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2015 ; 9
(ä): 3191-8
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Characterization of renal biomarkers for use in clinical trials: effect of
preanalytical processing and qualification using samples from subjects with
diabetes
#MMPMID26124642
Brott DA
; Furlong ST
; Adler SH
; Hainer JW
; Arani RB
; Pinches M
; Rossing P
; Chaturvedi N
Drug Des Devel Ther
2015[]; 9
(ä): 3191-8
PMID26124642
show ga
BACKGROUND: Identifying the potential for drug-induced kidney injury is essential
for the successful research and development of new drugs. Newer and more
sensitive preclinical drug-induced kidney injury biomarkers are now qualified for
use in rat toxicology studies, but biomarkers for clinical studies are still
undergoing qualification. The current studies investigated biomarkers in healthy
volunteer (HV) urine samples with and without the addition of stabilizer as well
as in urine from patients with normoalbuminuric diabetes mellitus (P-DM).
METHODS: Urine samples from 20 male HV with stabilizer, 69 male HV without
stabilizer, and 95 male DM without stabilizer (39 type 1 and 56 type 2) were
analyzed for the following bio-markers using multiplex assays: ?-1-microglobulin
(A1M), ?-2-microglobulin, calbindin, clusterin, connective tissue growth factor
(CTGF), creatinine, cystatin-C, glutathione S-transferase ? (GST?), kidney injury
marker-1 (KIM-1), microalbumin, neutrophil gelatinase-associated lipocalin,
osteopontin, Tamm-Horsfall urinary glycoprotein (THP), tissue inhibitor of
metalloproteinase 1, trefoil factor 3 (TFF3), and vascular endothelial growth
factor. RESULTS: CTGF and GST? assays on nonstabilized urine were deemed
nonoptimal (>50% of values below assay lower limits of quantification). "Expected
values" were determined for HV with stabilizer, HV without stabilizer, and P-DM
without stabilizer. There was a statistically significant difference between HV
with stabilizer compared to HV without stabilizer for A1M, CTGF, GST?, and THP.
DM urine samples differed from HV (without stabilizer) for A1M CTGF, GST?, KIM-1,
microalbumin, osteopontin, and TFF3. A1M also correctly identified HV and DM with
an accuracy of 89.0%. SUMMARY: These studies: 1) determined that nonstabilized
urine can be used for assays under qualification; and 2) documented that A1M,
CTGF, GST?, KIM-1, microalbumin, osteopontin, and TFF3 were significantly
increased in urine from P-DM. In addition, the 89.0% accuracy of A1M in
distinguishing P-DM from HV may allow this biomarker to be used to monitor
efficacy of potential renal protective agents.
|Adolescent
[MESH]
|Adult
[MESH]
|Aged
[MESH]
|Clinical Trials as Topic/*methods
[MESH]
|Diabetes Mellitus, Type 1/diagnosis/*urine
[MESH]
|Diabetes Mellitus, Type 2/diagnosis/*urine
[MESH]