REVIEW PAPER
Physiological and pathophysiological
implications of osteopontin and the diagnostic
utility of the protein in kidney diseases
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Department of Pharmacology, Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, ul. G. Herlinga-Grudzińskiego 1C, 30-705 Krakow, Poland
Corresponding author
Lukasz Dobrek
Department of Pharmacology, Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, ul. G. Herlinga-Grudzińskiego 1C, 30-705 Krakow, Poland, Gustawa Herlinga-Grudzińskiego 1, 30-705 Krakow, Poland
J Pre Clin Clin Res. 2018;12(1):6-10
KEYWORDS
TOPICS
ABSTRACT
Introduction and objective:
Osteopontin (OPN) is a protein playing many pleiotropic both physiological and
pathophysiological roles in various organs. The paper briefly characterizes both the positive and negative roles of OPN,
with particular emphasis on the role of the protein in kidney functioning.
Brief description of the state of knowledge:
As its name suggests, OPN is a protein mainly regulating bone homeostasis,
but it also participates in the pathogenesis of inflammation, neoplasm, atherosclerosis and vascular calcification. OPN is
also an important protein involved in kidney physiology. Its main physiological function is to act as an inhibitor of the
crystallization of urine mineral components and to prevent kidney stones formation. OPN is also overproduced in various
kidney pathologies (tubulointerstitial fibrosis, crescending glomerulonephritis, cyclosporine or diabetic nephropathy, renal
ischemia reperfusion injury), and both experimental and clinical studies suggest that OPN may exert either a protective or
detrimental effect on kidneys.
Conclusions:
Considering the OPN role in kidneys, the protein is currently proposed as one of novel laboratory biomarkers
for renal function. OPN, along with the other proteins found in the urine in various kidney diseases (neutrophil gelatinaseassociated
lipocalin-1, kidney injury molecule-1, and fatty acid binding protein) is a part of the laboratory panel that will be
gradually introduced into common laboratory practice.
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