Kidney Injury Biomarkers in Leptospirosis

ABSTRACT Leptospirosis is a zoonotic infection with a global distribution, though it has a greater impact on marginalized rural agricultural and urban communities in developing countries. Kidney injury, which can lead to severe and lethal infections, is the most frequent complication associated with...

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Main Authors: Pablo Uribe-Restrepo, Claudia Munoz-Zanzi, Piedad Agudelo-Flórez
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2023-01-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822023000100200&lng=en&tlng=en
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author Pablo Uribe-Restrepo
Claudia Munoz-Zanzi
Piedad Agudelo-Flórez
author_facet Pablo Uribe-Restrepo
Claudia Munoz-Zanzi
Piedad Agudelo-Flórez
author_sort Pablo Uribe-Restrepo
collection DOAJ
description ABSTRACT Leptospirosis is a zoonotic infection with a global distribution, though it has a greater impact on marginalized rural agricultural and urban communities in developing countries. Kidney injury, which can lead to severe and lethal infections, is the most frequent complication associated with leptospirosis. Novel biomarkers are being studied as tools for assessing kidney injury in different pathological processes to improve early detection. This review aimed to gather information on the use of novel kidney biomarkers for human leptospirosis. A search of the literature was carried out in September 2021 using the parameters “((kidney) OR (renal) OR (chronic kidney disease) OR (acute kidney injury)) AND ((biomarker) OR (marker)) AND ((Leptospira) OR (leptospirosis))”. The review identified 11 original studies that evaluated the performance of 15 kidney biomarkers related to leptospirosis. Assessment of the evidence for biomarker utility was limited because of the small number of studies and sample sizes. Although some biomarkers were associated with kidney disease, no specific biomarker appeared to be ready for clinical practice, and more research in this field is necessary.
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spelling doaj.art-2767493b8a7f4439a7ef419dcf9d03482023-01-24T07:35:49ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492023-01-015610.1590/0037-8682-0260-2022Kidney Injury Biomarkers in LeptospirosisPablo Uribe-Restrepohttps://orcid.org/0000-0001-8897-5950Claudia Munoz-Zanzihttps://orcid.org/0000-0001-9317-7152Piedad Agudelo-Flórezhttps://orcid.org/0000-0002-0002-776XABSTRACT Leptospirosis is a zoonotic infection with a global distribution, though it has a greater impact on marginalized rural agricultural and urban communities in developing countries. Kidney injury, which can lead to severe and lethal infections, is the most frequent complication associated with leptospirosis. Novel biomarkers are being studied as tools for assessing kidney injury in different pathological processes to improve early detection. This review aimed to gather information on the use of novel kidney biomarkers for human leptospirosis. A search of the literature was carried out in September 2021 using the parameters “((kidney) OR (renal) OR (chronic kidney disease) OR (acute kidney injury)) AND ((biomarker) OR (marker)) AND ((Leptospira) OR (leptospirosis))”. The review identified 11 original studies that evaluated the performance of 15 kidney biomarkers related to leptospirosis. Assessment of the evidence for biomarker utility was limited because of the small number of studies and sample sizes. Although some biomarkers were associated with kidney disease, no specific biomarker appeared to be ready for clinical practice, and more research in this field is necessary.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822023000100200&lng=en&tlng=enLeptospiraLeptospirosisBiomarkersAcute kidney injuryKidney disease
spellingShingle Pablo Uribe-Restrepo
Claudia Munoz-Zanzi
Piedad Agudelo-Flórez
Kidney Injury Biomarkers in Leptospirosis
Revista da Sociedade Brasileira de Medicina Tropical
Leptospira
Leptospirosis
Biomarkers
Acute kidney injury
Kidney disease
title Kidney Injury Biomarkers in Leptospirosis
title_full Kidney Injury Biomarkers in Leptospirosis
title_fullStr Kidney Injury Biomarkers in Leptospirosis
title_full_unstemmed Kidney Injury Biomarkers in Leptospirosis
title_short Kidney Injury Biomarkers in Leptospirosis
title_sort kidney injury biomarkers in leptospirosis
topic Leptospira
Leptospirosis
Biomarkers
Acute kidney injury
Kidney disease
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822023000100200&lng=en&tlng=en
work_keys_str_mv AT pablouriberestrepo kidneyinjurybiomarkersinleptospirosis
AT claudiamunozzanzi kidneyinjurybiomarkersinleptospirosis
AT piedadagudeloflorez kidneyinjurybiomarkersinleptospirosis