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传统和新型生物标志物在慢性肾脏病评估中的作用:对生化、分子和临床维度的综合分析

Role of traditional and new biomarkers in the assessment of chronic kidney diseases: a comprehensive analysis of the biochemical, molecular and clinical dimensions.

作者信息

Suresh Arumugam, Muninathan Natarajan, Sampath Shobana, Devanesan Sandhanasamy, AlSalhi Mohamad S, Manoj D

机构信息

Central Research Laboratory, Meenakshi Medical College Hospital and Research Institute, Meenakshi Academy of Higher Education and Research, Kanchipuram, Tamil Nadu, India.

Department of Biotechnology, Vel Tech Rangarajan Dr Sagunthala R&D Institute of Science and Technology, Chennai, Tamil Nadu, 600062, India.

出版信息

Mol Biol Rep. 2025 Apr 28;52(1):434. doi: 10.1007/s11033-025-10498-z.

Abstract

BACKGROUND

Kidney function is necessary for the diagnosis and treatment of renal diseases. Traditional biomarkers like creatinine have limitations due to their susceptibility to interference and fluctuation. This study's objective is to test and compare the efficacy of conventional and innovative biomarkers in evaluating kidney function and disease.

METHODS

We looked at creatinine, cystatin C, parathyroid hormone (PTH), electrolytes, interleukin-6 (IL-6), C-reactive protein (CRP), the APA I gene, and kidney injury molecule-1 (KIM-1). The present study focused on the stability, sensitivity, and specificity of biomarkers using a combination of traditional and innovative analytical techniques.

RESULTS

Present results showed that creatinine, although commonly used as a measure, frequently overestimates renal function as a result of chromogenic interference. On the other hand, cystatin C showed better sensitivity and was less reliant on influences outside the kidneys. Kidney biomarkers, such as KIM-1, exhibit the potential for identifying acute kidney injury at an early stage. Furthermore, there was a positive correlation between increased levels of CRP and PTH and the progression of kidney disease to more advanced stages.

CONCLUSION

This study emphasizes the importance of combining traditional and new biomarkers to improve the accuracy of diagnosing and managing kidney illness. The more effective use of biomarkers will result in improved patient outcomes.

摘要

背景

肾功能对于肾脏疾病的诊断和治疗至关重要。传统生物标志物如肌酐,由于易受干扰和波动影响而存在局限性。本研究的目的是测试和比较传统与创新生物标志物在评估肾功能和疾病方面的功效。

方法

我们研究了肌酐、胱抑素C、甲状旁腺激素(PTH)、电解质、白细胞介素-6(IL-6)、C反应蛋白(CRP)、APAI基因和肾损伤分子-1(KIM-1)。本研究结合传统和创新分析技术,重点关注生物标志物的稳定性、敏感性和特异性。

结果

目前的结果表明,肌酐虽然常用作一种衡量指标,但由于显色干扰,经常高估肾功能。另一方面,胱抑素C表现出更好的敏感性,且对肾脏以外的影响因素依赖较小。肾生物标志物如KIM-1,具有早期识别急性肾损伤的潜力。此外,CRP和PTH水平升高与肾脏疾病进展到更晚期阶段之间存在正相关。

结论

本研究强调了结合传统和新型生物标志物以提高肾脏疾病诊断和管理准确性的重要性。更有效地使用生物标志物将改善患者预后。

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