Biomarkers for Chronic Kidney Disease Associated with High Salt Intake.
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
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
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 |
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.