Biomarkers for Acute Kidney Injury
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Questions and Answers

What is a limitation of using serum creatinine as a marker of kidney injury?

  • It is only present in the urine
  • It is a specific marker for AKI
  • It is affected by muscle bulk (correct)
  • It is a highly sensitive biomarker
  • Which of the following biomarkers is measured in both blood and urine?

  • IL-18
  • Cystatin C
  • NGAL (correct)
  • AKIM-1
  • What is a limitation of serum creatinine that is addressed by newer biomarkers?

  • It is only present in the blood
  • It has a time lag before it rises (correct)
  • It is not affected by muscle bulk
  • It is not specific to kidney injury
  • Which of the following biomarkers is not measured in the urine?

    <p>Cystatin C</p> Signup and view all the answers

    What is the advantage of using newer biomarkers, such as NGAL and Cystatin C, over serum creatinine?

    <p>They have a faster response time</p> Signup and view all the answers

    What is the function of the filtration barrier in the glomerulus?

    <p>To provide both anatomic and electric barriers to the passage of macromolecules from the capillary lumen into the Bowman space</p> Signup and view all the answers

    What are the three components that make up the filtration barrier in the glomerulus?

    <p>Endothelium, glomerular basement membrane, and foot processes of podocytes</p> Signup and view all the answers

    What type of barrier does the filtration barrier in the glomerulus provide?

    <p>Both anatomic and electric barriers</p> Signup and view all the answers

    What is the purpose of the foot processes of podocytes in the glomerulus?

    <p>To increase the surface area for filtration</p> Signup and view all the answers

    What is the role of the glomerular basement membrane in the filtration barrier?

    <p>To provide a negatively charged surface for filtration</p> Signup and view all the answers

    Study Notes

    Limitations of Serum Creatinine

    • Serum creatinine has limitations as a marker of kidney injury, including muscle bulk and time lag before it rises.

    Newer Biomarkers for AKI

    • Neutrophil Gelatinase Associated Lipocalin (NGAL) is a preferred biomarker for AKI, measurable in both blood and urine.
    • AKIM-1 is a preferred biomarker for AKI, measurable in urine.
    • Cystatin C is a preferred biomarker for AKI, measurable in blood.
    • IL-18 is a preferred biomarker for AKI.

    Glomerular Filtration Barrier

    • Comprised of three components: endothelium of glomerular capillaries, glomerular basement membrane, and foot process of the podocyte
    • These three components provide a dual barrier to the passage of macromolecules from the capillary lumen into the Bowman space
    • This dual barrier is both anatomical and electrical

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    Description

    This quiz covers the limitations of serum creatinine as a marker of kidney injury and introduces newer biomarkers for AKI, including NGAL, AKIM-1, Cystatin C, and IL-18.

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