Hormonal Regulation and Hypertension Open access Peer reviewed

Chinese Expert Consensus on the Clinical Application of Finerenone in Geriatric Comorbidities

Xiaoming Wang, Cuntai Zhang

Aging Medicine | Aug 20, 2026

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Emerging clinical evidence indicates that the non-steroidal mineralocorticoid receptor antagonist (ns-MRA) finerenone can block MR with high selectivity, significantly reducing cardiorenal event risks in older patients and thereby enhancing overall health status.

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Dysregulation of the renin-angiotensin-aldosterone system (RAAS) constitutes a pivotal factor in the onset and progression of various geriatric diseases, including cardiovascular diseases, diabetes, and chronic kidney disease (CKD), all closely linked to adverse cardiorenal outcomes in older patients. Excessive activation of the mineralocorticoid receptor (MR) drives inflammation, fibrosis, and oxidative stress across tissues and organs, representing a fundamental mechanism underlying systemic metabolic disorders, diabetes, cardiovascular diseases, and kidney pathologies. Emerging clinical evidence indicates that the non-steroidal mineralocorticoid receptor antagonist (ns-MRA) finerenone can block MR with high selectivity, significantly reducing cardiorenal event risks in older patients and thereby enhancing overall health status. This offers a novel therapeutic avenue for the long-term management of older patients burdened with multiple chronic comorbidities.

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Authors

Researchers on this paper

Xiaoming Wang

first | Xijing Hospital | ORCID 0000-0002-9671-6358

Cuntai Zhang

last | Tongji Hospital | ORCID 0000-0002-2365-5646

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Citation

BibTeX

@article{Wang2026Chinese,
  title = {Chinese Expert Consensus on the Clinical Application of Finerenone in Geriatric Comorbidities},
  author = {Xiaoming Wang and Cuntai Zhang},
  journal = {Aging Medicine},
  year = {2026},
  doi = {10.1002/agm2.70103},
  url = {https://doi.org/10.1002/agm2.70103}
}

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