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Biomarkers for Chronic Kidney Disease Associated with High Salt Intake.

International journal of molecular sciences
January 1, 1970
Keiko Hosohata
Journal ArticleReviewAnimal Study
Study Details

Study Goal

The researchers aimed to identify early biomarkers for detecting salt-induced kidney injury in normotensive and hypertensive individuals.

Results Summary

The study found that urinary vanin-1 and NGAL serve as early biomarkers of renal tubular damage in both hypertensive and normotensive rats on a high-salt diet, while Kim-1 was only effective in hypertensive rats. Clinical validation is needed to confirm these findings.

Population

Spontaneously hypertensive rats (SHR) and normotensive Wistar Kyoto rats (WKY).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
high-salt diet
increase
chronic kidney disease (CKD)
-
-
has been related to the development
#1
high-salt diet
increase
hypertension
-
-
has been related to the development
#2
high-salt diet
no change
symptoms of CKD
normotensive individuals
-
induced in a 'silent' manner
#3
high-salt diet
increase
kidney injury
normotensive individuals
-
difficult to detect kidney injury induced by
#4
high-salt diet
increase
renal tubular damage
spontaneously hypertensive rats (SHR) and normotensive Wistar Kyoto rats (WKY)
-
revealed that urinary vanin-1 and NGAL are earlier biomarkers of renal tubular damage
#5
high-salt diet
increase
salt-induced renal injury
SHR
-
urinary Kim-1 is only useful as a biomarker of salt-induced renal injury
#6
Abstract

High salt intake has been related to the development to chronic kidney disease (CKD) as well as hypertension. In its early stages, symptoms of CKD are usually not apparent, especially those that are induced in a "silent" manner in normotensive individuals, thereby providing a need for some kind of urinary biomarker to detect injury at an early stage. Because traditional renal biomarkers such as serum creatinine are insensitive, it is difficult to detect kidney injury induced by a high-salt diet, especially in normotensive individuals. Recently, several new biomarkers for damage of renal tubular epithelia such as neutrophil gelatinase-associated lipocalin (NGAL) and kidney injury molecule-1 (Kim-1) have been identified. Previously, we found a novel renal biomarker, urinary vanin-1, in several animal models with renal tubular injury. However, there are few studies about early biomarkers of the progression to CKD associated with a high-salt diet. This review presents some new insights about these novel biomarkers for CKD in normotensives and hypertensives under a high salt intake. Interestingly, our recent reports using spontaneously hypertensive rats (SHR) and normotensive Wistar Kyoto rats (WKY) fed a high-salt diet revealed that urinary vanin-1 and NGAL are earlier biomarkers of renal tubular damage in SHR and WKY, whereas urinary Kim-1 is only useful as a biomarker of salt-induced renal injury in SHR. Clinical studies will be needed to clarify these findings.

Medical Subject Headings (MeSH)
AmidohydrolasesAnimalsBiomarkersGPI-Linked ProteinsHepatitis A Virus Cellular Receptor 1HumansHypertensionKidney TubulesLipocalin-2Renal Insufficiency, ChronicSodium Chloride, Dietary
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations26
Citations/Year3.3
Relative Citation Ratio1.16
NIH Percentile55.7%
Research Impact Scores
APT Score0.50
Weight Score0.85
Normalized Score0.61
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