Possible organ-protective effects of renal denervation: insights from basic studies

Hypertens Res. 2023 Dec;46(12):2661-2669. doi: 10.1038/s41440-023-01393-w. Epub 2023 Aug 2.

Abstract

Inappropriate sympathetic nervous activation is the body's response to biological stress and is thought to be involved in the development of various lifestyle-related diseases through an elevation in blood pressure. Experimental studies have shown that surgical renal denervation decreases blood pressure in hypertensive animals. Recently, minimally invasive catheter-based renal denervation has been clinically developed, which results in a reduction in blood pressure in patients with resistant hypertension. Accumulating evidence in basic studies has shown that renal denervation exerts beneficial effects on cardiovascular disease and chronic kidney disease. Interestingly, recent studies have also indicated that renal denervation improves glucose tolerance and inflammatory changes. In this review article, we summarize the evidence from animal studies to provide comprehensive insight into the organ-protective effects of renal denervation beyond changes in blood pressure.

Keywords: Cardiovascular disease; Chronic kidney disease; Insulin resistance; Organ protection; Renal denervation.

Publication types

  • Review

MeSH terms

  • Animals
  • Blood Pressure / physiology
  • Denervation
  • Humans
  • Hypertension* / surgery
  • Kidney
  • Sympathectomy* / methods
  • Sympathetic Nervous System / surgery