Abstract
One of the main renal replacement treatment modalities for patients with end-stage renal diseases is peritoneal dialysis (PD). In PD therapy, the peritoneum is used as an intracorporeal dialysis system. The monitoring of intraperitoneal events is hampered by the absence of serial peritoneal biopsies. However, the acquisition of peritoneal effluent is simple and usually occurs after a predefined dwell or if possible after a standardized peritoneal function test. This peritoneal effluent is composed of several proteins and metabolites, which modifies accordingly due to intraperitoneal events. To date, peritoneal effluent biomarker discovery is evolving with a holistic perspective. The rise of applying suffix -omics technologies within PD therapy introduced a more exploratory approach for the identification of candidate effluent biomarkers. The application of genomics, metabolomics, and proteomics with the peritoneal effluent as biospecimen is however still in its infancy.
The emerging field of omics techniques as tools for peritoneal effluent biomarker discovery is presented in this chapter. The high sensitivity of omics technologies requires stringent conditions, and therefore methodological precautions must be undertaken on laboratory technical level, appropriate selection of study design and population, as well as data analysis. For this reason, methodological considerations for conducting omics-based PD research and the current developments with regard to the usage of these disciplines are addressed. Lastly, a summary is given on the available literature concerning the usage of omics techniques with the peritoneal effluent as a liquid biopsy within PD therapy.
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- 2D-DIGE:
-
Two-dimensional difference gel electrophoresis
- Biobank:
-
Biological bank
- Biomarker:
-
Biological marker
- CAPD:
-
Continuous ambulatory peritoneal dialysis
- CKD:
-
Chronic kidney disease
- CRP:
-
C-reactive protein
- CV:
-
Coefficient of variation
- DN:
-
Diabetic nephropathy
- DNA:
-
Deoxyribonucleic acid
- ELISA:
-
Enzyme-linked immuno assay
- EPS:
-
Encapsulating peritoneal sclerosis
- GN:
-
Glomerulonephritis
- GWAS:
-
Genome-wide association studies
- Ig:
-
Immunoglobulin
- IL-6:
-
Interleukin-6
- MS:
-
Mass spectrometry
- NECOSAD:
-
Netherlands Cooperative Study on the Adequacy of Dialysis
- NMR:
-
Nuclear magnetic resonance
- NRI:
-
Net reclassification index
- PD:
-
Peritoneal dialysis
- RNA:
-
Ribonucleic acid
- ROC curve:
-
Receiver operating characteristic curve
- SNPs:
-
Single nucleotide polymorphisms
- SOP:
-
Standard operating procedures
- VEGF:
-
Vascular endothelial growth factor
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Lopes Barreto, D., Struijk, D.G. (2016). Peritoneal Effluent Biomarker Discovery in Peritoneal Dialysis: The Omics Era. In: Patel, V., Preedy, V. (eds) Biomarkers in Kidney Disease. Biomarkers in Disease: Methods, Discoveries and Applications. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7699-9_15
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DOI: https://doi.org/10.1007/978-94-007-7699-9_15
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