Evidence map›Paper›PMID 23089611›Full record

SynthesisClinical chemistry and laboratory medicine2012

Neutrophil gelatinase-associated lipocalin as a biomarker of cardiovascular disease: a systematic review.

Dinna N Cruz, Sergio Gaiao, Alan Maisel, Claudio Ronco, Prasad Devarajan

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Clinical chemistry and laboratory medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

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  5. Concerns regarding NGAL as a biomarker for heart failure without kidney disease.Journal of cardiovascular and thoracic research · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 3 countries.

Dinna N CruzDepartment of Nephrology Dialysis and Transplantation, San Bortolo Hospital, Vicenza, Italy. dinnacruzmd@yahoo.com
Sergio Gaiao
Alan Maisel
Claudio Ronco
Prasad Devarajan
Cincinnati Children's Hospital Medical Center · USHospital de São João · PTOspedale San Bortolo · ITUniversity of California San Diego Medical Center · US

Funding

Proteomics CoreP50DK096418 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI DEVARAJAN, PRASAD · 2012 to 2021
$8.4M
NIDDK NIH HHS P50 DK096418
6 · The paper itself

Abstract

backgroundNeutrophil gelatinase-associated lipocalin (NGAL) is a biomarker of acute kidney injury (AKI). Recently, elevated NGAL levels have also been reported in heart failure, coronary heart disease, and stroke. Other studies demonstrate that NGAL is upregulated in failing myocardium and in atherosclerotic plaque. Our aim was to synthesize the current evidence on NGAL and cardiovascular disease (CVD), and to clarify the prognostic significance of systemic NGAL levels in CVD.

methodsWe performed a systematic review to identify experimental and human studies on NGAL and CVD. We excluded articles which specifically dealt with AKI or renal endpoints.

resultsWe identified 22 studies, including both animal and human data. NGAL is highly expressed in the heart, both in failing myocardium and myocarditis, and is also expressed in atherosclerotic plaques. Areas of co-localization of NGAL and matrix metalloproteinase (MMP)-9 exhibited increased MMP-9 proteolytic activity. Systemic NGAL levels correlated with renal function and severity of CVD in several, but not all, studies. An association between elevated systemic NGAL levels and clinical outcomes (e.g., death, hospital readmissions) were reported in six CVD studies, but these had limited adjustment for potential confounders.

conclusionsThere is ample literature to support a putative role of NGAL in the pathophysiology of CVD, but at present there is insufficient data regarding the clinical utility of systemic NGAL levels in the management of CVD. Available evidence regarding NGAL as a predictor of outcomes in CVD is very limited.

Indexed as

Acute-Phase ProteinsAnimalsBiomarkersCardiovascular DiseasesHeart FailureHumansLipocalin-2LipocalinsMatrix Metalloproteinase 9Natriuretic PeptidesProto-Oncogene ProteinsSeverity of Illness IndexAcute-Phase ProteinsBiomarkersLCN2 protein, humanLipocalin-2LipocalinsMatrix Metalloproteinase 9Natriuretic PeptidesProto-Oncogene Proteins

Identifiers

PMID23089611
PMCPMC4144035
OpenAlexW2054191916

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.