Proenkephalin A 119–159 in Perioperative and Intensive Care—A Promising Biomarker or Merely Another Option?

Acute kidney injury (AKI) is a severe and prevalent syndrome, primarily observed in intensive care units (ICUs) and perioperative settings. The discovery of a new biomarker for kidney function and injury, capable of overcoming the limitations of traditional markers, has the potential to improve the...

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Main Authors: Paulina Walczak-Wieteska, Konrad Zuzda, Jolanta Małyszko, Paweł Andruszkiewicz
Format: Article
Language:English
Published: MDPI AG 2024-10-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/14/21/2364
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author Paulina Walczak-Wieteska
Konrad Zuzda
Jolanta Małyszko
Paweł Andruszkiewicz
author_facet Paulina Walczak-Wieteska
Konrad Zuzda
Jolanta Małyszko
Paweł Andruszkiewicz
author_sort Paulina Walczak-Wieteska
collection DOAJ
description Acute kidney injury (AKI) is a severe and prevalent syndrome, primarily observed in intensive care units (ICUs) and perioperative settings. The discovery of a new biomarker for kidney function and injury, capable of overcoming the limitations of traditional markers, has the potential to improve the diagnosis and management of AKI. Proenkephalin A 119–159 (PENK) has emerged as a novel biomarker for AKI and has been validated in various clinical settings. It has demonstrated a faster response to AKI compared to creatinine and has been shown to predict successful weaning from renal replacement therapy in the ICU. PENK has also shown promise as an AKI biomarker in perioperative patients. Additionally, PENK has been proven to be effective in estimating mortality and morbidity in patients undergoing cardiac surgery, and those with traumatic brain injury or ischemic stroke. Incorporating PENK into a novel estimation of the glomerular filtration rate, referred to as the PENK-Crea equation, has yielded promising results.
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series Diagnostics
spelling doaj-art-a940e0850fa24c22abfd6a9fa60f06902024-11-08T14:34:41ZengMDPI AGDiagnostics2075-44182024-10-011421236410.3390/diagnostics14212364Proenkephalin A 119–159 in Perioperative and Intensive Care—A Promising Biomarker or Merely Another Option?Paulina Walczak-Wieteska0Konrad Zuzda1Jolanta Małyszko2Paweł Andruszkiewicz32nd Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, 02-097 Warsaw, PolandDepartment of Nephrology, Dialysis and Internal Medicine, Medical University of Warsaw, 02-091 Warsaw, PolandDepartment of Nephrology, Dialysis and Internal Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland2nd Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, 02-097 Warsaw, PolandAcute kidney injury (AKI) is a severe and prevalent syndrome, primarily observed in intensive care units (ICUs) and perioperative settings. The discovery of a new biomarker for kidney function and injury, capable of overcoming the limitations of traditional markers, has the potential to improve the diagnosis and management of AKI. Proenkephalin A 119–159 (PENK) has emerged as a novel biomarker for AKI and has been validated in various clinical settings. It has demonstrated a faster response to AKI compared to creatinine and has been shown to predict successful weaning from renal replacement therapy in the ICU. PENK has also shown promise as an AKI biomarker in perioperative patients. Additionally, PENK has been proven to be effective in estimating mortality and morbidity in patients undergoing cardiac surgery, and those with traumatic brain injury or ischemic stroke. Incorporating PENK into a novel estimation of the glomerular filtration rate, referred to as the PENK-Crea equation, has yielded promising results.https://www.mdpi.com/2075-4418/14/21/2364acute kidney injurybiomarkerproenkephalin
spellingShingle Paulina Walczak-Wieteska
Konrad Zuzda
Jolanta Małyszko
Paweł Andruszkiewicz
Proenkephalin A 119–159 in Perioperative and Intensive Care—A Promising Biomarker or Merely Another Option?
Diagnostics
acute kidney injury
biomarker
proenkephalin
title Proenkephalin A 119–159 in Perioperative and Intensive Care—A Promising Biomarker or Merely Another Option?
title_full Proenkephalin A 119–159 in Perioperative and Intensive Care—A Promising Biomarker or Merely Another Option?
title_fullStr Proenkephalin A 119–159 in Perioperative and Intensive Care—A Promising Biomarker or Merely Another Option?
title_full_unstemmed Proenkephalin A 119–159 in Perioperative and Intensive Care—A Promising Biomarker or Merely Another Option?
title_short Proenkephalin A 119–159 in Perioperative and Intensive Care—A Promising Biomarker or Merely Another Option?
title_sort proenkephalin a 119 159 in perioperative and intensive care a promising biomarker or merely another option
topic acute kidney injury
biomarker
proenkephalin
url https://www.mdpi.com/2075-4418/14/21/2364
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AT konradzuzda proenkephalina119159inperioperativeandintensivecareapromisingbiomarkerormerelyanotheroption
AT jolantamałyszko proenkephalina119159inperioperativeandintensivecareapromisingbiomarkerormerelyanotheroption
AT pawełandruszkiewicz proenkephalina119159inperioperativeandintensivecareapromisingbiomarkerormerelyanotheroption