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雑誌文献

臨床検査57巻6号

2013年06月発行

文献概要

今月の特集1 尿バイオマーカー

尿中L-fatty acid binding proteinによる病態解析

著者: 池森敦子1 菅谷健2 松井勝臣2 市川大介2 木村健二郎2

所属機関: 1聖マリアンナ医科大学腎臓・高血圧内科,解剖学(機能組織) 2聖マリアンナ医科大学腎臓・高血圧内科

ページ範囲:P.623 - P.629

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■2011年8月に保険収載された尿中L型脂肪酸結合蛋白(L-FABP)は,尿細管機能障害マーカーである.

■新尿(随時尿)で測定でき,尿クレアチニン補正をした正常上限値は,8.4μg/g.creatinineである.

■糖尿病性腎症を含む慢性腎疾患(CKD)や急性腎不全〔急性腎障害(AKI)〕の早期診断や疾患進行予後予測に優れたモニタリングマーカーである.

参考文献

1)Risdon RA, Sloper JC, De Wardener HE:Relationship between renal function and histological changes found in renal-biopsy specimens from patients with persistent glomerular nephritis. Lancet 2:363-366,1968
2)Sasaki H, Kamijo-Ikemori A, Sugaya T, et al:Urinary fatty acids and liver-type fatty acid binding protein in diabetic nephropathy. Nephron Clin Pract 112:c148-c156,2009
3)Kamijo A, Sugaya T, Hikawa A, et al:Urinary excretion of fatty acid-binding protein reflects stress overload on the proximal tubules. Am J Pathol 165:1243-1255,2004
4)Kamijo A, Kimura K, Sugaya T, et al:Urinary free fatty acids bound to albumin aggravate tubulointerstitial damage. Kidney Int 62:1628-1637,2002
5)Urahama Y, Ohsaki Y, Fujita Y, et al:Lipid droplet-associated proteins protect renal tubular cells from fatty acid-induced apoptosis. Am J Pathol 173:1286-1294,2008
6)Furuhashi M, Hotamisligil GS:Fatty acid-binding proteins:role in metabolic diseases and potential as drug targets. Nat Rev Drug Discov 7:489-503,2008
7)Kamijo-Ikemori A, Sugaya T, Matsui K, et al:Roles of human liver type fatty acid binding protein in kidney disease clarified using hL-FABP chromosomal transgenic mice. Nephrology 16:539-544,2011
8)Kamijo A, Kimura K, Sugaya T, et al:Urinary fatty acid-binding protein as a new clinical marker of the progression of chronic renal disease. J Lab Clin Med 143:23-30,2004
9)Kamijo-Ikemori A, Sugaya T, Yasuda T, et al:Clinical significance of urinary liver-type fatty acid-binding protein in diabetic nephropathy of type 2 diabetic patients. Diabetes Care 34:691-696,2011
10)Kamijo A, Sugaya T, Hikawa A, et al:Clinical evaluation of urinary excretion of liver-type fatty acid-binding protein as a marker for the monitoring of chronic kidney disease:a multi-center trial. J Lab Clin Med 145:125-133,2005
11)Nielsen SE, Sugaya T, Tarnow L, et al:Tubular and glomerular injury in diabetes and the impact of ACE inhibition. Diabetes Care 32:1684-1688,2009
12)Nielsen SE, Sugaya T, Hovind P, et al:Urinary liver-type fatty acid-binding protein predicts progression to nephropathy in type1 diabetic patients. Diabetes Care 33:1320-1324,2010
13)Nakamura T, Sugaya T, Kawagoe Y, et al:Urinary liver-type fatty acid-binding protein levels for differential diagnosis of idiopathic focal glomerulosclerosis and minor glomerular abnormalities and effect of low-density lipoprotein apheresis. Clin Nephrol 65:1-6,2006
14)Nakamura T, Sugaya T, Kawagoe Y, et al:Candesartan reduces urinary fatty acid-binding protein excretion in patients with autosomal dominant polycystic kidney disease. Am J Med Sci 330:161-165,2005
15)Nakamura T, Sugaya T, Kawagoe Y, et al:Effect of pioglitazone on urinary liver-type fatty acid-binding protein concentrations in diabetes patients with microalbuminuria. Diabetes Metab Res Rev 22:385-389,2006
16)Nakamura T, Sugaya T, Kawagoe Y, et al:Effect of pitavastatin on urinary liver-type fatty acid-binding protein levels in patients with early diabetic nephropathy. Diabetes Care 28:2728-2732,2005
17)Matsui K, Kamijo-Ikemori A, Sugaya T, et al:Usefulness of urinary biomarkers in early detection of acute kidney injury after cardiac surgery in adults. Circ J 76:213-220,2012
18)Nakamura T, Sugaya T, Node K, et al:Urinary excretion of liver-type fatty acid-binding protein in contrast medium-induced nephropathy. Am J Kidney Dis 47:439-444,2006
19) Matsui K, Kamijo-Ikemori A, Hara M, et al:Clinical significance of tubular and podocyte biomarkers in acute kidney injury. Clin Exp Nephrol 15:220-225,2011

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1367

印刷版ISSN:0485-1420

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