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急性肾损伤生物标志物的基础科学观。

A basic science view of acute kidney injury biomarkers.

机构信息

Department of Pediatrics, University of Virginia Health System, Charlottesville, VA, USA Division of Nephrology, University of Virginia Health System, Charlottesville, VA, USA.

Department of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

出版信息

Nephrol Dial Transplant. 2014 Jul;29(7):1301-11. doi: 10.1093/ndt/gft510. Epub 2014 Jan 2.

DOI:10.1093/ndt/gft510
PMID:24385545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4081632/
Abstract

Over the last decade, significant progress has been made in the identification and validation of novel biomarkers as well as refinements in the use of serum creatinine as a marker of kidney function. These advances have taken advantage of laboratory investigations, which have identified these novel molecules that serve important biological functions in the pathogenesis of acute kidney injury (AKI). As we advance and validate these markers for clinical studies in AKI, we recognize that they serve not only to improve our understanding of AKI, but they could also serve as potential targets for the treatment of AKI. This review will underscore the biological basis of specific biomarkers that will contribute to the advancement in the treatment and outcomes of AKI.

摘要

在过去的十年中,在鉴定和验证新型生物标志物方面取得了重大进展,同时也改进了血清肌酐作为肾功能标志物的使用方法。这些进展利用实验室研究,鉴定了这些新型分子,它们在急性肾损伤 (AKI) 的发病机制中具有重要的生物学功能。随着我们在 AKI 的临床研究中推进和验证这些标志物,我们认识到它们不仅有助于我们加深对 AKI 的理解,而且还可以作为 AKI 治疗的潜在靶点。这篇综述将强调特定生物标志物的生物学基础,这将有助于推进 AKI 的治疗和改善其预后。

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Kidney Int. 2014 Mar;85(3):513-21. doi: 10.1038/ki.2013.374. Epub 2013 Oct 9.
2
TNF-mediated damage to glomerular endothelium is an important determinant of acute kidney injury in sepsis.肿瘤坏死因子介导的肾小球内皮损伤是脓毒症急性肾损伤的重要决定因素。
Kidney Int. 2014 Jan;85(1):72-81. doi: 10.1038/ki.2013.286. Epub 2013 Jul 31.
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AKI: a path forward.急性肾损伤:前进之路。
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Urinary interleukin 18 for detection of acute kidney injury: a meta-analysis.尿白介素 18 用于检测急性肾损伤:一项荟萃分析。
Am J Kidney Dis. 2013 Dec;62(6):1058-67. doi: 10.1053/j.ajkd.2013.05.014. Epub 2013 Jul 2.
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Diagnosis of acute kidney injury using functional and injury biomarkers: workgroup statements from the tenth Acute Dialysis Quality Initiative Consensus Conference.使用功能和损伤生物标志物诊断急性肾损伤:第十届急性透析质量倡议共识会议工作组声明
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