One of the major challenges modern nephrology should face is the identification of biomarkers that are associated with histopathological patterns or defined pathogenic mechanisms that might aid in the non-invasive diagnosis of the causes of nephrotic syndrome, or in establishing prognosis sub-groups based on each type of disease, thus predicting response to treatment and/or recurrence. Advancements in the understanding of the pathogenesis of the different diseases that cause nephrotic syndrome, along with the progressive development and standardisation of plasma and urine proteomics techniques, have facilitated the identification of a growing number of molecules that might be useful for these objectives. Currently, the available information for many of the possible candidates identified to date, above all those discovered using proteomics, are still very preliminary. In this review, we summarise the available evidence for the different molecules that have been best assessed using clinical studies.

译文

:现代肾脏病应面临的主要挑战之一是与组织病理学模式或确定的致病机制相关的生物标志物的鉴定,这些标志物可能有助于无创诊断肾病综合征的原因,或根据其建立预后亚组每种类型的疾病,从而预测对治疗和/或复发的反应。在了解引起肾病综合征的不同疾病的发病机理方面的进步,以及血浆和尿液蛋白质组学技术的逐步发展和标准化,已经促进了越来越多的可能对这些目标有用的分子的鉴定。目前,迄今为止,对于许多可能的候选者(最重要的是使用蛋白质组学发现的),可用信息仍然非常初步。在这篇综述中,我们总结了可利用临床研究对不同分子进行最佳评估的现有证据。

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