Combined biomarkers evaluation for diagnosing kidney injury in preeclampsia

Hypertens Pregnancy. 2013 Nov;32(4):439-49. doi: 10.3109/10641955.2013.827203. Epub 2013 Aug 19.

Abstract

Objective: To identify novel potential biomarkers and evaluate combined biomarkers for diagnosing kidney injury with considerable accuracy in preeclampsia.

Methods: The level of serum and urine neutrophil gelatinase-associated lipocalin (NGAL), kidney injury molecule-1 (KIM-1), retinol-binding protein (RBP) and interleukin-18 (IL-18) were measured by enzyme-linked immunosorbent assay.

Results: The level of serum cystatin C, urine RBP, urine NGAL and urine KIM-1 in preeclampsia group were higher than that in the normal pregnancy group. When four biomarkers are combined, the sensitivity and specificity are 100%/98.20%.

Conclusion: Urine KIM-1 is the most potential biomarker for renal injury in preeclampsia. The more biomarkers combined, the more sensitivity and specificity were increased.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute-Phase Proteins / urine
  • Adult
  • Biomarkers / blood
  • Biomarkers / urine
  • Case-Control Studies
  • Cross-Sectional Studies
  • Cystatin C / blood
  • Female
  • Hepatitis A Virus Cellular Receptor 1
  • Humans
  • Interleukin-18 / blood
  • Interleukin-18 / urine
  • Lipocalin-2
  • Lipocalins / blood
  • Lipocalins / urine
  • Membrane Glycoproteins / blood
  • Membrane Glycoproteins / urine
  • Pre-Eclampsia / blood*
  • Pre-Eclampsia / urine*
  • Pregnancy
  • Proto-Oncogene Proteins / blood
  • Proto-Oncogene Proteins / urine
  • Receptors, Virus / blood
  • Renal Insufficiency / diagnosis*
  • Renal Insufficiency / etiology*
  • Renal Insufficiency / metabolism*
  • Retinol-Binding Proteins / urine
  • Sensitivity and Specificity
  • Young Adult

Substances

  • Acute-Phase Proteins
  • Biomarkers
  • Cystatin C
  • HAVCR1 protein, human
  • Hepatitis A Virus Cellular Receptor 1
  • Interleukin-18
  • LCN2 protein, human
  • Lipocalin-2
  • Lipocalins
  • Membrane Glycoproteins
  • Proto-Oncogene Proteins
  • Receptors, Virus
  • Retinol-Binding Proteins