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Biomarker UMOD Full name Uromodulin Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Early diagnosis、Prognostic judgment
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, blood ( protein detection, ELISA)
Pathobiological Mechanisms It is secreted by renal tubular ascending branch cells and is positively correlated with glomerular filtration rate ( GFR ).
Clinical Availability Status Some clinical applications / Research verification stage
Notes and Dynamics Low levels suggest an increased risk of CKD progression, which can identify early CKD with traditional creatinine ' blind spot '.ROC analysis can distinguish patients with CKD stage 0 and stage I.
Biomarker IL-18 Full name Interleukin-18 Molecular Type Cytokine
Molecular Formula Molecular Weight Core Functional Dimensions Early diagnosis、Condition monitoring
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, blood ( protein detection, ELISA)
Pathobiological Mechanisms Mediated renal tubular inflammatory response, increased release after injury, and promoted renal interstitial fibrosis.
Clinical Availability Status Some clinical applications / Research verification stage
Notes and Dynamics It was negatively correlated with renal uric acid excretion. The lower the 24-hour urinary uric acid level, the higher the urinary IL-18 / creatinine ratio, which could indirectly reflect the degree of renal tubular injury.
Biomarker L-FABP Full name Liver-type fatty acid-binding protein Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Early diagnosis、Condition monitoring
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, blood ( protein detection, ELISA)
Pathobiological Mechanisms It is involved in fatty acid metabolism, and is released into urine after renal tubular injury, reflecting renal tubular interstitial inflammation.
Clinical Availability Status Some clinical applications / Research verification stage
Notes and Dynamics It is less interfered by white blood cell urine and hematuria, and is suitable for the auxiliary diagnosis of CKD staging in patients with complex complications such as HIV infection and diabetes.
Biomarker SBP, DBP Full name Systolic/diastolic blood pressure Molecular Type Physiological indexes
Molecular Formula / Molecular Weight / Core Functional Dimensions Diagnosis and surveillance
Disease(or Constitution) Metabolic Syndrome Disease Subtypes High blood pressure type
Organ Heart/Blood Vessels Test Sample / Technology Platform Noninvasive blood pressure measurement (electronic sphygmomanometer, mercury sphygmomanometer)
Pathobiological Mechanisms Endothelial function is impaired, renin - angiotensin - aldosterone system activation
Clinical Availability Status Clinical routine application: diagnostic core index (130/85 mmHg) or higher, need to measurement confirmed that many times
Notes and Dynamics With central obesity, insulin resistance, promote each other
Biomarker NGAL Full name Neutrophil gelatinase-associated lipocalin Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Early diagnosis、Prognostic judgment、Condition monitoring
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, blood ( protein detection, ELISA)
Pathobiological Mechanisms Involved in renal tubular inflammation and injury repair, blood and urine levels increased after injury.
Clinical Availability Status Some clinical applications / Research verification stage
Notes and Dynamics It is closely related to renal function injury, inflammatory response and anemia index in patients with CKD, and can be used as a cross-stage marker of acute kidney injury
Biomarker LDL-C Full name Low density lipoprotein cholesterol Molecular Type lipid
Molecular Formula C₂₇H₄₆O Molecular Weight 386.65 Core Functional Dimensions Risk prediction, monitoring
Disease(or Constitution) Metabolic Syndrome Disease Subtypes Dyslipidemia type
Organ Liver/Blood Vessels Test Sample / Technology Platform Serum/plasma (enzymatic, LC - MS/MS)
Pathobiological Mechanisms LDL - C oxidative modification after deposition in vessel wall, promote atherosclerosis
Clinical Availability Status Clinical routine application: used for cardiovascular risk stratification, guide the lipid-lowering therapy
Notes and Dynamics Small and dense LDL - C risk prediction in patients with MetS higher value
Biomarker KIM-1 Full name Kidney injury molecule-1 Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Early diagnosis、Prognostic judgment、Condition monitoring
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, blood ( protein detection, ELISA)
Pathobiological Mechanisms It is involved in the repair of renal tubular injury. After injury, the expression of kidney is up-regulated and released into urine, reflecting renal tubular inflammation.
Clinical Availability Status Some clinical applications / Research verification stage
Notes and Dynamics In inflammatory nephropathy such as vasculitis and glomerulonephritis, it is significantly associated with decreased renal function ( ΔeGFR ) and can be used as a prognostic indicator for such nephropathy.
Biomarker HDL-C Full name High density lipoprotein cholesterol Molecular Type Lipids
Molecular Formula C₂₇H₄₆O Molecular Weight 386.65 Core Functional Dimensions Diagnosis and Prognosis
Disease(or Constitution) Metabolic Syndrome Disease Subtypes Dyslipidemia type
Organ Liver/Blood Vessels Test Sample / Technology Platform Serum/plasma (enzymatic, ultracentrifugation)
Pathobiological Mechanisms The function of reverse cholesterol transport is impaired, and the anti-inflammatory and antioxidant effects are weakened
Clinical Availability Status Clinical routine application: diagnostic core indicators
Notes and Dynamics Decreased HDL-C is positively associated with the risk of cardiovascular complications
Biomarker c-Myb Full name Cellular myeloblastosis oncogene Molecular Type Nucleic acid
Molecular Formula Molecular Weight Core Functional Dimensions Early diagnosis、Disease progression monitoring
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, kidney tissue ( immunohistochemistry, protein detection )
Pathobiological Mechanisms Regulate renal fibrosis-related pathways, and abnormal expression promotes CKD progression
Clinical Availability Status Research verification stage
Notes and Dynamics It is an early sensitive marker of adverse outcomes of chronic kidney disease such as IgA nephropathy and Henoch-Schonlein purpura nephropathy. Larger sample size is needed to verify its clinical value.
Biomarker IgG Full name Immunoglobulin Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Early diagnosis, condition assessment
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, kidney tissue ( immunohistochemistry, protein detection )
Pathobiological Mechanisms Under normal circumstances, it is difficult to pass through the glomerular filtration barrier, and the increase in urine reflects the damage of the filtration barrier.
Clinical Availability Status Research verification stage
Notes and Dynamics Serum and urinary IgG levels are positively correlated with the severity of nephropathy, and can be used as an early identification index for idiopathic membranous nephropathy and diabetic nephropathy.
Biomarker TG Full name Triglycerides Molecular Type Lipids
Molecular Formula Varies (e.g., C₅₅H₉₈O₆) Molecular Weight Varies (~885) Core Functional Dimensions Diagnosis, risk prediction
Disease(or Constitution) Metabolic Syndrome Disease Subtypes Dyslipidemias
Organ Liver/Blood Vessels Test Sample / Technology Platform Serum/plasma (enzymatic method, LC-MS/MS)
Pathobiological Mechanisms Liver lipid synthesis, lipoprotein metabolism, promote atherosclerosis
Clinical Availability Status Clinical routine application: diagnostic core index (150 mg/dL or higher), and evaluation of HDL - C combined dyslipidemia
Notes and Dynamics High TG combined low HDL - C is typical MetS dyslipidemia
Biomarker PCX Full name Podocalyxin Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Early diagnosis, condition assessment
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, kidney tissue ( immunohistochemistry, protein detection )
Pathobiological Mechanisms It is involved in the construction of glomerular filtration barrier, and is released into urine after injury, suggesting that glomerular function is impaired.
Clinical Availability Status Research verification stage
Notes and Dynamics The sensitivity and specificity of early diagnosis of diabetic nephropathy are better than those of microalbuminuria, which can accurately identify early podocyte injury.
Biomarker PDCN Full name Podocin Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Early diagnosis and prognosis evaluation
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, kidney tissue ( immunohistochemistry, protein detection )
Pathobiological Mechanisms Maintaining the integrity of glomerular filtration barrier, abnormal expression is positively correlated with the degree of glomerular injury.
Clinical Availability Status Research verification stage
Notes and Dynamics It is directly related to the severity of CKD and is a potential core marker for the detection of early diabetic nephropathy in patients with type 2 diabetes.
Biomarker NPHN Full name Nephrin Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Early diagnosis, condition assessment
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, kidney tissue ( immunohistochemistry, protein detection )
Pathobiological Mechanisms The key components that constitute the glomerular filtration barrier are released into urine after injury, reflecting the destruction of glomerular structure.
Clinical Availability Status Research verification stage
Notes and Dynamics In the early detection of diabetic nephropathy, the sensitivity was significantly higher than that of microalbuminuria. ROC analysis showed that the probability of predicting diabetic nephropathy.
Biomarker Insulin Full name Insulin Molecular Type Hormones
Molecular Formula C₂₅₇H₃₈₃N₆₅O₇₇S₆ Molecular Weight 5807.6 Core Functional Dimensions Diagnosis and surveillance
Disease(or Constitution) Metabolic Syndrome Disease Subtypes Insulin resistant type
Organ Pancreas Test Sample / Technology Platform Serum (chemiluminescence immunoassay, ELISA)
Pathobiological Mechanisms The compensatory secretion of pancreatic β cells is increased to maintain blood glucose homeostasis and reflect the degree of insulin resistance
Clinical Availability Status Clinical auxiliary application: joint FBG computing HOMA - IR, assess the severity of insulin resistance
Notes and Dynamics HOMA - IR acuity 2.69 tip insulin resistance significantly
Biomarker DDN Full name Dendrin Molecular Type Protein
Molecular Formula Molecular Weight Core Functional Dimensions Early diagnosis, condition assessment
Disease(or Constitution) Chronic Kidney Disease (CKD) Disease Subtypes /
Organ Kidney Test Sample / Technology Platform Urine, kidney tissue ( immunohistochemistry, protein detection )
Pathobiological Mechanisms It is involved in the regulation of glomerular filtration barrier function. After injury, it is relocated to the podocyte nucleus, reflecting podocyte injury
Clinical Availability Status Research verification stage
Notes and Dynamics Its nuclear localization phenomenon can be used as a new marker for the progression of human glomerular disease, which is directly related to the degree of podocyte function damage.

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This study was supported by the Scientific Research Innovation Capability Support Project for Young Faculty (SRICSPYF-ZY2025112), the Fundamental and Interdisciplinary Disciplines Breakthrough Plan of the Ministry of Education of China (JYB2025XDXM612)

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