LI Yi-fei, YAO Guang-tao. Review Study of Renal Tubular Injury Markers in the Acute Kidney Injury[J]. Chinese journal of experimental traditional medical formulae, 2011, 17(23): 279-284.
LI Yi-fei, YAO Guang-tao. Review Study of Renal Tubular Injury Markers in the Acute Kidney Injury[J]. Chinese journal of experimental traditional medical formulae, 2011, 17(23): 279-284. DOI: 10.13422/j.cnki.syfjx.2011.23.078.
Review Study of Renal Tubular Injury Markers in the Acute Kidney Injury
The reports concerned with renal injury markers in recent 10 years were consulted through Science Direct database
and literature related to specific markers of renal tubular injury were compiled and analyzed.Some biomarkers have been partially verified the good sensitivity and high specificity in experimental studies and clinical observations.For example
Kidney injury molecule-1
which would over express in the kidney injury in renal tubular epithelial cells
is sensitive to the early diagnosis of kidney cancer
ischemic and renal toxic renal injury
and detected with high stability.Liver-type fatty acid binding protein involved in local lipid metabolism of renal
with high specificity to renal proximal tubule.Its content in urine were of great value for early evaluation of various types of acute kidney injury.As a diagnostic indicator
sensitivity and specificity of Interleukin-18 were more than 90%.It could distinguish acute tubular necrosis from other types of kidney diseases
also predict the renal injury occurrence and renal function recovery.Neutrophil gelatinase-associated lipocalin was often detected as the first expressed product in the injury kidney
which changed earlier than creatinine and other markers
with obvious time advantage.All biomarkers have different characteristics and respective shortage.So joint detection were better to wider and sensitive evaluation of renal injury.