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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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