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<article article-type="review-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">farmaec</journal-id><journal-title-group><journal-title xml:lang="en">FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology</journal-title><trans-title-group xml:lang="ru"><trans-title>ФАРМАКОЭКОНОМИКА. Современная фармакоэкономика и фармакоэпидемиология</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2070-4909</issn><issn pub-type="epub">2070-4933</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17749/2070-4909/farmakoekonomika.2023.171</article-id><article-id custom-type="elpub" pub-id-type="custom">farmaec-799</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW ARTICLES</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРНЫЕ ПУБЛИКАЦИИ</subject></subj-group></article-categories><title-group><article-title>Modern biomarkers of acute kidney injury</article-title><trans-title-group xml:lang="ru"><trans-title>Современные биомаркеры острого повреждения почек</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0459-0488</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Корабельников</surname><given-names>Д. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Korabelnikov</surname><given-names>D. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Корабельников Даниил Иванович – к.м.н., профессор кафедры внутренних болезней, заведующий кафедрой профилактической медицины, ректор</p><p>ул. 2-я Брестская, д. 5, Москва 123056</p><p>Scopus Author ID: 7801382184</p></bio><bio xml:lang="en"><p>Daniil I. Korabelnikov – MD, PhD, Professor, Chair of Internal Diseases, Chief of Chair of Preventive Medicine, Rector</p><p>Scopus Author ID: 7801382184</p><p>5 Brestskaya Str., Moscow 123056</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0483-1050</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Магомедалиев</surname><given-names>М. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Magomedaliev</surname><given-names>M. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Магомедалиев Магомедали Омарасхабович – ассистент кафедры хирургических болезней с курсами эндоскопии, анестезиологии и реаниматологии, акушерства и гинекологии; начальник отделения реанимации и интенсивной терапии центра анестезиологии, реанимации и интенсивной терапии</p><p>ул. 2-я Брестская, д. 5, Москва 123056</p><p>(ул. Маштакова, д. 4, Подольск 142110</p></bio><bio xml:lang="en"><p>Magomedali O. Magomedaliev – MD, Assistant Professor, Chair of Surgical Diseases with Courses of Endoscopy, Anesthesiology and Resuscitation, Obstetrics and Gynecology; Head of Intensive Care Unit, Center of Anesthesiology, Resuscitation and Intensive Care</p><p>5 Brestskaya Str., Moscow 123056</p><p>4 Mashtakov Str., Podolsk 142110</p></bio><email xlink:type="simple">magomedalim@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Автономная некоммерческая организация дополнительного профессионального образования «Московский медико-социальный&#13;
институт им. Ф.П. Гааза»<country>Россия</country></aff><aff xml:lang="en">Moscow Haass Medical Social Institute<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">Автономная некоммерческая организация дополнительного профессионального образования «Московский медико-социальный институт им. Ф.П. Гааза»; Федеральное государственное казенное учреждение «1586 Военный клинический госпиталь» Министерства обороны Российской Федерации<country>Россия</country></aff><aff xml:lang="en">Moscow Haass Medical Social Institute; 1586 Military Clinical Hospita<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>21</day><month>04</month><year>2023</year></pub-date><volume>16</volume><issue>1</issue><elocation-id>87–104</elocation-id><permissions><copyright-statement>Copyright &amp;#x00A9; Korabelnikov D.I., Magomedaliev M.O., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Корабельников Д.И., Магомедалиев М.О.</copyright-holder><copyright-holder xml:lang="en">Korabelnikov D.I., Magomedaliev M.O.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.pharmacoeconomics.ru/jour/article/view/799">https://www.pharmacoeconomics.ru/jour/article/view/799</self-uri><abstract><p>The results of published studies of modern biomarkers used in the diagnosis of acute kidney injury (AKI) were summarized. The search was carried out in the PubMed/MEDLINE, Scopus, eLibrary databases. AKI occurs in 10–15% of all inpatients and 50% of intensive care patients, and affects economic aspects of treatment and rehabilitation. The literature review allowed to draw conclusions about the significant advantage of new AKI biomarkers (cystatin C, neutrophil gelatinase-associated lipocalin, β2-microglobulin, kidney injury molecule-1, fatty acid binding protein) over the conventional glomerular filtration rate, serum creatinine and urinary volume. Serum creatinine increases only in cases when 50–60% of nephrons are damaged, urinary volume has limitations such as the overdiagnosis of AKI in dehydrated patients, the inability to assess based on a single measurement, and the need for regular and frequent follow-up. Modern biomarkers make it possible to verify renal dysfunction in advance, at the subclinical level. This allows to make a correction in the therapy of the underlying disease and initiate nephroprotection to prevent the development of AKI and the further development of multiple organ failure, which may be more effective than the treatment of already developed AKI. </p></abstract><trans-abstract xml:lang="ru"><p>Обобщены результаты опубликованных исследований современных биомаркеров, используемых при диагностике острого повреждения почек (ОПП), которые содержатся в информационных базах PubMed/MEDLINE, Scopus, eLibrary. ОПП встречается у 10–15% стационарных пациентов и у 50% больных реанимационного профиля, оказывая влияние на медико-экономические аспекты лечения и реабилитации. Обзор литературы позволяет сделать выводы о значимом преимуществе новых биомаркеров ОПП (цистатин С, липокалин, ассоциированный с желатиназой нейтрофилов, β2-микроглобулин, молекула повреждения почек 1, белок, связывающий жирные кислоты) перед традиционными (скорость клубочковой фильтрации, содержание креатинина в сыворотке крови, объем мочи). Так, уровень креатинина увеличивается только при повреждении 50–60% нефронов, а объем мочи имеет ограничения, такие как гипердиагностика ОПП у дегидратированных больных, невозможность оценки на основании единичного измерения, а также необходимость в регулярном и частом динамическом контроле. Современные биомаркеры позволяют верифицировать почечную дисфункцию заблаговременно, на субклиническом уровне. Это дает возможность внести коррекцию в терапию основного заболевания и инициировать нефропротекцию для предупреждения развития ОПП и дальнейшего развития полиорганной недостаточности, что может быть более эффективным, чем лечение уже развившегося ОПП. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>Острое повреждение почек</kwd><kwd>ОПП</kwd><kwd>биомаркеры</kwd><kwd>цистатин С</kwd><kwd>липокалин</kwd><kwd>ассоциированный с желатиназой нейтрофилов</kwd><kwd>NGAL</kwd><kwd>молекула повреждения почек 1</kwd><kwd>KIM-1</kwd><kwd>β2-микроглобулин</kwd><kwd>печеночная форма белка</kwd><kwd>связывающего жирные кислоты</kwd><kwd>L-FABP</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Acute kidney injury</kwd><kwd>AKI</kwd><kwd>biomarkers</kwd><kwd>cystatin C</kwd><kwd>neutrophil gelatinase-associated lipocalin</kwd><kwd>NGAL</kwd><kwd>kidney injury molecule 1</kwd><kwd>KIM-1</kwd><kwd>β2-microglobulin</kwd><kwd>liver-type fatty acid binding protein</kwd><kwd>L-FABP</kwd></kwd-group><funding-group xml:lang="ru"><funding-statement>Авторы выражают благодарность заслуженному врачу Российской Федерации, заведующему отделением гемодиализа ФГБУ «Главный военный клинический госпиталь им. академика Н.Н. 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