Volume 85, Issue 2, Pages (January 2014)

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Volume 85, Issue 2, Pages 431-438 (January 2014) Evaluation of 32 urine biomarkers to predict the progression of acute kidney injury after cardiac surgery  John M. Arthur, Elizabeth G. Hill, Joseph L. Alge, Evelyn C. Lewis, Benjamin A. Neely, Michael G. Janech, James A. Tumlin, Lakhmir S. Chawla, Andrew D. Shaw  Kidney International  Volume 85, Issue 2, Pages 431-438 (January 2014) DOI: 10.1038/ki.2013.333 Copyright © 2014 International Society of Nephrology Terms and Conditions

Figure 1 Prediction of outcomes by interleukin (IL)-18 among patients with stage 1 acute kidney injury (AKI) at the time of collection. (a) The area under the receiver operating characteristic (ROC) curve for IL-18 to predict Acute Kidney Injury Network (AKIN) stage 2/3 AKI or death was 0.74. The area under the ROC curve for IL-18 to predict AKIN stage 3 AKI or death was 0.89. (b) Box and whisker plot for patients who progressed to a maximum AKIN stage of 1, 2, or 3 and death. All patients had AKIN stage 1 at the time of urine collection. Boxes show the median value and 25th and 75th percentiles. Whiskers represent the range of values. Kidney International 2014 85, 431-438DOI: (10.1038/ki.2013.333) Copyright © 2014 International Society of Nephrology Terms and Conditions

Figure 2 Cluster dendrogram of biomarker concentrations. The creatinine-adjusted biomarker concentrations were analyzed by unsupervised clustering to determine how similar the values were to each other. The unsupervised clustering resulted in groupings similar to functional groupings for some of the biomarkers. For instance, many of the proteins in the group associated with tubular dysfunction were clustered in the same group. A number of differences from the clustering predicted were also found. For instance, neutrophil gelatinase–associated lipocalin (NGAL) and kidney injury molecule-1 (KIM-1) were clustered in different groups. GROA, growth-related oncogene alpha; HGF, hepatocyte growth factor; IL, interleukin; IL-1ra, interleukin 1 receptor antagonist; L-FABP, liver-type fatty acid–binding protein; LIF, leukemia inhibitory factor; MCP-1, monocyte chemotactic protein-1; MIP1A, macrophage inflammatory protein-1 alpha; NAG, N-acetyl-β-D-glucosaminidase; VEGF, vascular endothelial growth factor; RANTES, regulated on activation, normal T-cell expressed and secreted; RBP, retinol-binding protein; TFF-3, trefoil factor 3; TNFA, tumor necrosis factor alpha; TRAIL, TNF-related apoptosis-inducing ligand; VCAM-1, vascular cell adhesion molecule-1. Kidney International 2014 85, 431-438DOI: (10.1038/ki.2013.333) Copyright © 2014 International Society of Nephrology Terms and Conditions