Proenkephalin: A New Biomarker for Glomerular Filtration Rate and Acute Kidney Injury.

Abstract:

:Assessment of kidney function is primarily based on urine output and Creatinine (Cr)-based methods to estimate glomerular filtration rate (GFR). The latter is confounded as Cr is not exclusively filtered by the kidney and rises relatively late after the onset of acute kidney injury (AKI). This leads to delays in recognition of reduced kidney function and diagnosis of AKI, particularly in critically ill patients where kidney function can change rapidly. The gold standard methods of GFR determination, such as inulin or iohexol clearance, are labor intensive and unfeasible in acute clinical settings. Proenkephalin A 119-159 (PENK) has been intensively studied as a novel biomarker of kidney function. PENK belongs to the enkephalin peptide family and is freely filtrated in the glomerulus. Plasma PENK concentration appears to correlate strongly with GFR. Moreover, increased plasma PENK concentrations are found to be associated with long-term kidney outcomes and mortality. In this review, we summarize the role of PENK in assessment of kidney function and its capacity to predict various clinical outcomes.

journal_name

Nephron

journal_title

Nephron

authors

Khorashadi M,Beunders R,Pickkers P,Legrand M

doi

10.1159/000509352

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

655-661

issue

12

eissn

1660-8151

issn

2235-3186

pii

000509352

journal_volume

144

pub_type

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