Nanoparticle Detection of Urinary Markers for Point-of-Care Diagnosis of Kidney Injury

PLoS One. 2015 Jul 17;10(7):e0133417. doi: 10.1371/journal.pone.0133417. eCollection 2015.

Abstract

The high incidence of acute and chronic kidney injury due to various environmental factors such as heavy metals or chemicals has been a major problem in developing countries. However, the diagnosis of kidney injury in these areas can be more challenging due to the lack of highly sensitive and specific techniques that can be applied in point-of-care settings. To address this, we have developed a technique called 'micro-urine nanoparticle detection (μUNPD)', that allows the detection of trace amounts of molecular markers in urine. Specifically, this technique utilizes an automated on-chip assay followed by detection with a hand-held device for the read-out. Using the μUNPD technology, the kidney injury markers KIM-1 and Cystatin C were detected down to concentrations of 0.1 ng/ml and 20 ng/ml respectively, which meets the cut-off range required to identify patients with acute or chronic kidney injury. Thus, we show that the μUNPD technology enables point of care and non-invasive detection of kidney injury, and has potential for applications in diagnosing kidney injury with high sensitivity in resource-limited settings.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Acute Kidney Injury / diagnosis
  • Acute Kidney Injury / urine*
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers / urine*
  • Cohort Studies
  • Cystatin C / chemistry
  • Cystatin C / urine
  • Feasibility Studies
  • Hepatitis A Virus Cellular Receptor 1
  • Humans
  • Magnetic Resonance Spectroscopy
  • Magnetite Nanoparticles / analysis*
  • Magnetite Nanoparticles / chemistry
  • Membrane Glycoproteins / chemistry
  • Membrane Glycoproteins / urine
  • Microchip Analytical Procedures / methods
  • Middle Aged
  • Point-of-Care Systems*
  • Receptors, Virus / chemistry
  • Renal Insufficiency, Chronic / diagnosis
  • Renal Insufficiency, Chronic / urine*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Young Adult

Substances

  • Biomarkers
  • Cystatin C
  • HAVCR1 protein, human
  • Hepatitis A Virus Cellular Receptor 1
  • Magnetite Nanoparticles
  • Membrane Glycoproteins
  • Receptors, Virus