Sato Ryo, Suzuki Yasushi, Takahashi Gaku, Kojika Masahiro, Inoue Yoshihiro, Endo Shigeatsu
Department of Critical Care Medicine, School of Medicine, Iwate Medical University/Iwate Prefectural Advanced Critical Care and Emergency Center, Japan.
Department of Critical Care Medicine, School of Medicine, Iwate Medical University/Iwate Prefectural Advanced Critical Care and Emergency Center, Japan.
J Infect Chemother. 2015 Mar;21(3):165-9. doi: 10.1016/j.jiac.2014.10.017. Epub 2014 Nov 18.
In recent years, it has been reported that the urinary level of Liver-type fatty acid-binding protein (L-FABP) serves as a useful biomarker for diagnosing acute kidney injury (AKI) or sepsis complicated by AKI. However, because the urinary level of L-FABP is currently measured by enzyme-linked immunosorbent assay (ELISA), several days may elapse before the results of the measurement become available. We have newly developed a simplified kit, the Dip-test, for measuring the urinary level of L-FABP. The Dip-test was measured at 80 measurement points (22 points in noninfectious disease, 13 points in SIRS, 20 points in infectious disease, and 25 points in sepsis) in 20 patients. The urinary L-FABP levels as determined by ELISA in relation to the results of the Dip-test were as follows: 10.10 ± 12.85 ng/ml in patients with a negative Dip-test ([-] group), 41.93 ± 50.51 ng/ml in patients with a ± test ([±] group), 70.36 ± 73.70 ng/ml in patients with a positive test ([+] group), 1048.96 ± 2117.68 ng/ml in patients with a 2 + test ([2+] group), and 23,571.55 ± 21,737.45 ng/ml in patients with a 3 + test ([3+] group). The following tendency was noted: the stronger the positive Dip-test reaction, the higher the urinary L-FABP level. Multigroup comparison revealed a significant differences in the urinary L-FABP levels between the Dip-test (-) group and each of the other groups. In this study, the usefulness of the Dip-test, our newly developed simplified kit for measuring the urinary L-FABP level, is suggested.
近年来,有报道称肝型脂肪酸结合蛋白(L-FABP)的尿液水平可作为诊断急性肾损伤(AKI)或并发AKI的脓毒症的有用生物标志物。然而,由于目前L-FABP的尿液水平是通过酶联免疫吸附测定(ELISA)来测量的,测量结果可能需要几天时间才能得出。我们新开发了一种用于测量L-FABP尿液水平的简化试剂盒——浸测试剂盒。在20名患者的80个测量点(非感染性疾病22个点、全身炎症反应综合征13个点、感染性疾病20个点、脓毒症25个点)对浸测试剂盒进行了测量。ELISA测定的尿液L-FABP水平与浸测试剂盒的结果如下:浸测试剂盒检测结果为阴性的患者([-]组)为10.10±12.85 ng/ml,检测结果为±的患者([±]组)为41.93±50.51 ng/ml,检测结果为阳性的患者([+]组)为70.36±73.70 ng/ml,检测结果为2+的患者([2+]组)为1048.96±2117.68 ng/ml,检测结果为3+的患者([3+]组)为23571.55±21737.45 ng/ml。观察到以下趋势:浸测试剂盒阳性反应越强,尿液L-FABP水平越高。多组比较显示,浸测试剂盒(-)组与其他各组之间尿液L-FABP水平存在显著差异。本研究表明了我们新开发的用于测量尿液L-FABP水平的简化试剂盒——浸测试剂盒的实用性。
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