Molecular evaluation of renal biopsies: a search for predictive and prognostic markers in lupus nephritis.
EXPERT REVIEW OF MOLECULAR DIAGNOSTICS(2014)
Abstract
The therapeutic management of patients with lupus nephritis (LN) remains a major challenge. The availability of biomarkers that accurately predict renal flares, response to immunosuppressive treatment and risk of progression to end-stage renal disease would allow the more effective use of currently available immunosuppression, with less toxicity. The molecular ana-lysis of renal biopsy samples provides direct insights into pathologic processes in LN, and constitutes a valuable approach to discover biomarkers that may be used to improve the outcome of LN patients. Reich et al. recently described a method for simultaneously detecting multiple mRNA transcripts in archived formalin-fixed renal biopsy samples. The authors identify three transcripts (EGF, MMP7 and COL1A1) that relate to pathological indices of kidney injury and function.
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Key words
COL1A1,epidermal growth factor,formalin-fixed renal biopsies,lupus nephritis,MMP7,mRNA,Taqman low-density array analysis
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