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Biomarkers of AKI: A Review of Mechanistic Relevance and Potential Therapeutic Implications

Open access
Alge, Joseph L., Arthur, John M.·2015·Clinical Journal of the American Society of Nephrology

Abstract

AKI is a common clinical condition associated with a number of adverse outcomes. More timely diagnosis would allow for earlier intervention and could improve patient outcomes. The goal of early identification of AKI has been the primary impetus for AKI biomarker research, and has led to the discovery of numerous novel biomarkers. However, in addition to facilitating more timely intervention, AKI biomarkers can provide valuable insight into the molecular mechanisms of this complex and heterogeneous disease. Furthermore, AKI biomarkers could also function as molecular phenotyping tools that could be used to direct clinical intervention. This review highlights the major studies that have characterized the diagnostic and prognostic predictive power of these biomarkers. The mechanistic relevance of neutrophil gelatinase-associated lipocalin, kidney injury molecule 1, IL-18, liver-type fatty acid-binding protein, angiotensinogen, tissue inhibitor of metalloproteinase-2, and IGF-binding protein 7 to the pathogenesis and pathobiology of AKI is discussed, putting these biomarkers in the context of the progressive phases of AKI. A biomarker-integrated model of AKI is proposed, which summarizes the current state of knowledge regarding the roles of these biomarkers and the molecular and cellular biology of AKI.

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Metadata

Authors
Alge, J. L., & Arthur, J. M.
Venue
Clinical Journal of the American Society of Nephrology
Published
2015-01
Volume
10
Issue
1
Pages
147-155
ISSN
1555-9041 (ISSN-L)
OpenAlex
W2040883898
Cited by
294
References
9
FWCI
16.97
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Biomarkers of AKI: A Review of Mechanistic Relevance and Potential Therapeutic Implications. https://app.cochat.ai/papers/10.2215/cjn.12191213
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Alge, J. L., & Arthur, J. M. (2015). Biomarkers of AKI: A Review of Mechanistic Relevance and Potential Therapeutic Implications. Clinical Journal of the American Society of Nephrology. https://doi.org/10.2215/cjn.12191213

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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.