Biomarkers of Acute Kidney Injury

Acute kidney injury (AKI) is a common problem in both the inpatient and outpatient setting and often results from drug toxicities. Traditional methods of identifying AKI, through measurement of blood urea nitrogen and serum creatinine, are problematic in that they are slow to detect decreases in glo...

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Main Authors: Jeffrey C. Sirota, Jelena Klawitter, Charles L. Edelstein
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Toxicology
Online Access:http://dx.doi.org/10.1155/2011/328120
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author Jeffrey C. Sirota
Jelena Klawitter
Charles L. Edelstein
author_facet Jeffrey C. Sirota
Jelena Klawitter
Charles L. Edelstein
author_sort Jeffrey C. Sirota
collection DOAJ
description Acute kidney injury (AKI) is a common problem in both the inpatient and outpatient setting and often results from drug toxicities. Traditional methods of identifying AKI, through measurement of blood urea nitrogen and serum creatinine, are problematic in that they are slow to detect decreases in glomerular filtration rate (GFR) and are influenced by a variety of factors that are not related to GFR changes. The problems inherent in a creatinine-based diagnosis of AKI have impeded the development of proper therapeutics in AKI and posed problems in evaluating nephrotoxicity of drugs and other chemical exposures. In recent years, a number of new biomarkers of AKI with more favorable test characteristics than creatinine have been identified and studied in a variety of experimental and clinical settings. This review will consider the most well-established biomarkers and appraise the literature, with particular attention given to the use of biomarkers in identifying toxin-mediated AKI.
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spelling doaj-art-bb90d9e20b5643ab89b6fd77d27826282025-02-03T01:01:48ZengWileyJournal of Toxicology1687-81911687-82052011-01-01201110.1155/2011/328120328120Biomarkers of Acute Kidney InjuryJeffrey C. Sirota0Jelena Klawitter1Charles L. Edelstein2Division of Renal Diseases & Hypertension, University of Colorado Health Sciences Center, Mail Stop C-281, 12700 East 19th Avenue, Aurora, CO 80045, USADepartment of Anesthesiology, University of Colorado Health Sciences Center, Mail Stop C-281, 12700 East 19th Avenue, Aurora, CO 80045, USADivision of Renal Diseases & Hypertension, University of Colorado Health Sciences Center, Mail Stop C-281, 12700 East 19th Avenue, Aurora, CO 80045, USAAcute kidney injury (AKI) is a common problem in both the inpatient and outpatient setting and often results from drug toxicities. Traditional methods of identifying AKI, through measurement of blood urea nitrogen and serum creatinine, are problematic in that they are slow to detect decreases in glomerular filtration rate (GFR) and are influenced by a variety of factors that are not related to GFR changes. The problems inherent in a creatinine-based diagnosis of AKI have impeded the development of proper therapeutics in AKI and posed problems in evaluating nephrotoxicity of drugs and other chemical exposures. In recent years, a number of new biomarkers of AKI with more favorable test characteristics than creatinine have been identified and studied in a variety of experimental and clinical settings. This review will consider the most well-established biomarkers and appraise the literature, with particular attention given to the use of biomarkers in identifying toxin-mediated AKI.http://dx.doi.org/10.1155/2011/328120
spellingShingle Jeffrey C. Sirota
Jelena Klawitter
Charles L. Edelstein
Biomarkers of Acute Kidney Injury
Journal of Toxicology
title Biomarkers of Acute Kidney Injury
title_full Biomarkers of Acute Kidney Injury
title_fullStr Biomarkers of Acute Kidney Injury
title_full_unstemmed Biomarkers of Acute Kidney Injury
title_short Biomarkers of Acute Kidney Injury
title_sort biomarkers of acute kidney injury
url http://dx.doi.org/10.1155/2011/328120
work_keys_str_mv AT jeffreycsirota biomarkersofacutekidneyinjury
AT jelenaklawitter biomarkersofacutekidneyinjury
AT charlesledelstein biomarkersofacutekidneyinjury