title: Biomarkers for the prediction of mortality and morbidity in patients with renal replacement therapy.
abstract: The mortality of end-stage renal disease (ESRD) patients on dialysis remains high despite great improvement of dialysis technologies in the past decades. These patients die due to infectious diseases (mainly sepsis), cardiovascular diseases such as myocardial infarction, heart failure, stroke, and, in particular, sudden cardiac death. End stage renal disease is a complex condition, where the failure of kidney function is accompanied by numerous metabolic changes affecting almost all organ systems of the human body. Many of the biomarker characteristics of the individually affected organ systems have been associated with adverse outcomes. These biomarkers are different in patients with ESRD compared to the general population in the prediction of morbidity and mortality. Biomarker research in this field should aim to identify patients at risk for the different disease entities. Traditional biomarkers such as CRP, BNP, and troponins as well as new biomarkers such as fetuin, CD154, and relaxin were analyzed in patients on dialysis. We will include observational as well as prospective clinical trials in this review. Furthermore, we will also discuss proteomics biomarker studies. The article assess the potential diagnostic value of different biomarkers in daily clinical practice as well as their usefulness for clinical drug development in end stage renal disease patients.
authors: Charité - Universitätsmedizin Berlin, Center for Cardiovascular Research, Institute for Pharmacology and Toxicology, Berlin, Germany.
authors: Lyubov
authors: L
authors: Chaykovska
authors: Oleg
authors: O
authors: Tsuprykov
authors: Berthold
authors: B
authors: Hocher
mesh_terms: D015415:Biomarkers / Q000097:blood*; D001798:Blood Proteins / Q000032:analysis; D002097:C-Reactive Protein / Q000032:analysis; D002318:Cardiovascular Diseases / Q000097:blood / Q000453:epidemiology; D015815:Cell Adhesion Molecules / Q000097:blood; D015897:Comorbidity; D050171:Dyslipidemias / Q000097:blood / Q000453:epidemiology; D000089703:Fibroblast Growth Factor-23; D005346:Fibroblast Growth Factors / Q000097:blood; D006710:Homocysteine / Q000097:blood; D006801:Humans; D007239:Infections / Q000097:blood / Q000453:epidemiology; D007249:Inflammation / Q000097:blood / Q000453:epidemiology; D015850:Interleukin-6 / Q000097:blood; D007676:Kidney Failure, Chronic / Q000097:blood* / Q000401:mortality / Q000628:therapy; D044342:Malnutrition / Q000097:blood / Q000453:epidemiology; D020097:Natriuretic Peptide, Brain / Q000097:blood; D010446:Peptide Fragments / Q000097:blood; D011379:Prognosis; D040901:Proteomics; D017582:Renal Replacement Therapy / Q000401:mortality; D020107:Troponin T / Q000097:blood; D060749:alpha-2-HS-Glycoprotein
chemical_list: C556354:AHSG protein, human; D015415:Biomarkers; D001798:Blood Proteins; D015815:Cell Adhesion Molecules; C508600:IL6 protein, human; D015850:Interleukin-6; D010446:Peptide Fragments; D020107:Troponin T; D060749:alpha-2-HS-Glycoprotein; C109794:pro-brain natriuretic peptide (1-76); D006710:Homocysteine; D020097:Natriuretic Peptide, Brain; D005346:Fibroblast Growth Factors; D000089703:Fibroblast Growth Factor-23; D002097:C-Reactive Protein