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  1. Article ; Online: Urinary biomarkers in kidney disease.

    Canki, Esra / Kho, Esther / Hoenderop, Joost G J

    Clinica chimica acta; international journal of clinical chemistry

    2024  Volume 555, Page(s) 117798

    Abstract: Background: Chronic kidney disease (CKD) affects many people worldwide and early diagnosis is essential for successful treatment and improved outcome. Unfortunately, current methods are insufficient especially for early disease detection. However, ... ...

    Abstract Background: Chronic kidney disease (CKD) affects many people worldwide and early diagnosis is essential for successful treatment and improved outcome. Unfortunately, current methods are insufficient especially for early disease detection. However, advances in the analytical methods for urinary biomarkers may provide a unique opportunity for diagnosis and management of CKD. This review explores evolving technology and highlights the importance of early marker detection in these patients.
    Approach: A search strategy was set up using the terms CKD, biomarkers, and urine. The search included 53 studies comprising 37 biomarkers. The value of these biomarkers for CKD are based on their ability to diagnose CKD, monitor progression, assess mortality and nephrotoxicity.
    Results: KIM-1 was the best marker for diagnosis as it increased with the development of incident CKD. DKK3 increased in patients with declining eGFR, whereas UMOD decreased in those with declining kidney function. Unfortunately, none fulfilled all criteria to adequately assess mortality and nephrotoxicity.
    Conclusion: New developments in the field of urinalysis using smart toilets may open several possibilities for urinary biomarkers. This review explored which biomarkers could be used for CKD disease detection and management.
    MeSH term(s) Humans ; Creatinine ; Renal Insufficiency, Chronic/diagnosis ; Kidney ; Biomarkers ; Urinalysis ; Acute Kidney Injury/diagnosis ; Disease Progression
    Chemical Substances Creatinine (AYI8EX34EU) ; Biomarkers
    Language English
    Publishing date 2024-01-26
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 80228-1
    ISSN 1873-3492 ; 0009-8981
    ISSN (online) 1873-3492
    ISSN 0009-8981
    DOI 10.1016/j.cca.2024.117798
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Fluid shear stress stimulates ATP release without regulating purinergic gene expression in the renal inner medullary collecting duct.

    van Megen, Wouter H / Canki, Esra / Wagenaar, Vera H A / van Waes, Charlotte R M M / Peters, Dorien J M / Van Asbeck-Van der Wijst, Jenny / Hoenderop, Joost G J

    FASEB journal : official publication of the Federation of American Societies for Experimental Biology

    2023  Volume 37, Issue 11, Page(s) e23232

    Abstract: In the kidney, the flow rate of the pro-urine through the renal tubules is highly variable. The tubular epithelial cells sense these variations in pro-urinary flow rate in order to regulate various physiological processes, including electrolyte ... ...

    Abstract In the kidney, the flow rate of the pro-urine through the renal tubules is highly variable. The tubular epithelial cells sense these variations in pro-urinary flow rate in order to regulate various physiological processes, including electrolyte reabsorption. One of the mechanosensitive pathways activated by flow is the release of ATP, which can then act as a autocrine or paracrine factor. Increased ATP release is observed in various kidney diseases, among others autosomal dominant polycystic kidney disease (ADPKD). However, the mechanisms underlying flow-induced ATP release in the collecting duct, especially in the inner medullary collecting duct, remain understudied. Using inner medullary collecting duct 3 (IMCD3) cells in a microfluidic setup, we show here that administration of a high flow rate for 1 min results in an increased ATP release compared to a lower flow rate. Although the ATP release channel pannexin-1 contributed to flow-induced ATP release in Pkd1
    MeSH term(s) Humans ; Polycystic Kidney, Autosomal Dominant/metabolism ; Kidney/metabolism ; Gene Expression ; Adenosine Triphosphate/metabolism ; Kidney Tubules, Collecting/metabolism
    Chemical Substances Adenosine Triphosphate (8L70Q75FXE)
    Language English
    Publishing date 2023-10-11
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639186-2
    ISSN 1530-6860 ; 0892-6638
    ISSN (online) 1530-6860
    ISSN 0892-6638
    DOI 10.1096/fj.202301434R
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Pre-analytical stability of the CEA, CYFRA 21.1, NSE, CA125 and HE4 tumor markers.

    Canki, Esra / Schuurbiers, Milou Mf / Linders, Theodora C / Korse, Catharina M / van den Heuvel, Michel M / van Herwaarden, Antonius E / van Rossum, Huub H

    Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine

    2023  Volume 46, Issue s1, Page(s) S15–S25

    Abstract: Background: For lung cancer, circulating tumor markers (TM) are available to guide clinical treatment decisions. To ensure adequate accuracy, pre-analytical instabilities need to be known and addressed in the pre-analytical laboratory protocols.: ... ...

    Abstract Background: For lung cancer, circulating tumor markers (TM) are available to guide clinical treatment decisions. To ensure adequate accuracy, pre-analytical instabilities need to be known and addressed in the pre-analytical laboratory protocols.
    Objective: This study investigates the pre-analytical stability of CA125, CEA, CYFRA 21.1, HE4 and NSE for the following pre-analytical variables and procedures; i) whole blood stability, ii) serum freeze-thaw cycles, iii) electric vibration mixing and iv) serum storage at different temperatures.
    Methods: Left-over patient samples were used and for every investigated variable six patient samples were used and analysed in duplicate. Acceptance criteria were based on analytical performance specifications based on biological variation and significant differences with baseline.
    Results: Whole blood was stable for at least 6 hours for all TM except for NSE. Two freeze-thaw cycles were acceptable for all TM except CYFRA 21.1. Electric vibration mixing was allowed for all TM except for CYFRA 21.1. Serum stability at 4°C was 7 days for CEA, CA125, CYFRA 21.1 and HE4 and 4 hours for NSE.
    Conclusions: Critical pre-analytical processing step conditions were identified that, if not taken into account, will result in reporting of erroneous TM results.
    MeSH term(s) Humans ; Biomarkers, Tumor ; Carcinoembryonic Antigen ; Antigens, Neoplasm ; Keratin-19 ; Lung Neoplasms/pathology
    Chemical Substances Biomarkers, Tumor ; antigen CYFRA21.1 ; Carcinoembryonic Antigen ; Antigens, Neoplasm ; Keratin-19
    Language English
    Publishing date 2023-06-08
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 605825-5
    ISSN 1423-0380 ; 0289-5447 ; 1010-4283
    ISSN (online) 1423-0380
    ISSN 0289-5447 ; 1010-4283
    DOI 10.3233/TUB-220013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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