The potential of neutrophil gelatinase-associated lipocalin in management of acute kidney injury and peritoneal dialysis-related peritonitis: a narrative review.

Frontiers in nephrology Pub Date : 2026-01-27 eCollection Date: 2025-01-01 DOI:10.3389/fneph.2025.1749827
Xiao Fu, Yiting Shu, Yun Zhang
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Abstract

Neutrophil gelatinase-associated lipocalin (NGAL) is a biomarker extensively studied in multiple diseases. While its application in chronic kidney disease (CKD) and kidney transplant patients is relatively limited, NGAL has shown significant promise in the early detection and diagnosis of acute kidney injury (AKI), which may improve more timely management and potentially better clinical outcomes. In addition, NGAL has demonstrated promising utility in identifying peritoneal dialysis-related peritonitis (PDRP) and monitoring the treatment response. This review aims to provide an in-depth overview of the available research findings of NGAL in the management of AKI and PDRP, having these two conditions discussed together is particularly important for nephrologists who manage both conditions, especially to explore the potential of more specific NGAL forms, such as monomer NGAL and homodimer NGAL, to enhance early diagnosis and effective management of AKI and PDRP.

中性粒细胞明胶酶相关脂钙素在急性肾损伤和腹膜透析相关性腹膜炎治疗中的潜力:一篇叙述性综述。
中性粒细胞明胶酶相关脂钙蛋白(NGAL)是一种在多种疾病中被广泛研究的生物标志物。尽管NGAL在慢性肾脏疾病(CKD)和肾移植患者中的应用相对有限,但它在急性肾损伤(AKI)的早期发现和诊断方面显示出了巨大的希望,这可能会提高治疗的及时性,并可能改善临床结果。此外,NGAL在识别腹膜透析相关性腹膜炎(PDRP)和监测治疗反应方面显示出了很好的应用前景。本综述旨在深入概述NGAL在AKI和PDRP治疗中的现有研究成果,将这两种疾病一起讨论对于管理这两种疾病的肾病学家尤其重要,特别是探索更具体的NGAL形式的潜力,如单体NGAL和同二聚体NGAL,以加强AKI和PDRP的早期诊断和有效治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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