Urinary biomarkers indicate pediatric renal injury among rural farming communities in Sri Lanka

Autor: T. D. K. S. C. Gunasekara, P. Mangala C. S. De Silva, E. M. D. V. Ekanayake, W. A. K. G. Thakshila, R. A. I. Pinipa, P. M. M. A. Sandamini, S. D. Gunarathna, E. P. S. Chandana, S. S. Jayasinghe, C. Herath, Sisira Siribaddana, Nishad Jayasundara
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Scientific Reports, Vol 12, Iss 1, Pp 1-13 (2022)
Druh dokumentu: article
ISSN: 2045-2322
DOI: 10.1038/s41598-022-10874-w
Popis: Abstract Pediatric renal injury is an emerging health concern in communities affected by chronic kidney disease of uncertain etiology (CKDu). Early detection of susceptibilities through highly sensitive and specific biomarkers can lead to effective therapeutic and preventive interventions against renal diseases. Here, we aimed to investigate the utility of kidney injury molecule (KIM-1) and neutrophil gelatinase-associated lipocalin (NGAL) in early detection of renal abnormalities in selected pediatric communities in Sri Lanka. The study areas were stratified as CKDu endemic, emerging, and non-endemic based on the prevalence of CKDu, and a total of 804 school students (10–18 years of age) participated in the study. The median (IQR) urinary KIM-1 levels of the participants were 0.193 (0.026–0.338), 0.082 (0.001–0.220) and 0.040 (0.003–0.242) ng/mgCr for CKDu endemic, emerging and non-endemic regions respectively. Participants from CKDu endemic regions reported elevated (p
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