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    • 4. 发明公开
    • DIAGNOSIS AND MONITORING OF CHRONIC RENAL DISEASE USING NGAL
    • 用NGAL诊断和监测慢性肾脏疾病
    • EP1946107A2
    • 2008-07-23
    • EP06826191.6
    • 2006-10-13
    • Children's Hospital Medical CenterThe Trustees of Columbia University
    • BARASCH, Jonathan, M.DEVARAJAN, PrasadNICKOLAS, Thomas, L.MORI, Kiyoshi
    • G01N33/53
    • G01N33/6893G01N2800/347G01N2800/52
    • A method of assessing the ongoing kidney status of a mammal afflicted with or at risk of developing chronic renal injury or disease, including chronic renal failure (CRF) by detecting the quantity of Neutrophil Gelatinase-Associated Lipocalin (NGAL) in urine, serum or plasma samples at discrete time periods, as well as over time. Incremental increases in NGAL levels in CRF patients over a prolonged period of time are diagnostic of worsening kidney disease. This increase in NGAL precedes and correlates with other indicators of worsening chronic renal disease or CRF, such as increased serum creatinine, increased urine protein secretion, and lower glomerular filtration rate (GFR). Proper detection of worsening (or improving, if treatment has been instituted) renal status over time, confirmed by pre- and post-treatment NGAL levels in the patient, can aid the clinical practitioner in designing and/or maintaining a proper treatment regimen to slow or stop the progression of CRF.
    • 通过检测尿液,血清或血浆中嗜中性粒细胞明胶酶相关脂质运载蛋白(NGAL)的量,评估患有或有发生慢性肾损伤或疾病风险(包括慢性肾衰竭(CRF))的哺乳动物的进行性肾脏状态的方法 在不连续的时间段以及随着时间推移的样本。 慢性肾功能衰竭患者长时间NGAL水平增加可以诊断肾脏疾病恶化。 NGAL的这种升高与慢性肾脏疾病或CRF恶化的其他指标有关,例如血清肌酐升高,尿蛋白分泌增加以及肾小球滤过率(GFR)下降。 通过患者治疗前和治疗后NGAL水平证实,适当检测恶化(或改善,如果已经开始治疗)随时间变化的肾状态可帮助临床医师设计和/或维持适当的治疗方案以减缓 或停止CRF的进展。