摘要
肾脏疾病,无论急性或慢性,代表着一个重大的健康危害。急性肾损伤(AKI)检测主要基于血清肌酐,这被认为是延迟及时诊断和治疗,从而大幅度增加患者发病率和死亡率和长期住院治疗。一些生物标记物已经被确认为AKI的早期预后标记。然而,绝大多数的标记物仍远未被涉及到临床实践。另一方面,常规eGFR评估和蛋白尿监测有助于先前的慢性肾脏疾病(CKD)的识别。因此,需要更加敏感和特定的生物标记物使我们意识到从CKD发展到晚期肾病(ESRD)和发生心血管并发症的个人风险的增加。本文着重介绍已出现的用于肾病早期预测、监测和管理的最重要的新型炎症生物标记物。
关键词: 急性肾损伤,生物标志物,慢性肾脏疾病,炎症,心血管死亡率,营养不良,蛋白质-能量消耗。
Current Medicinal Chemistry
Title:The Importance of Novel Inflammatory Biomarkers in Renal Disease
Volume: 22 Issue: 23
Author(s): S. Marinaki, C. Skalioti, Gerasimos Siasos, Athanasios G Papavassiliou, Dimitris Tousoulis and J.N. Boletis
Affiliation:
关键词: 急性肾损伤,生物标志物,慢性肾脏疾病,炎症,心血管死亡率,营养不良,蛋白质-能量消耗。
摘要: Kidney disease, whether acute or chronic, represents a major health hazard. Acute kidney injury (AKI) detection is based mainly on serum creatinine, which is considered to delay prompt diagnosis and management, thus increasing substantially patient morbidity and mortality and prolonged hospitalization. Several biomarkers have been evaluated as early prognostic markers of AKI. However, the vast majority of them are still far from being implicated into clinical practice. On the other hand, routine eGFR estimation and proteinuria monitoring have contributed to previous identification of chronic kidney disease (CKD). Hence, more sensitive and specific biomarkers are needed to enable us recognize individuals at increased risk for progression of CKD to end-stage renal disease (ESRD) and occurrence of cardiovascular complications. This review focuses on the most important novel inflammatory biomarkers that have emerged for early prediction, monitoring and management of kidney disease.
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S. Marinaki, C. Skalioti, Gerasimos Siasos, Athanasios G Papavassiliou, Dimitris Tousoulis and J.N. Boletis , The Importance of Novel Inflammatory Biomarkers in Renal Disease, Current Medicinal Chemistry 2015; 22 (23) . https://dx.doi.org/10.2174/0929867322666150415124240
DOI https://dx.doi.org/10.2174/0929867322666150415124240 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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