Review Article

Exosomes in Nephropathies: A Rich Source of Novel Biomarkers

Table 3

Exosomal biomarkers associated with specific etiological factors of renal disease patients (pts)/control (ctr).

ConditionPotential exosomal biomarkerStudy subjectsReference

Medullary sponge kidneyvs. idiopathic calcium nephrolithiasisBlood FCN1 and C4BPB proteins ↑; blood MASP2 protein ↓15 pts-15 ctrs[87]
vs. autosomal dominant polycystic kidney diseaseMainly urinary CD133 ↓, among 34 discriminative urinary EV proteins15 pts-15 ctrs[88]

Autosomal dominant polycystic kidney diseaseUrinary periplakin, envoplakin, villin-1, and complement C3 and C9 ↑, among 30 proteins34 pts-32 ctrs[84]
Urinary PC1/TMEM2 or PC2/TMEM2 ↓13 pts-18 ctrs[83]

Diabetic nephropathyvs. minimal change nephrotic syndromeUrinary WT1 mRNA ↑20 pts-5 ctrs[49]

Cadmium-induced nephrotoxicityBlood MT1DP lncRNA ↑100 persons[107]

Idiopathic membranous nephropathyBlood and urinary MUC3A circRNA and various snoRNAs ↑10 pts-10 ctrs[70]

Pediatric idiopathic nephrotic syndromeUrinary miR-194-5p, miR-146b-5p, miR-378a-3p, miR-23b-3p, and miR-30a-5p ↑129 pts-126 ctrs[66]

Pediatric primary focal segmental glomerulosclerosisvs. minimal change diseaseUrinary miR-193a13 pts[67]

IgA nephropathyvs. thin basement membrane nephropathyUrinary miR-215-5p and miR-378i ↑; urinary miR-29c and miR-205-5p ↓18 pts-18 ctrs[73]
Urinary aminopeptidase N, vasorin precursor, α-1-antitrypsin, and ceruloplasmin ↑12 pts-7 ctrs[74]

Acute rejectionvs. BK nephropathy or chronic allograft injuryUrinary CLCA1, PROS1, KIAA0753, and ApoM ↑30 pts-20 ctrs[64]

Focal segmental glomerulosclerosisvs. steroid-sensitive nephrotic syndromeUrinary WT-1 ↑25 pts-5 ctrs[68]

Bartter syndrome type 1Urinary NKCC2 protein ↓2 pts[91]