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Neutrophil Gelatinase-Associated Lipocalin as a Promising Novel Biomarker for Early Detection of Kidney Injury

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초록

Acute kidney injury (AKI) is a common complication of various critical illnesses and shows independent associations with mortality, morbidity, and prolonged hospitalization [1-5]. The current standard of the diagnostic criteria for AKI is based on consensus from consortiums such as the AKI Network or Kidney Disease: Improving Global Outcomes (KDIGO) [6]. Their AKI definitions involve increased serum creatinine (SCr) and/or decreased urine output [5, 6]. This SCr-based standardization provides several merits from both research and clinical aspects by permitting comparative analysis among patients or studies [1]. However, there are some recognized limitations of these SCr-based AKI definitions as outlined below [2, 3].

Abstract

Acute kidney injury (AKI) is a common complication of various critical illnesses and shows independent associations with mortality, morbidity, and prolonged hospitalization [1-5]. The current standard of the diagnostic criteria for AKI is based on consensus from consortiums such as the AKI Network or Kidney Disease: Improving Global Outcomes (KDIGO) [6]. Their AKI definitions involve increased serum creatinine (SCr) and/or decreased urine output [5, 6]. This SCr-based standardization provides several merits from both research and clinical aspects by permitting comparative analysis among patients or studies [1]. However, there are some recognized limitations of these SCr-based AKI definitions as outlined below [2, 3].

참고문헌 (14)

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  2. 김한아, "Proenkephalin, Neutrophil Gelatinase-Associated Lipocalin, and Estimated Glomerular Filtration Rates in Patients With Sepsis", Annals of Laboratory Medicine, 37(5), pp.388~397 (2017), 대한진단검사의학회
  3. Klein SJ, "Biomarkers for prediction of renal replacement therapy in acute kidney injury: a systematic review and meta-analysis", Intensive Care Med, 44, pp.323~336 (2018)[DOI]
  4. Hjortrup PB, "Clinical review: predictive value of neutrophil gelatinase-associated lipocalin for acute kidney injury in intensive care patients", Crit Care, 17, pp.211~ (2013)[DOI]
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  6. Kidney Disease: Improving Global Outcomes (KDIGO) CKD-MBD Working Group, "KDIGO clinical practice guideline for the diagnosis, evaluation, prevention, and treatment of chronic kidney disease-mineral and bone disorder (CKD-MBD)", Kidney Int Suppl, pp.S1~S130 (2009)
  7. Coca SG, "Preoperative angiotensin-converting enzyme inhibitors and angiotensin receptor blocker use and acute kidney injury in patients undergoing cardiac surgery", Nephrol Dial Transplant, 28, pp.2787~2799 (2013)[DOI]
  8. Cho SY, "The clinical significance of serum cystatin C in critically ill newborns with normal serum creatinine", J Clin Lab Anal, 26, pp.267~271 (2012)[DOI]
  9. 윤보애, "Plasma Neutrophil Gelatinase-Associated Lipocalin as a Predictor of Renal Parenchymal Involvement in Infants With Febrile Urinary Tract Infection: A Preliminary Study", Annals of Laboratory Medicine, 38(5), pp.425~430 (2018), 대한진단검사의학회[DOI]
  10. Fiseha T, "Urinary markers of tubular injury in early diabetic nephropathy", Int J Nephrol, 2016, pp.4647685~ (2016)
  11. Malhotra R, "Biomarkers for the early detection and prognosis of acute kidney injury", Clin J Am Soc Nephrol, 12, pp.149~173 (2017)[DOI]
  12. Flo TH, "Lipocalin 2 mediates an innate immune response to bacterial infection by sequestrating iron", Nature, 432, pp.917~921 (2004)[DOI]
  13. Tong J, "Neutrophil gelatinase-associated lipocalin in the prediction of contrast-induced nephropathy: a systemic review and meta-analysis", J Cardiovasc Pharmacol, 66, pp.239~245 (2015)[DOI]
  14. Ronco C, "Neutrophil gelatinase-associated lipocalin: ready for routine clinical use? An international perspective", Blood Purif, 37, pp.271~285 (2014)[DOI]

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