The Role of Biomarkers in Diagnosis of Sepsis and Acute Kidney Injury

Biomedicines. 2024 Apr 23;12(5):931. doi: 10.3390/biomedicines12050931.

Abstract

Sepsis and acute kidney injury (AKI) are two major public health concerns that contribute significantly to illness and death worldwide. Early diagnosis and prompt treatment are essential for achieving the best possible outcomes. To date, there are no specific clinical, imaging, or biochemical indicators available to diagnose sepsis, and diagnosis of AKI based on the KDIGO criterion has limitations. To improve the diagnostic process for sepsis and AKI, it is essential to continually evolve our understanding of these conditions. Delays in diagnosis and appropriate treatment can have serious consequences. Sepsis and AKI often occur together, and patients with kidney dysfunction are more prone to developing sepsis. Therefore, identifying potential biomarkers for both conditions is crucial. In this review, we talk about the main biomarkers that evolve the diagnostic of sepsis and AKI, namely neutrophil gelatinase-associated lipocalin (NGAL), proenkephalin (PENK), and cell-free DNA.

Keywords: acute kidney injury; biomarkers; cell-free DNA; neutrophil gelatinase-associated lipocalin; sepsis.

Publication types

  • Review

Grants and funding

This research was conducted with partial financial support provided by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES), under financial code 001.