Methods and compositions for diagnosis and prognosis of renal injury and renal failure
A technology for kidney injury markers and acute renal failure, applied in biochemical equipment and methods, disease diagnosis, biological testing, etc., can solve problems such as inability to distinguish types or locations
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[0161] Preparation of solid phase and detectably labeled conjugates typically involves the use of chemical crosslinkers. Crosslinkers include at least two reactive groups, and can be classified into homofunctional crosslinkers (comprising the same reactive groups) and heterofunctional crosslinkers (comprising non-identical reactive groups). Biologically functional cross-linkers that conjugate non-specifically via amines, thiols, or reactions are available from a number of commercial sources. Maleimides, alkyl and aryl halides, and α-haloacyls react with thiols to form thioether linkages, while pyridyl disulfides react with sulfhydryls to form mixed disulfides. The pyridyl disulfide product is cleavable. Imidates are also very useful for protein-protein crosslinks. A variety of xenobiofunctional crosslinkers, each incorporating different features for successful conjugation, are commercially available.
[0162]In some aspects, the invention provides kits for analyzing said ki...
Embodiment 1
[0200] Example 1: Sample collection of contrast agent-induced nephropathy
[0201] The purpose of this sample collection study was to collect plasma and urine samples as well as clinical data from patients before and after receiving intravascular contrast media. Approximately 250 adults underwent a radioimaging / angiography procedure involving intravascular administration of iodinated contrast medium. In order to participate in this study, each patient must meet the following selection criteria and not meet the following exclusion criteria:
[0202] selection criteria
[0203] Men and women 18 years of age or older;
[0204] Have undergone a radiographic / angiographic procedure (e.g., CT scan or coronary intervention), including intravascular administration of contrast media;
[0205] Admission to the hospital is expected to be at least 48 hours after contrast administration.
[0206] Can and will provide written informed consent for study participation and adherence to all ...
Embodiment 2
[0217] Embodiment 2: cardiac surgery sample collection
[0218] The purpose of this sample collection study was to collect plasma and urine samples as well as clinical data from patients before and after undergoing cardiovascular surgery, a procedure known to be potentially damaging to renal function. About 900 adults who underwent the procedure participated. In order to participate in the study, each patient must meet all of the following selection criteria and none of the exclusion criteria:
[0219] selection criteria
[0220] Men and women 18 years of age or older;
[0221] have undergone cardiovascular surgery;
[0222] A kidney replacement risk score of at least 2 on the Toronto / Ottawa Predictive Risk Index (Wijeysundera et al., JAMA 297:1801-9, 2007); and
[0223] Can and will provide written informed consent for study participation and adherence to all study steps.
[0224] exclusion criteria
[0225] pregnant;
[0226] previous kidney transplant;
[0227] Acut...
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