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Cited by 282

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Neutrophil gelatinase‐associated lipocalin: pathophysiology and clinical applications

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Singer, E., Markó, L., Paragas, N., Barasch, J., Dragun, D., Müller, D. N., Budde, K., Schmidt‐Ott, K. M.·2013·Acta Physiologica

Abstract

Neutrophil gelatinase‐associated lipocalin (NGAL), a 25 kDa protein produced by injured nephron epithelia, is one of the most promising new markers of renal epithelial injury. In contrast to serum creatinine and urinary output, which are the measures of kidney function, NGAL is specifically induced in the damaged nephron and then released into blood and urine, where it can be readily measured. Careful proof‐of‐concept studies using defined animal models have uncovered the sources and trafficking of NGAL in acute kidney injury (AKI) and have addressed the contributions of renal and non‐renal sources. Clinical studies indicate that NGAL, unlike creatinine, is a marker responsive to tissue stress and nephron injury, but less so to adaptive hemodynamic responses. In certain clinical settings, NGAL is an earlier marker compared with serum creatinine. In addition, clinical studies have shown that NGAL is a powerful predictor of poor clinical outcomes, which can be used to risk stratify patients when combined with serum creatinine. NGAL has important limitations, including its responsiveness in systemic inflammation, which is partially uncoupled from its response to kidney injury and which needs to be considered when interpreting NGAL results clinically. This review covers the biology and pathophysiology of NGAL and summarizes the results of the growing body of clinical studies that have addressed the utility of NGAL in the early diagnosis of AKI, in the distinction of intrinsic AKI and in the prognostic assessment of broad patient populations.

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Metadata

Authors
Singer, E., Markó, L., Paragas, N., Barasch, J., Dragun, D., Müller, D. N., Budde, K., & Schmidt‐Ott, K. M.
Venue
Acta Physiologica
Publisher
Wiley
Published
2013-02-04
Volume
207
Issue
4
Pages
663-672
ISSN
  • 1748-1708 (ISSN-L)
  • 1748-1716
OpenAlex
W2120930364
Cited by
282
References
10
FWCI
16.13
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Neutrophil gelatinase‐associated lipocalin: pathophysiology and clinical applications. https://app.cochat.ai/papers/10.1111/apha.12054
The paper
Singer, E., Markó, L., Paragas, N., Barasch, J., Dragun, D., Müller, D. N., Budde, K., & Schmidt‐Ott, K. M. (2013). Neutrophil gelatinase‐associated lipocalin: pathophysiology and clinical applications. Acta Physiologica. https://doi.org/10.1111/apha.12054

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.