Urinary Macrophage Migration Inhibitory Factor Serves as a Potential Biomarker for Acute Kidney Injury in Patients with Acute Pyelonephritis

Conventional markers of kidney function that are familiar to clinicians, including the serum creatinine and blood urea nitrogen levels, are unable to reveal genuine injury to the kidney, and their use may delay treatment. Macrophage migration inhibitory factor (MIF) is a proinflammatory cytokine, an...

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Main Authors: Ming-Yuan Hong, Chin-Chung Tseng, Chia-Chang Chuang, Chia-Ling Chen, Sheng-Hsiang Lin, Chiou-Feng Lin
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/381358
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author Ming-Yuan Hong
Chin-Chung Tseng
Chia-Chang Chuang
Chia-Ling Chen
Sheng-Hsiang Lin
Chiou-Feng Lin
author_facet Ming-Yuan Hong
Chin-Chung Tseng
Chia-Chang Chuang
Chia-Ling Chen
Sheng-Hsiang Lin
Chiou-Feng Lin
author_sort Ming-Yuan Hong
collection DOAJ
description Conventional markers of kidney function that are familiar to clinicians, including the serum creatinine and blood urea nitrogen levels, are unable to reveal genuine injury to the kidney, and their use may delay treatment. Macrophage migration inhibitory factor (MIF) is a proinflammatory cytokine, and the predictive role and pathogenic mechanism of MIF deregulation during kidney infections involving acute kidney injury (AKI) are not currently known. In this study, we showed that elevated urinary MIF levels accompanied the development of AKI during kidney infection in patients with acute pyelonephritis (APN). In addition to the MIF level, the urinary levels of interleukin (IL)-1β and kidney injury molecule (KIM)-1 were also upregulated and were positively correlated with the levels of urinary MIF. An elevated urinary MIF level, along with elevated IL-1β and KIM-1 levels, is speculated to be a potential biomarker for the presence of AKI in APN patients.
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series Mediators of Inflammation
spelling doaj-art-9aff04c4e717436b9142fda2a1bb48842025-02-03T05:46:38ZengWileyMediators of Inflammation0962-93511466-18612012-01-01201210.1155/2012/381358381358Urinary Macrophage Migration Inhibitory Factor Serves as a Potential Biomarker for Acute Kidney Injury in Patients with Acute PyelonephritisMing-Yuan Hong0Chin-Chung Tseng1Chia-Chang Chuang2Chia-Ling Chen3Sheng-Hsiang Lin4Chiou-Feng Lin5Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan 701, TaiwanDepartment of Internal Medicine, National Cheng Kung University Hospital, Tainan 704, TaiwanDepartment of Emergency Medicine, National Cheng Kung University Hospital, Tainan 704, TaiwanDepartment of Microbiology and Immunology, College of Medicine, National Cheng Kung University, Tainan 701, TaiwanInstitute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan 701, TaiwanInstitute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan 701, TaiwanConventional markers of kidney function that are familiar to clinicians, including the serum creatinine and blood urea nitrogen levels, are unable to reveal genuine injury to the kidney, and their use may delay treatment. Macrophage migration inhibitory factor (MIF) is a proinflammatory cytokine, and the predictive role and pathogenic mechanism of MIF deregulation during kidney infections involving acute kidney injury (AKI) are not currently known. In this study, we showed that elevated urinary MIF levels accompanied the development of AKI during kidney infection in patients with acute pyelonephritis (APN). In addition to the MIF level, the urinary levels of interleukin (IL)-1β and kidney injury molecule (KIM)-1 were also upregulated and were positively correlated with the levels of urinary MIF. An elevated urinary MIF level, along with elevated IL-1β and KIM-1 levels, is speculated to be a potential biomarker for the presence of AKI in APN patients.http://dx.doi.org/10.1155/2012/381358
spellingShingle Ming-Yuan Hong
Chin-Chung Tseng
Chia-Chang Chuang
Chia-Ling Chen
Sheng-Hsiang Lin
Chiou-Feng Lin
Urinary Macrophage Migration Inhibitory Factor Serves as a Potential Biomarker for Acute Kidney Injury in Patients with Acute Pyelonephritis
Mediators of Inflammation
title Urinary Macrophage Migration Inhibitory Factor Serves as a Potential Biomarker for Acute Kidney Injury in Patients with Acute Pyelonephritis
title_full Urinary Macrophage Migration Inhibitory Factor Serves as a Potential Biomarker for Acute Kidney Injury in Patients with Acute Pyelonephritis
title_fullStr Urinary Macrophage Migration Inhibitory Factor Serves as a Potential Biomarker for Acute Kidney Injury in Patients with Acute Pyelonephritis
title_full_unstemmed Urinary Macrophage Migration Inhibitory Factor Serves as a Potential Biomarker for Acute Kidney Injury in Patients with Acute Pyelonephritis
title_short Urinary Macrophage Migration Inhibitory Factor Serves as a Potential Biomarker for Acute Kidney Injury in Patients with Acute Pyelonephritis
title_sort urinary macrophage migration inhibitory factor serves as a potential biomarker for acute kidney injury in patients with acute pyelonephritis
url http://dx.doi.org/10.1155/2012/381358
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