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Biomarkers in Cardiorenal Syndrome: Focus on Type 1
Hiroyuki Naruse1, Hideo Izawa2
1Department of Clinical Pathophysiology, Fujita Health University School of Medical Science, Japan.
Insights
Cardiorenal syndrome (CRS) involves heart and kidney disease interactions. New tubular injury biomarkers show promise for detecting early kidney damage in CRS type 1, improving upon traditional creatinine tests.
Area of Science:
- Nephrology
- Cardiology
- Biomarker Discovery
Background:
- Cardiorenal syndrome (CRS) is a complex interplay between cardiovascular and renal diseases.
- Traditional biomarkers like serum creatinine (SCr) and estimated glomerular filtration rate (eGFR) have limitations in early acute kidney injury (AKI) detection in CRS.
- CRS type 1 involves acute cardiac events precipitating AKI.
Purpose of the Study:
- To review current renal biomarkers for CRS type 1.
- To explore the clinical utility of tubular injury biomarkers in identifying subclinical AKI.
- To address limitations of existing diagnostic criteria for AKI in CRS.
Main Methods:
- Literature review of renal biomarkers in Cardiorenal Syndrome Type 1.
- Analysis of diagnostic capabilities of traditional versus novel biomarkers.
- Evaluation of biomarkers for early detection of acute kidney injury.
Main Results:
- Serum creatinine and eGFR are often insufficient for early AKI diagnosis in CRS.
- Tubular injury biomarkers offer improved sensitivity and timeliness for detecting early renal damage.
- Subclinical AKI can be identified using these novel biomarkers.
Conclusions:
- Novel renal biomarkers, particularly those indicating tubular injury, are crucial for early AKI detection in CRS type 1.
- These biomarkers can overcome the limitations of SCr and eGFR, enabling timely intervention.
- Further clinical application of these biomarkers can improve patient outcomes in CRS.
Abstract:
Cardiorenal syndrome (CRS) is a complex, multiorgan condition that encompasses a spectrum of disorders arising from the close interaction between cardiovascular and renal diseases. The serum creatinine (SCr) levels and estimated glomerular filtration rate (eGFR) have traditionally been used in the diagnosis and prognosis of CRS; however, these biomarkers are not always effective in detecting early acute renal damage. CRS type 1 is characterized by an acute cardiac event that leads to acute kidney injury (AKI). The Kidney Disease: Improving Global Outcomes definition has several limitations in diagnosing AKI owing to the limited specificity, sensitivity, and timeliness of the SCr levels. The use of tubular injury biomarkers to detect the early stages of kidney disease has led to the development of subclinical AKI. This review summarizes the currently available renal biomarkers and their potential clinical applications in CRS type 1.
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