Urinary excretion of liver-type FABP as a new clinical marker for the progression of obstructive nephropathy

Biomark Med. 2014;8(4):543-56. doi: 10.2217/bmm.13.136.

Abstract

Aim: The aim of this article was to investigate the performance and predictive value of urinary liver-type FABP (uL-FABP) and urinary NGAL (uNGAL) for renal function and prognosis in obstructive nephropathy (ON).

Patients & methods: A total of 108 ON patients and urine samples were collected. An ELISA was used to determine the uL-FABP and uNGAL levels. A total of 90 patients completed the 1-year follow-up and were used to evaluate the predictive value of uL-FABP and uNGAL for the renal prognosis in ON.

Results: During the 1-year renal function follow-up, the uL-FABP level was significantly correlated with poor prognosis. When the preoperative uL-FABP and uNGAL or 72-h postoperative uL-FABP and uNGAL levels were combined, the areas under the curve for renal prognosis were 0.968 and 0.952, respectively.

Conclusion: uL-FABP was helpful for the prediction of renal prognosis in ON. The combination of uL-FABP and uNGAL increased the accuracy of prediction.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Kidney Injury / diagnosis*
  • Acute Kidney Injury / metabolism
  • Acute Kidney Injury / pathology
  • Acute-Phase Proteins / urine
  • Adult
  • Aged
  • Area Under Curve
  • Biomarkers / urine
  • Creatinine / blood
  • Disease Progression
  • Enzyme-Linked Immunosorbent Assay
  • Fatty Acid Binding Protein 3
  • Fatty Acid-Binding Proteins / urine*
  • Female
  • Follow-Up Studies
  • Humans
  • Linear Models
  • Lipocalin-2
  • Lipocalins / urine
  • Liver / metabolism*
  • Male
  • Middle Aged
  • Proto-Oncogene Proteins / urine
  • ROC Curve
  • Sensitivity and Specificity

Substances

  • Acute-Phase Proteins
  • Biomarkers
  • FABP3 protein, human
  • Fatty Acid Binding Protein 3
  • Fatty Acid-Binding Proteins
  • LCN2 protein, human
  • Lipocalin-2
  • Lipocalins
  • Proto-Oncogene Proteins
  • Creatinine