EDNRA and focal segmental glomerulosclerosis: Endothelin-1 (Edn-1)/endothelin receptor type A (EdnRA) axis has been demonstrated to be a causative regulator in promoting endothelial cell dysfunction in human biopsies and experimental model of FSGS, and is responsible for the loss of glomerular endothelial glycocalyx by increased degradation of glycosaminoglycans (65–67).