Increase in urinary markers during the acute phase reflects the degree of chronic tubulointerstitial injury after ischemia-reperfusion renal injury

Biomarkers. 2017 Feb;22(1):5-13. doi: 10.3109/1354750X.2016.1153723. Epub 2016 Mar 30.

Abstract

Context: Acute kidney injury (AKI) could lead to progressive chronic kidney disease (CKD).

Objectives: To demonstrate that urinary markers in AKI are associated with the degree of persistent renal injury.

Material and methods: Human L-FABP chromosomal transgenic (Tg) mice were subjected to ischemia-reperfusion (I/R) clamping renal pedicle for 20 min or 30 min. Kidneys were obtained at one and 40 days after I/R.

Results: Urinary L-FABP, NGAL, Kim-1 and albumin levels increased during the acute phase and were significantly correlated with the degree of tubulointerstitial fibrosis during the chronic phase.

Discussion and conclusion: These markers could detect higher risk of progression to CKD.

Keywords: AKI to CKD transition; Acute kidney injury; chronic kidney disease; renal damage.

MeSH terms

  • Acute Kidney Injury / urine*
  • Albumins / analysis
  • Animals
  • Biomarkers / urine
  • Fatty Acid-Binding Proteins / urine
  • Fibrosis
  • Hepatitis A Virus Cellular Receptor 1 / analysis
  • Humans
  • Lipocalin-2 / urine
  • Mice
  • Mice, Transgenic
  • Nephritis, Interstitial / diagnosis
  • Nephritis, Interstitial / pathology*
  • Renal Insufficiency, Chronic / diagnosis*
  • Reperfusion Injury / complications*

Substances

  • Albumins
  • Biomarkers
  • FABP1 protein, human
  • Fatty Acid-Binding Proteins
  • Havcr1 protein, mouse
  • Hepatitis A Virus Cellular Receptor 1
  • Lipocalin-2
  • Lcn2 protein, mouse