Vanin-1:肾脏损伤早期诊断的新型生物标志物
Vanin-1: Novel biomarkers for Early Diagnosis of Kidney Injury
DOI: 10.12677/acm.2025.15113289, PDF,   
作者: 余盛鑫, 傅鹏程, 王粤斌, 温 东, 刘辉权, 万 伟, 帅歌柳, 邹晓峰*:赣南医科大学第一临床医学院,江西 赣州;曾飞飞:江西省胸科医院护理部,江西 南昌
关键词: Vanin-1生物标志物肾损伤早期诊断尿液检查Vanin-1 Biomarker Kidney Injury Early Diagnosis Urinalysis
摘要: 肾损伤作为在临床上肾毒性药物治疗、大型手术及外伤、肾灌注不足、高血压等疾病所引发的需特别关注的并发症,其严重影响了患者的健康及原发病的后续治疗。目前传统的肾损伤检测指标具有明显的时间滞后性,现迫切需要新型的检测手段来早期诊断急性和慢性肾损伤。Vanin-1是一类泛酰巯基乙胺酶,能将泛酰巯基乙胺水解为泛酸(维生素B5)和半胱胺。目前Vanin-1已被证明在早期诊断急慢性肾损伤具有良好的潜力,其在患者尿液中以较高浓度分泌,具有简单、无创、易测等作为良好生物标志物的特征。来自众多动物和临床的研究结论表明,尿Vanin-1是各种类型肾毒性药物的暴露、尿路梗阻、缺血再灌注、高盐摄入等因素引起的肾损伤和慢性肾脏疾病的具有高度敏感性和特异性的生物标志物。
Abstract: Renal injury is a clinically significant complication arising from nephrotoxic drug therapy, major surgeries and trauma, renal hypoperfusion, hypertension, and various other conditions. It severely impacts patient health and hampers the subsequent treatment of underlying diseases. Traditional biomarkers for detecting renal injury exhibit a significant time lag, highlighting the urgent need for novel diagnostic approaches to enable early detection of both acute and chronic renal injury. Vanin-1, a pantetheinase enzyme, catalyzes the hydrolysis of pantetheine into pantothenic acid (vitamin B5) and cysteamine. Recent studies have demonstrated the strong potential of Vanin-1 as an early diagnostic biomarker for acute and chronic renal injury. It is excreted in high concentrations in urine and possesses key advantages such as simplicity, non-invasiveness, and ease of measurement, making it a promising biomarker. Findings from numerous animal and clinical studies indicate that urinary Vanin-1 is a highly sensitive and specific biomarker for renal injury and chronic kidney disease induced by exposure to nephrotoxic drugs, urinary tract obstruction, ischemia-reperfusion injury, and high salt intake.
文章引用:余盛鑫, 傅鹏程, 曾飞飞, 王粤斌, 温东, 刘辉权, 万伟, 帅歌柳, 邹晓峰. Vanin-1:肾脏损伤早期诊断的新型生物标志物[J]. 临床医学进展, 2025, 15(11): 1829-1840. https://doi.org/10.12677/acm.2025.15113289

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