Comparison of Renal Biomarkers with Glomerular Filtration Rate in Susceptibility to the Detection of Gentamicin-Induced Acute Kidney Injury in Dogs

被引:27
作者
Sasaki, A. [1 ]
Sasaki, Y. [1 ]
Iwama, R. [1 ]
Shimamura, S. [1 ]
Yabe, K. [2 ]
Takasuna, K. [2 ]
Ichijo, T. [1 ]
Furuhama, K. [1 ]
Satoh, H. [1 ]
机构
[1] Iwate Univ, Cooperat Dept Vet Med, Morioka, Iwate 0208550, Japan
[2] Daiichi Sankyo Co Ltd, Med Safety Res Labs, Edogawa Ku, Tokyo, Japan
关键词
dog; gentamicin; glomerular filtration rate; kidney injury; GELATINASE-ASSOCIATED LIPOCALIN; CREATININE; NEPHROTOXICITY; CLEARANCE; FAILURE; PROTEIN; MARKER;
D O I
10.1016/j.jcpa.2014.06.001
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Fourteen renal biomarkers were compared with measurement of glomerular filtration rate (GFR) in detecting acute kidney injury (AKI) in beagle dogs given gentamicin (40 mg/kg/day by subcutaneous injection) for 7 consecutive days. Serum and urinary biomarkers were measured before administration of gentamicin and then on days 4 and 8 after starting administration. GFR was derived by use of a simplified equation. Increased urinary cystatin C and decreased GFR occurred from day 4 and were detected before increases in blood urea nitrogen (BUN) and serum creatinine concentrations and changes in other urinary parameters. The closest correlation was between urinary cystatin C and GFR. At termination, microscopical examination revealed extensive necrosis of proximal tubular epithelium with hyaline casts in the kidney of treated dogs. These data indicate that urinary cystatin C is the most sensitive index of kidney injury and GFR reflects the kidney functional mass. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:264 / 270
页数:7
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