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Use of Enzymatic Biosensors to Quantify Endogenous ATP or H2O2 in the Kidney
Published on: October 12, 2015
Biosensor Innovations for Acute Kidney Injury (AKI) and Chronic Kidney Disease (CKD) Diagnostics
Nurain Najihah Alias1, Asad Masood2, Poh Choon Ooi1
1Institute of Microengineering and Nanoelectronics, Universiti Kebangsaan Malaysia, Bangi 43600, Malaysia.
Abstract:
Renal failure, characterized by declining kidney function and impaired blood filtration, arises from diverse conditions and medications that induce acute or chronic damage to glomerular, tubular, or vascular structures. Acute kidney injury (AKI) and chronic kidney disease (CKD) represent the two primary forms of renal disease, both associated with high morbidity, mortality, and clinical complexity. Current diagnostic criteria lack sufficient sensitivity and specificity, driving the search for biomarkers and rapid detection methods to enhance diagnostic precision. Electrochemical, plasmonic, nanoparticle-based, and molecular probe biosensors have emerged as promising platforms for point-of-care (POC) devices, leveraging advanced surface chemistry. These technologies play a crucial role in identifying and quantifying emerging AKI and CKD biomarkers, enabling timely interventions to mitigate renal impairment. This review comprehensively explores recent advances in biosensor design, fabrication methodologies, and strategies to optimize efficacy for diverse applications. We focus specifically on electrochemical, optical, and piezoelectric transduction principles due to their distinct advantages. Additionally, we detail the classification of biological recognition elements and transduction mechanisms and explore the role of materials in advancing noninvasive biosensor diagnostics for renal disease.
Insights
New biosensors offer rapid detection of kidney disease biomarkers. These advanced devices improve diagnosis for acute kidney injury (AKI) and chronic kidney disease (CKD), enabling earlier treatment and better patient outcomes.
Area of Science:
- Biomedical Engineering
- Nanotechnology
- Clinical Diagnostics
Background:
- Renal failure, encompassing acute kidney injury (AKI) and chronic kidney disease (CKD), presents significant health challenges due to impaired kidney function.
- Current diagnostic methods for renal diseases often lack the necessary sensitivity and specificity, necessitating improved detection strategies.
- The complexity of renal diseases underscores the urgent need for advanced biomarkers and rapid diagnostic tools.
Purpose of the Study:
- To review recent advancements in biosensor technology for the diagnosis of renal diseases.
- To explore the application of various biosensor platforms, including electrochemical, plasmonic, and nanoparticle-based systems, for detecting AKI and CKD biomarkers.
- To highlight the role of biosensors in enabling point-of-care (POC) diagnostics for timely intervention.
Main Methods:
- Focus on electrochemical, optical, and piezoelectric biosensor designs and fabrication.
- Discussion of biological recognition elements and transduction mechanisms.
- Exploration of materials science in developing noninvasive biosensor diagnostics.
Main Results:
- Biosensors utilizing advanced surface chemistry show promise for identifying and quantifying emerging renal disease biomarkers.
- Electrochemical, plasmonic, and nanoparticle-based biosensors are key platforms for POC applications.
- Optimized biosensor designs and fabrication methodologies enhance efficacy for diverse diagnostic needs.
Conclusions:
- Biosensors represent a significant advancement in the early detection and management of renal failure.
- The development of sensitive and specific biosensors is crucial for improving patient outcomes in AKI and CKD.
- Future research directions include further optimization of biosensor materials and noninvasive diagnostic capabilities for renal diseases.
Related Concept Videos
Acute Kidney Injury IV: Diagnostic Studies and Prevention
Acute Kidney Injury V: Interprofessional Care
Acute Kidney Injury I: Introduction
Chronic Kidney Disease III: Interprofessional Care
Acute Kidney Injury II: Pathophysiology
Chronic Kidney Disease I: Introduction

