高盐摄入相关慢性肾脏病的生物标志物。

Biomarkers for Chronic Kidney Disease Associated with High Salt Intake.

机构信息

Education and Research Center for Clinical Pharmacy, Osaka University of Pharmaceutical Sciences, Osaka 569-1094, Japan.

出版信息

Int J Mol Sci. 2017 Sep 30;18(10):2080. doi: 10.3390/ijms18102080.

Abstract

High salt intake has been related to the development to chronic kidney disease (CKD) as well as hypertension. In its early stages, symptoms of CKD are usually not apparent, especially those that are induced in a "silent" manner in normotensive individuals, thereby providing a need for some kind of urinary biomarker to detect injury at an early stage. Because traditional renal biomarkers such as serum creatinine are insensitive, it is difficult to detect kidney injury induced by a high-salt diet, especially in normotensive individuals. Recently, several new biomarkers for damage of renal tubular epithelia such as neutrophil gelatinase-associated lipocalin (NGAL) and kidney injury molecule-1 (Kim-1) have been identified. Previously, we found a novel renal biomarker, urinary vanin-1, in several animal models with renal tubular injury. However, there are few studies about early biomarkers of the progression to CKD associated with a high-salt diet. This review presents some new insights about these novel biomarkers for CKD in normotensives and hypertensives under a high salt intake. Interestingly, our recent reports using spontaneously hypertensive rats (SHR) and normotensive Wistar Kyoto rats (WKY) fed a high-salt diet revealed that urinary vanin-1 and NGAL are earlier biomarkers of renal tubular damage in SHR and WKY, whereas urinary Kim-1 is only useful as a biomarker of salt-induced renal injury in SHR. Clinical studies will be needed to clarify these findings.

摘要

高盐摄入与慢性肾脏病(CKD)和高血压的发展有关。在早期,CKD 的症状通常不明显,尤其是在血压正常的人群中以“沉默”方式引起的症状,因此需要某种尿生物标志物来早期检测损伤。由于传统的肾生物标志物如血清肌酐不敏感,因此很难检测到高盐饮食引起的肾脏损伤,尤其是在血压正常的人群中。最近,已经鉴定出几种新的肾小管上皮损伤的生物标志物,如中性粒细胞明胶酶相关脂质运载蛋白(NGAL)和肾损伤分子 1(Kim-1)。以前,我们在几种肾小管损伤的动物模型中发现了一种新型的肾生物标志物,尿 vanin-1。然而,关于与高盐饮食相关的 CKD 进展的早期生物标志物的研究很少。这篇综述介绍了一些关于在高盐摄入下正常血压和高血压患者 CKD 的这些新型生物标志物的新见解。有趣的是,我们最近使用自发性高血压大鼠(SHR)和正常血压 Wistar Kyoto 大鼠(WKY)进行的高盐饮食研究报告表明,尿 vanin-1 和 NGAL 是 SHR 和 WKY 肾小管损伤的早期生物标志物,而尿 Kim-1 仅作为 SHR 盐诱导肾损伤的生物标志物有用。需要进行临床研究来阐明这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a78/5666762/69f060f57de4/ijms-18-02080-g001.jpg

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