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Title: The rise and fall of NGAL in acute kidney injury.
Authors: Mårtensson, Johan;Bellomo, Rinaldo
Affiliation: Department of Intensive Care, Austin Hospital, Monash University, Melbourne, Vic., Australia.
Issue Date: 21-Aug-2014
Citation: Blood Purification 2014; 37(4): 304-10
Abstract: For many years, neutrophil gelatinase-associated lipocalin (NGAL) has been considered the most promising biomarker of acute kidney injury (AKI). Commercial assays and point-of-care instruments, now available in many hospitals, allow rapid NGAL measurements intended to guide the clinician in the management of patients with or at risk of AKI. However, these assays likely measure a mixture of different NGAL forms originating from different tissues. Systemic inflammation, commonly seen in critically ill patients, and several comorbidities contribute to the release of NGAL from haematopoietic and non-haematopoietic cells. The unpredictable release and complex nature of the molecule and the inability to specifically measure NGAL released by tubular cells have hampered its use a specific marker of AKI in heterogeneous critically ill populations. In this review, we describe the nature and cellular sources of NGAL, its biological role and diagnostic ability in AKI and the increasing concerns surrounding its diagnostic and clinical value.
Internal ID Number: 25170751
DOI: 10.1159/000364937
Type: Journal Article
Appears in Collections:Journal articles

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