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New Hope for Kidney Disease: The Promise of ARNIs
Wednesday, January 7, 2026
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The Promise of ARNIs
ARNIs, or Angiotensin Receptor-Neprilysin Inhibitors, are revolutionizing the treatment of heart failure. Now, researchers are exploring their potential for kidney disease.
How ARNIs Work
- Neprilysin is an enzyme that breaks down certain proteins in the body.
- ARNIs block neprilysin, which may help improve kidney function.
- Early studies suggest ARNIs can reduce protein in the urine, a positive indicator.
- They may also help with kidney scarring and blood vessel function.
Real-World Results
- UK HARP-III Study:
- Found ARNIs reduce protein in urine.
- Did not show a clear protective effect on kidneys (study design limitations).
- Real-world data:
- Shows ARNIs have an acceptable safety profile.
- Benefits outweigh risks, making them a potential new option for kidney disease.
The Future of ARNIs
- More studies are needed to determine the best use of ARNIs for kidney disease.
- Currently, they remain a promising but not yet fully proven treatment.
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