Role of New Biomarkers: Functional and Structural Damage

Traditional diagnosis of acute kidney injury (AKI) depends on detection of oliguria and rise of serum creatinine level, which is an unreliable and delayed marker of kidney damage. Delayed diagnosis of AKI in the critically ill patient is related to increased morbidity and mortality, prolonged length...

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Main Authors: Evdoxia Tsigou, Vasiliki Psallida, Christos Demponeras, Eleni Boutzouka, George Baltopoulos
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Critical Care Research and Practice
Online Access:http://dx.doi.org/10.1155/2013/361078
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author Evdoxia Tsigou
Vasiliki Psallida
Christos Demponeras
Eleni Boutzouka
George Baltopoulos
author_facet Evdoxia Tsigou
Vasiliki Psallida
Christos Demponeras
Eleni Boutzouka
George Baltopoulos
author_sort Evdoxia Tsigou
collection DOAJ
description Traditional diagnosis of acute kidney injury (AKI) depends on detection of oliguria and rise of serum creatinine level, which is an unreliable and delayed marker of kidney damage. Delayed diagnosis of AKI in the critically ill patient is related to increased morbidity and mortality, prolonged length of stay, and cost escalation. The discovery of a reliable biomarker for early diagnosis of AKI would be very helpful in facilitating early intervention, evaluating the effectiveness of therapy, and eventually reducing cost and improving outcome. Innovative technologies such as genomics and proteomics have contributed to the discovery of new biomarkers, such as neutrophil gelatinase-associated lipocalin (NGAL), cystatin C (Cys C), kidney injury molecule-1 (KIM-1), interleukin-18 (IL-18), and liver-type fatty acid binding protein (L-FABP). The current status of the most promising of these novel AKI biomarkers, including NGAL, Cys C, KIM-1, L-FABP, and IL-18, is reviewed.
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institution Kabale University
issn 2090-1305
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publishDate 2013-01-01
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series Critical Care Research and Practice
spelling doaj-art-87893292efdf45d3b5b96065f1e09dad2025-02-03T00:59:32ZengWileyCritical Care Research and Practice2090-13052090-13132013-01-01201310.1155/2013/361078361078Role of New Biomarkers: Functional and Structural DamageEvdoxia Tsigou0Vasiliki Psallida1Christos Demponeras2Eleni Boutzouka3George Baltopoulos4Athens University School of Nursing ICU, “Agioi Anargyroi” General Hospital, Kifisia, 14564 Athens, GreeceAthens University School of Nursing ICU, “Agioi Anargyroi” General Hospital, Kifisia, 14564 Athens, GreeceAthens University School of Nursing ICU, “Agioi Anargyroi” General Hospital, Kifisia, 14564 Athens, GreeceAthens University School of Nursing ICU, “Agioi Anargyroi” General Hospital, Kifisia, 14564 Athens, GreeceAthens University School of Nursing ICU, “Agioi Anargyroi” General Hospital, Kifisia, 14564 Athens, GreeceTraditional diagnosis of acute kidney injury (AKI) depends on detection of oliguria and rise of serum creatinine level, which is an unreliable and delayed marker of kidney damage. Delayed diagnosis of AKI in the critically ill patient is related to increased morbidity and mortality, prolonged length of stay, and cost escalation. The discovery of a reliable biomarker for early diagnosis of AKI would be very helpful in facilitating early intervention, evaluating the effectiveness of therapy, and eventually reducing cost and improving outcome. Innovative technologies such as genomics and proteomics have contributed to the discovery of new biomarkers, such as neutrophil gelatinase-associated lipocalin (NGAL), cystatin C (Cys C), kidney injury molecule-1 (KIM-1), interleukin-18 (IL-18), and liver-type fatty acid binding protein (L-FABP). The current status of the most promising of these novel AKI biomarkers, including NGAL, Cys C, KIM-1, L-FABP, and IL-18, is reviewed.http://dx.doi.org/10.1155/2013/361078
spellingShingle Evdoxia Tsigou
Vasiliki Psallida
Christos Demponeras
Eleni Boutzouka
George Baltopoulos
Role of New Biomarkers: Functional and Structural Damage
Critical Care Research and Practice
title Role of New Biomarkers: Functional and Structural Damage
title_full Role of New Biomarkers: Functional and Structural Damage
title_fullStr Role of New Biomarkers: Functional and Structural Damage
title_full_unstemmed Role of New Biomarkers: Functional and Structural Damage
title_short Role of New Biomarkers: Functional and Structural Damage
title_sort role of new biomarkers functional and structural damage
url http://dx.doi.org/10.1155/2013/361078
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