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Updated: Feb 15, 2026

A Modified Precipitation Method to Isolate Urinary Exosomes
Published on: January 16, 2015
[Exosomal biomarkers for kidney disease.]
Michihiro Hosojima1, Hideyuki Kabasawa1, Shoji Kuwahara2
1Department of Clinical Nutrition Science, Kidney Research Center, Niigata University, Japan.
Urinary extracellular vesicles (EVs) offer promising minimally invasive biomarkers for kidney disease detection and monitoring. This review highlights key urinary EV biomarkers, including megalin, for conditions like diabetic nephropathy.
Area of Science:
- Nephrology
- Biomarker Discovery
- Extracellular Vesicle Research
Background:
- Minimally invasive biomarkers are crucial for early kidney disease detection, prognosis, and management.
- Urinary extracellular vesicles (EVs), including exosomes, are increasingly studied for biomarker potential.
- Marker proteins and microRNAs (miRNAs) within urinary EVs are key research targets.
Purpose of the Study:
- To review the current landscape of urinary EV-contained biomarkers for kidney diseases.
- To highlight specific biomarkers, such as megalin, found in urinary EVs.
- To discuss the application of these biomarkers in conditions like diabetic nephropathy.
Main Methods:
- Comprehensive literature review of studies on urinary EV biomarkers.
- Analysis of marker proteins and miRNAs within urinary EVs.
- Focus on biomarkers relevant to kidney disease diagnosis and monitoring.
Main Results:
- Urinary EVs contain numerous potential biomarkers for kidney diseases.
- Proteins like megalin, a proximal tubular endocytic receptor, are significant urinary EV biomarkers.
- miRNAs within urinary EVs also show diagnostic and prognostic value.
Conclusions:
- Urinary EV biomarkers represent a significant advancement in non-invasive kidney disease assessment.
- Megalin and specific miRNAs in urinary EVs hold potential for diabetic nephropathy and other kidney diseases.
- Further research into urinary EV biomarkers will enhance early detection and personalized treatment strategies.
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