急性肾损伤生物标志物的研究进展

    Research advances on biomarkers of acute kidney injury

    • 摘要: 急性肾损伤(acute kidney injury,AKI)是一种常见的危急重症。缺乏敏感且又能够在早期诊断AKI的检测指标,致使AKI不能在早期得到诊断和治疗,是AKI病死率高的一个重要原因。如果不能采取及时有效的干预措施,肾脏损伤将会加重,导致肾衰竭甚至死亡。为了能够及早地识别诊断AKI,提高AKI的预后,我们需要一些新的生物标志物。目前关于肾损伤标志物的文献证明,肾损伤分子1、白细胞介素18、中性粒细胞明胶酶相关脂质运载蛋白、人肝型脂肪酸结合蛋白、胰岛素样生长因子结合蛋白7、金属蛋白酶组织抑制剂、N-乙酰-β-D氨基葡萄糖苷酶、半乳糖凝集素3等新型生物标志物,与AKI的损伤机制密切相关,可以在血肌酐发生可检测到的变化之前快速识别出AKI,从而有助于AKI的早期诊断。

       

      Abstract: Acute kidney injury (AKI) is a common critical illness. Lacking sensitive and early detection indicators of diagnosing AKI at an early stage results in a high mortality rate. If timely and effective interventions are not adopted, kidney insults may aggravate and lead to kidney failure and even death. Some new biomarkers are urgently needed for improving the prevention, diagnosis and prognosis of AKI. The current literature on promising markers of AKI demonstrates that kidney injury molecule-1 (KIM-1), interleukin-18 (IL-8), neutrophil gelatinase-associated lipocalin (NGAL), human liver-type fatty acid-binding protein (L-FABP), insulin-like growth factor binding protein-7 (IGFBP-7), tissue inhibitor of metalloproteinases (TIMP-2), N-acetyl-β-D-glucosaminidase (NAG) and galectin-3 (Gal-3) are closely associated with the damaging mechanism of AKI. And AKI may be quickly identified before any detectable change of blood creatinine.

       

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