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[慢性肾脏病中的生物标志物]

[Biomarkers in Chronic Kidney Disease].

作者信息

Munguía-Miranda Catarina, Paniagua-Sierra José Ramón

机构信息

Unidad de Investigación Médica en Enfermedades Nefrológicas, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México Correo electrónico:

出版信息

Rev Med Inst Mex Seguro Soc. 2017;55(Suppl 2):S143-50.

Abstract

Chronic kidney disease (CKD) is an important public health problem. The classification of CKD by KDOQI and KDIGO and routine reports of the estimation of the glomerular filtration rate (eGFR), have resulted in a higher frequency in the diagnosis of CKD. Identification of CKD subjects and high risk of disease progression and cardiovascular disease (CVD) development is important. In clinical practice, proteinuria is the most sensitive marker of the progression of CKD, especially when combined with eGFR, but these have limitations. Therefore, the use of other early and sensitive biomarkers is required. Promising biomarkers are now being identified for the detection of CKD progression and its associated CVD morbidity and mortality. These are sensitive biomarkers of renal function, underlying pathophysiological processes and/or cardiovascular risk.

摘要

慢性肾脏病(CKD)是一个重要的公共卫生问题。KDOQI和KDIGO对CKD的分类以及肾小球滤过率(eGFR)估算值的常规报告,使得CKD的诊断频率更高。识别CKD患者以及疾病进展和心血管疾病(CVD)发生的高风险很重要。在临床实践中,蛋白尿是CKD进展最敏感的标志物,尤其是与eGFR结合时,但这些都有局限性。因此,需要使用其他早期且敏感的生物标志物。目前正在确定有前景的生物标志物,用于检测CKD进展及其相关的CVD发病率和死亡率。这些是肾功能、潜在病理生理过程和/或心血管风险的敏感生物标志物。

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