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        "resumen" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Antecedentes&#58;</span> Una de las complicaciones m&#225;s graves de la cirug&#237;a reparatoria de aneurisma a&#243;rtico abdominal &#40;AAA&#41; es el fracaso renal agudo &#40;FRA&#41;&#46; Incluso un peque&#241;o ascenso de creatinina s&#233;rica se asocia a un aumento de la mortalidad&#46; El objetivo de este estudio ha sido valorar la din&#225;mica del FRA despu&#233;s de cirug&#237;a electiva de AAA utilizando nuevos marcadores&#46; <span class="elsevierStyleBold">M&#233;todos&#58;</span> En el estudio se incluyeron 22 pacientes con AAA&#46; Medimos la prote&#237;na hep&#225;tica transportadora de &#225;cidos grasos &#40;u-L-FABP&#41; y la prote&#237;na card&#237;aca transportadora de &#225;cidos grasos &#40;u-h-FABP&#41; en orina&#44; antes&#44; durante y dentro de los tres d&#237;as siguientes a la cirug&#237;a&#46; <span class="elsevierStyleBold">Resultados&#58;</span> Se observ&#243; una brusca y significativa elevaci&#243;n de ambas FABP en orina&#44; normalizada a creatinina en orina&#59; el nivel de u-L-FABP alcanz&#243; su pico dos horas despu&#233;s de quitar la abrazadera a&#243;rtica &#123;137&#44;79 &#40;38&#44;57-451&#44;79&#41; frente a 9&#44;99 &#40;6&#44;82-12&#44;42&#41; ng&#47;mg del valor basal p&#160;&#60;&#160;0&#44;05&#59; los valores son medianos &#40;cuartil inferior-superior&#41;&#125;&#46; El pico de la u-H-FABP se not&#243; 72 horas despu&#233;s de quitar la abrazadera a&#243;rtica &#123;16&#44;462 &#40;4&#44;182-37&#44;595&#41; frente a 0&#44;141 &#40;0&#44;014-0&#44;927&#41; ng&#47;mg del valor basal&#125;&#46; El nivel de creatinina s&#233;rica no cambi&#243; de manera significativa durante el per&#237;odo de estudio&#46; <span class="elsevierStyleBold">Conclusiones&#58;</span> El aumento significativo de ambas u-L-FABP y u-H-FABP despu&#233;s de cirug&#237;a de AAA indica la lesi&#243;n tubular renal distal y proximal en la poblaci&#243;n estudiada&#46; Nuestros resultados sugieren que despu&#233;s de una cirug&#237;a de AAA el t&#250;bulo distal puede ser m&#225;s afectado que el proximal&#46; Las u-FABP podr&#237;an servir como biomarcadores sensitivos de la lesi&#243;n tubular renal y permitir detectar la fase m&#225;s precoz de FRA&#46;</p>"
      ]
      "en" => array:1 [
        "resumen" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Background&#58;</span> One of the most severe complications of repair surgery for abdominal aortic aneurysms &#40;AAA&#41; is acute kidney injury &#40;AKI&#41;&#46; Even small rises in serum creatinine are associated with increased mortality&#46; The aim of this study was to assess the dynamics of AKI after elective AAA surgery using novel markers&#46; <span class="elsevierStyleBold">Methods&#58;</span> The study group consisted of 22 patients with AAA&#46; We measured urinary liver- &#40;u-L-FABP&#41; and heart-type fatty acid-binding proteins &#40;u-H-FABP&#41; before&#44; during and within 3 days after surgery&#46; <span class="elsevierStyleBold">Results&#58;</span> We found an abrupt and significant elevation of both urine FABPs normalized to urinary creatinine&#59; u-L-FABP reached its peak value 2 hours after aortic clamp release &#123;137&#46;79 &#40;38&#46;57-451&#46;79&#41; vs&#46; 9&#46;94 &#40;6&#46;82-12&#46;42&#41; ng&#47;mg baseline value&#44; p&#60;0&#46;05&#59; values are medians &#40;lower-upper quartile&#41;&#125;&#46; The peak value of u-H-FABP was reported 72 hours after aortic clamp release &#123;16&#46;462 &#40;4&#46;182-37&#46;595&#41; vs&#46; 0&#46;141 &#40;0&#46;014-0&#46;927&#41; ng&#47;mg baseline value&#44; p&#60;0&#46;05&#125;&#46; The serum creatinine level did not changed significantly during the investigation period&#46; <span class="elsevierStyleBold">Conclusions&#58;</span> The significant rise of both u-L-FABP and u-H-FABP after AAA surgery indicates renal proximal and distal tubule injury in this population&#46; Our results suggest that&#44; after AAA surgery&#44; the distal tubules could be more affected than the proximal ones&#46; u-FABPs could serve as sensitive biomarkers of kidney tubular injury and may allow to detect the very early phases of AKI&#46;</p>"
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    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
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                0 => array:3 [
                  "referenciaCompleta" => "Hagivara S, Saima S, Negishi K, Takeda R, Miyauchi N, Akiyama Y, et al. High incidence of renal failure in patients with aortic aneurysms. Nephrol Dial Transplant 2007;22:1361-8. <a href="http://www.ncbi.nlm.nih.gov/pubmed/17277345" target="_blank">[Pubmed]</a>"
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                  "referenciaCompleta" => "Martin MC, Giles KA, Pomposelli FB, Hamdan AD, Wyers MC, Schermerhorn ML National outcomes after open repair of abdominal aortic aneurysms with visceral or renal bypass. Ann Vasc Surg 2010;24:106-12. <a href="http://www.ncbi.nlm.nih.gov/pubmed/20122465" target="_blank">[Pubmed]</a>"
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                0 => array:3 [
                  "referenciaCompleta" => "Chuasuwan A, Kellum JA. Acute kidney injury and its management. Contrib Nephrol 2011;171:218-25. <a href="http://www.ncbi.nlm.nih.gov/pubmed/21625115" target="_blank">[Pubmed]</a>"
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                0 => array:3 [
                  "referenciaCompleta" => "Thakar CV, Worley S, Arrigain S, Yared JP, Paganini EP. Influence of renal dysfunction on mortality after cardiac surgery: modyfying effect of preoperative renal function. Kidney Int 2005;67:1112-9. <a href="http://www.ncbi.nlm.nih.gov/pubmed/15698452" target="_blank">[Pubmed]</a>"
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                  "referenciaCompleta" => "Lattanzio MR, Kopyt NP. Acute kidney injury: new concepts in definition, diagnosis, pathophysiology, and treatment. J Am Osteopath Assoc 2009;109:13-9. <a href="http://www.ncbi.nlm.nih.gov/pubmed/19193820" target="_blank">[Pubmed]</a>"
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                0 => array:3 [
                  "referenciaCompleta" => "Torregrosa I, Montoliu C, Urios A, Elmlili N, Puchades MJ, Solís MA, et al. Early biomarkers of acute kidney failure after heart angiography or heart surgery in patients with acute coronary syndrome or acute heart failure. Nefrologia 2012;32:44-52. <a href="http://www.ncbi.nlm.nih.gov/pubmed/22130209" target="_blank">[Pubmed]</a>"
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                0 => array:3 [
                  "referenciaCompleta" => "Nickolas TL, Barasch J, Devarajan P. Biomarkers in acute and chronic kidney disease. Curr Opin Nephrol Hypertens 2008;17:127-32. <a href="http://www.ncbi.nlm.nih.gov/pubmed/18277143" target="_blank">[Pubmed]</a>"
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                  "referenciaCompleta" => "Siew ED, Ware LB, Ikizler TA. Biological markers of acute kidney injury. J Am Soc Nephrol 2011;22:810-20. <a href="http://www.ncbi.nlm.nih.gov/pubmed/21493774" target="_blank">[Pubmed]</a>"
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            10 => array:3 [
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                  "referenciaCompleta" => "Gómez Marcos MA, Rodríguez Sánchez E, Recio Rodríguez JI, Martín Cantera C, Ramos Blanes R, García Ortiz L. Differences between the CKD-EPI and the MDRD equations when estimating the glomerular filtration rate in hypertensive patients. Nefrologia 2010;30:458-62. <a href="http://www.ncbi.nlm.nih.gov/pubmed/20651888" target="_blank">[Pubmed]</a>"
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            13 => array:3 [
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            14 => array:3 [
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            15 => array:3 [
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            17 => array:3 [
              "identificador" => "bib18"
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                  "referenciaCompleta" => "Wolfrum C, Borrmann CM, Borchers T, Spener F. Fatty acids and hypolipidemic drugs regulate peroxisome proliferator-activated receptors alpha- and gamma-mediated gene expression via liver fatty acid binding protein: a signaling path to the nucleus. Proc Natl Acad Sci U S A 2001;98:2323-8. <a href="http://www.ncbi.nlm.nih.gov/pubmed/11226238" target="_blank">[Pubmed]</a>"
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            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19"
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                  "referenciaCompleta" => "Ferguson MA, Vaidya VS, Waikar SS, Collings FB, Sunderland KE, Gioules CJ, et al. Urinary liver-type fatty acid-binding protein predicts adverse outcomes in acute kidney injury. Kidney Int 2010;77:708-14. <a href="http://www.ncbi.nlm.nih.gov/pubmed/19940842" target="_blank">[Pubmed]</a>"
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            19 => array:3 [
              "identificador" => "bib20"
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            20 => array:3 [
              "identificador" => "bib21"
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            21 => array:3 [
              "identificador" => "bib22"
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                0 => array:3 [
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            22 => array:3 [
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            23 => array:3 [
              "identificador" => "bib24"
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                  "referenciaCompleta" => "Pelsers MM, Hermens WT, Glatz JF. Fatty acid-binding proteins as plasma markers of tissue injury. Clin Chim Acta 2005;352:15-35. <a href="http://www.ncbi.nlm.nih.gov/pubmed/15653098" target="_blank">[Pubmed]</a>"
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            26 => array:3 [
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            27 => array:3 [
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            28 => array:3 [
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                  "referenciaCompleta" => "Kokot M, Biolik G, Ziaja D, Fojt T, Cisak K, Antoniak K, et al. Acute kidney injury after abdominal aortic aneurysm surgery: detailed assessment of early effects using novelmarkers. Pol Arch Med Wewn 2012;122:353-60. <a href="http://www.ncbi.nlm.nih.gov/pubmed/22728450" target="_blank">[Pubmed]</a>"
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Evaluación de fracaso renal agudo subclínico tras cirugía de aneurisma aórtico abdominal utilizando nuevos marcadores: L-FABP y H-FABP
Assessment of subclinical acute kidney injury after abdominal aortic aneurysm surgery using novel markers: L-FABP and H-FABP
Michał Kokota, Grzegorz Biolikb, Damian Ziajab, Tadeusz Fojta, Leszek Kędzierskia, Katarzyna Antoniaka, Mirosława Janowskaa, Krzysztof Pawlickic, Krzysztof Ziajab, Jan Duławaa
a Department of Internal Medicine and Metabolic Diseases, Medical University of Silesia, Katowice, Poland,
b Department of General and Vascular Surgery, Medical University of Silesia, Katowice, Poland, Katowice, Poland,
c Department of Biophysics Medical University of Silesia, Katowice, Poland, Katowice, Poland,
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        "titulo" => "Assessment of subclinical acute kidney injury after abdominal aortic aneurysm surgery using novel markers&#58; L-FABP and H-FABP"
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        "resumen" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Antecedentes&#58;</span> Una de las complicaciones m&#225;s graves de la cirug&#237;a reparatoria de aneurisma a&#243;rtico abdominal &#40;AAA&#41; es el fracaso renal agudo &#40;FRA&#41;&#46; Incluso un peque&#241;o ascenso de creatinina s&#233;rica se asocia a un aumento de la mortalidad&#46; El objetivo de este estudio ha sido valorar la din&#225;mica del FRA despu&#233;s de cirug&#237;a electiva de AAA utilizando nuevos marcadores&#46; <span class="elsevierStyleBold">M&#233;todos&#58;</span> En el estudio se incluyeron 22 pacientes con AAA&#46; Medimos la prote&#237;na hep&#225;tica transportadora de &#225;cidos grasos &#40;u-L-FABP&#41; y la prote&#237;na card&#237;aca transportadora de &#225;cidos grasos &#40;u-h-FABP&#41; en orina&#44; antes&#44; durante y dentro de los tres d&#237;as siguientes a la cirug&#237;a&#46; <span class="elsevierStyleBold">Resultados&#58;</span> Se observ&#243; una brusca y significativa elevaci&#243;n de ambas FABP en orina&#44; normalizada a creatinina en orina&#59; el nivel de u-L-FABP alcanz&#243; su pico dos horas despu&#233;s de quitar la abrazadera a&#243;rtica &#123;137&#44;79 &#40;38&#44;57-451&#44;79&#41; frente a 9&#44;99 &#40;6&#44;82-12&#44;42&#41; ng&#47;mg del valor basal p&#160;&#60;&#160;0&#44;05&#59; los valores son medianos &#40;cuartil inferior-superior&#41;&#125;&#46; El pico de la u-H-FABP se not&#243; 72 horas despu&#233;s de quitar la abrazadera a&#243;rtica &#123;16&#44;462 &#40;4&#44;182-37&#44;595&#41; frente a 0&#44;141 &#40;0&#44;014-0&#44;927&#41; ng&#47;mg del valor basal&#125;&#46; El nivel de creatinina s&#233;rica no cambi&#243; de manera significativa durante el per&#237;odo de estudio&#46; <span class="elsevierStyleBold">Conclusiones&#58;</span> El aumento significativo de ambas u-L-FABP y u-H-FABP despu&#233;s de cirug&#237;a de AAA indica la lesi&#243;n tubular renal distal y proximal en la poblaci&#243;n estudiada&#46; Nuestros resultados sugieren que despu&#233;s de una cirug&#237;a de AAA el t&#250;bulo distal puede ser m&#225;s afectado que el proximal&#46; Las u-FABP podr&#237;an servir como biomarcadores sensitivos de la lesi&#243;n tubular renal y permitir detectar la fase m&#225;s precoz de FRA&#46;</p>"
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        "resumen" => "<p class="elsevierStylePara"><span class="elsevierStyleBold">Background&#58;</span> One of the most severe complications of repair surgery for abdominal aortic aneurysms &#40;AAA&#41; is acute kidney injury &#40;AKI&#41;&#46; Even small rises in serum creatinine are associated with increased mortality&#46; The aim of this study was to assess the dynamics of AKI after elective AAA surgery using novel markers&#46; <span class="elsevierStyleBold">Methods&#58;</span> The study group consisted of 22 patients with AAA&#46; We measured urinary liver- &#40;u-L-FABP&#41; and heart-type fatty acid-binding proteins &#40;u-H-FABP&#41; before&#44; during and within 3 days after surgery&#46; <span class="elsevierStyleBold">Results&#58;</span> We found an abrupt and significant elevation of both urine FABPs normalized to urinary creatinine&#59; u-L-FABP reached its peak value 2 hours after aortic clamp release &#123;137&#46;79 &#40;38&#46;57-451&#46;79&#41; vs&#46; 9&#46;94 &#40;6&#46;82-12&#46;42&#41; ng&#47;mg baseline value&#44; p&#60;0&#46;05&#59; values are medians &#40;lower-upper quartile&#41;&#125;&#46; The peak value of u-H-FABP was reported 72 hours after aortic clamp release &#123;16&#46;462 &#40;4&#46;182-37&#46;595&#41; vs&#46; 0&#46;141 &#40;0&#46;014-0&#46;927&#41; ng&#47;mg baseline value&#44; p&#60;0&#46;05&#125;&#46; The serum creatinine level did not changed significantly during the investigation period&#46; <span class="elsevierStyleBold">Conclusions&#58;</span> The significant rise of both u-L-FABP and u-H-FABP after AAA surgery indicates renal proximal and distal tubule injury in this population&#46; Our results suggest that&#44; after AAA surgery&#44; the distal tubules could be more affected than the proximal ones&#46; u-FABPs could serve as sensitive biomarkers of kidney tubular injury and may allow to detect the very early phases of AKI&#46;</p>"
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Información del artículo
ISSN: 02116995
Idioma original: Español
DOI:10.3265/Nefrologia.pre2014.Jul.11953
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