Emergence of biomarkers in nephropharmacology.

Emergence of biomarkers in nephropharmacology.
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DOI:
10.2217/bmm.10.115
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发表时间:
2010-12
影响因子:
2.2
通讯作者:
Lertora JJ
Lertora JJ
中科院分区:
医学4区
文献类型:
--
作者:
Khan E;Batuman V;Lertora JJ

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长期以来,血尿素氮、血肌酐和尿量一直被用作肾功能的标志物,尽管它们存在已知的局限性。在过去的几年里,在尿液和血液中发现了一些新的生物标志物,可以早期发现肾脏损伤。尽管到目前为止,这些生物标志物都没有在临床上使用,但许多已经被证实是可靠和敏感的,可以在血清肌酐水平上升和尿量下降之前检测到肾脏损伤。这些标记物已经在动物模型中进行了非常详细的评估,并在体外循环后和脓毒症的人类中进行了较小程度的评估。关于这些生物标志物在检测与使用药物相关的肾脏损伤方面的数据相对较少。本文的目的是总结这些数据,并强调这些生物标志物在肾脏药理学中的潜在用途。
Blood-urea nitrogen, serum creatinine and urine output have long been used as markers of kidney function despite their known limitations. In the past few years, a number of novel biomarkers have been identified in the urine and blood that can detect kidney injury early. Although, to date, none of these biomarkers are in clinical use, many have been validated as reliable and sensitive, allowing detection of kidney injury before serum creatinine levels rise and urine output drops. These markers have been evaluated in great detail in animal models and to a lesser extent in humans in postcardiopulmonary bypass and sepsis. There is relatively scarse data on the use of these biomarkers in the detection of kidney injury associated with the use of pharmacologic agents. The purpose of this article is to summarize these data and highlight the potential utility of these biomarkers in nephropharmacology.
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