The predictive role of the biomarker kidney Molecule-1 (KIM-1) in acute kidney injury (AKI) cisplatin-induced nephrotoxicity
Open accessAbstract
Acute kidney injury (AKI) following platinum-based chemotherapeutics is a frequently reported serious side-effect. However, there are no approved biomarkers that can properly identify proximal tubular injury while routine assessments such as serum creatinine lack sensitivity. Kidney-injury-molecule 1 (KIM-1) is showing promise in identifying cisplatin-induced renal injury both in vitro and in vivo studies. In this review, we focus on describing the mechanisms of renal tubular cells cisplatin-induced apoptosis, the associated inflammatory response and oxidative stress and the role of KIM-1 as a possible biomarker used to predict cisplatin associated AKI.
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KIM-1 is a type-I membrane protein expressed by injured proximal-tubule cells, is induced after sublethal or lethal tubular injury, and is widely used as an early marker of acute kidney injury.
“KIM-1, a type-I membrane protein expressed by injured proximal-tubule cells, is induced after sublethal or lethal tubular injury and is widely used as an early marker of acute kidney injury (Tanase et al., 2019).”
From Material-dependent oxygen transport governs ischemia-reperfusion injury and drug response in a kidney microphysiological system (2026) · cites this paper as Tanase et al., 2019
Section 2.1 describes KIM-1 as a proximal-tubule apical transmembrane protein found in proximal-tubule cells after injury, and sections 2.1 and 5 discuss its use as an early AKI biomarker. The copy does not specify that it is type-I or that it is induced after both sublethal and lethal injury. It also calls for further validation of its use in early diagnosis, so “widely used as an early marker” overstates the clinical-use claim. (LLM, conf=0.85)
Experimental — accuracy not yet measuredKIM-1 is a gene expressed in the proximal tubule that is induced by cellular injury or exposure to toxic substances.
“KIM-1 is a gene expressed in the proximal tubule that is induced by cellular injury or exposure to toxic substances (Tanase et al., 2019).”
From Material-dependent oxygen transport governs ischemia-reperfusion injury and drug response in a kidney microphysiological system (2026) · cites this paper as Tanase et al., 2019
Section 2.1, “What Is KIM-1?” (page unavailable), describes KIM-1 as a proximal-tubule transmembrane protein whose levels are low normally and rise after injury, including toxic renal injury. It also says KIM-1 gene expression reflects ongoing damage. The source supports injury-associated expression but identifies KIM-1 itself as a protein, not a gene. (LLM, conf=0.86)
Experimental — accuracy not yet measured
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Sorted by citations
Kutsuzawa, N., Nakamura, H., Shinha, K., & Kimura, H. (2026) · Frontiers in Toxicology · doi:10.3389/ftox.2026.1854389
- Authors
- Tanase, D. M., Gosav, E. M., Radu, S., Costea, C. F., Ciocoiu, M., Carauleanu, A., Lacatusu, C. M., Maranduca, M. A., Floria, M., & Rezus, C.
- Affiliations
- Department of Internal Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700111 Iasi, Romania
- Grigore T. Popa University of Medicine and Pharmacy (RO)
- Department of Obstetrics and Gynecology, “Grigore T. Popa” University of Medicine and Pharmacy, 700111 Iasi, Romania
- Unit of Diabetes, Nutrition and Metabolic Diseases, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, Romania
- Internal Medicine Clinic, “Sf. Spiridon” County Clinical Emergency Hospital Iasi, 700115 Iasi, Romania
- Corresponding author
- Gosav, Evelina Maria
- Floria, Mariana
- ORCID
- Venue
- International Journal of Molecular Sciences
- Publisher
- MDPI AG
- Published
- 2019-10-22
- Volume
- 20
- Issue
- 20
- Pages
- 5238
- ISSN
- 1422-0067 (ISSN-L)
- PMC
- PMC6834366
- OpenAlex
- W2981879786
- Cited by
- 191
- References
- 1
- Citations by year
- 2026: 29 · 2025: 31 · 2024: 35 · 2023: 24 · 2022: 34 · 2021: 22 · 2020: 16
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Molecular Sciences (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Chemotherapy-induced organ toxicity mitigation
- Health Sciences › Medicine › Nephrology › Acute Kidney Injury Research
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Keywords
- KIM-1, acute kidney injury, cisplatin nephrotoxicity, biomarkers, proximal tubule injury, apoptosis, oxidative stress, inflammation, platinum-based chemotherapy, predictive biomarkers
- MeSH terms
- Hepatitis A Virus Cellular Receptor 1, Animals, Antineoplastic Agents, Cisplatin, Humans, Kidney, Biomarkers, Apoptosis, Acute Kidney Injury
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