Urinary neutrophil gelatinase-associated lipocalin predicts graft loss after acute kidney injury in kidney transplant

尿中性粒细胞明胶酶相关脂质运载蛋白可预测肾移植中急性肾损伤后的移植物丢失

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作者:Juan C Ramírez-Sandoval, Jonatan Barrera-Chimal, Perla E Simancas, Alejandro Rojas-Montaño, Ricardo Correa-Rotter, Norma A Bobadilla, Luis E Morales-Buenrostro

Methods

Biomarkers were measured in 67 KTR with AKI caused by different entities.

Objective

Establish the prognostic value for graft loss of urinary neutrophil gelatinase-associated lipocalin (uNGAL), kidney injury molecule-1 (uKIM-1), interleukin-18 (uIL-18), and heat shock protein 72 (uHsp72) in kidney transplant recipients (KTR) with acute kidney injury (AKI).

Results

After 1 year, 11 KTR with graft loss had higher uNGAL compared to KTR without loss (p < 0.001). There were no differences for uKIM-1, uIL-18 and uHsp-72. uNGAL >200 ng/mL had 84% sensitivity and 86% specificity for graft loss (ROC AUC: 0.89, 95% CI: 0.81-0.97). uNGAL may be useful to predict graft loss after AKI.

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