
AT shashatang proteinbounduremictoxinsastherapeutictargetsforcardiovascularkidneyandmetabolicdisorders
AT yaleiliu proteinbounduremictoxinsastherapeutictargetsforcardiovascularkidneyandmetabolicdisorders
AT binghuaxue proteinbounduremictoxinsastherapeutictargetsforcardiovascularkidneyandmetabolicdisorders
AT qinyuanxie proteinbounduremictoxinsastherapeutictargetsforcardiovascularkidneyandmetabolicdisorders
AT lingyunzhao proteinbounduremictoxinsastherapeutictargetsforcardiovascularkidneyandmetabolicdisorders
AT huijuanyuan proteinbounduremictoxinsastherapeutictargetsforcardiovascularkidneyandmetabolicdisorders