Kidney Disease and the Nexus of Chronic Kidney Disease and Acute Kidney Injury: The Role of Novel Biomarkers as Early and Accurate Diagnostics

Vet Clin North Am Small Anim Pract. 2016 Nov;46(6):961-93. doi: 10.1016/j.cvsm.2016.06.011. Epub 2016 Jul 30.

Abstract

Chronic kidney disease (CKD) and acute kidney injury (AKI) are interconnected and the presence of one is a risk for the other. CKD is an important predictor of AKI after exposure to nephrotoxic drugs or major surgery, whereas persistent or repetitive injury could result in the progression of CKD. This brings new perspectives to the diagnosis and monitoring of kidney diseases highlighting the need for a panel of kidney-specific biomarkers that reflect functional as well as structural damage and recovery, predict potential risk and provide prognosis. This article discusses the kidney-specific biomarkers, symmetric dimethylarginine (SDMA), clusterin, cystatin B, and inosine.

Keywords: AKI; Biomarkers; CKD; Diagnostics; Kidney; Renal; SDMA.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / blood
  • Acute Kidney Injury / diagnosis
  • Acute Kidney Injury / pathology
  • Acute Kidney Injury / veterinary*
  • Animals
  • Biomarkers / blood
  • Cat Diseases / blood
  • Cat Diseases / diagnosis*
  • Cat Diseases / pathology
  • Cats
  • Dog Diseases / blood
  • Dog Diseases / diagnosis*
  • Dog Diseases / pathology
  • Dogs
  • Renal Insufficiency, Chronic / blood
  • Renal Insufficiency, Chronic / diagnosis
  • Renal Insufficiency, Chronic / pathology
  • Renal Insufficiency, Chronic / veterinary*

Substances

  • Biomarkers