Table 4.
Urinary exosomal biomarkers associated with injury localized to a specific cellular or subcellular component of the nephron patients (pts)/control (ctr).
| Condition | Potential exosomal biomarker | Study subjects | Reference | |
|---|---|---|---|---|
| Podocyte injury | In diabetic nephropathy | Elf3 protein ↑ | 50 pts-5 ctrs | [48] |
| WT1, podocin, Actn4, CD2AP, and nephrin mRNA ↑ | 20 pts-5 ctrs | [49] | ||
| In minimal change nephrotic syndrome | Podocin, Actn4, CD2AP, and nephrin mRNA ↑ | |||
| In metabolic syndrome-related kidney disease | Podocyte-derived exosomes (nephrin+/podocalyxin+) ↑ | 16 pts-15 ctrs | [43] | |
| In CKD | miR-21 ↑ | 41 pts-5 ctrs | [44] | |
| In cellular crescent formation | SFP1 ↑ | 37 pts | [69] | |
| In renovascular hypertension | Podocyte-derived exosomes (nephrin+/podocalyxin+) ↑ | 31 pts-45 ctrs | [60] | |
| In lupus nephritis | miR-29c ↓ | 24 pts-8 ctrs; mice | [75] | |
| In IgA nephropathy | ||||
| In focal segmental glomerulosclerosis | WT-1 ↑ | 25 pts-5 ctrs | [68] | |
|
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| Proximal tubular injury | In decompensated cirrhosis | Maltase glucoamylase ↑ | 24 pts | [63] |
|
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| Renal fibrosis | In CKD | Nonproximal tubule-derived miR-200b ↑ | 38 pts | [45] |
| miR-29c ↓ | 32 pts-7 and ctrs | [46] | ||
| CD2AP mRNA ↓ | 32 pts-7 ctrs | [47] | ||
| In lupus nephritis | miR-29c ↓ | 47pts-20 ctrs | [82] | |
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| Peritubular capillary loss | In hypertension | Endothelial-derived EVs (PL-VAP+/CD31+/CD144+) ↑ | 38 pts-14 ctrs | [59] |
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| Mitochondrial dysfunction | In diabetic nephropathy | 12 mitochondria-specific metabolites ↓ | 149 pts-23 ctrs | [50] |