Section of Nephrology, Yale University School of Medicine, New Haven, Connecticut, USA.
1] Department of Nephrology, Pitie Salpetriere Hospital, Paris, France [2] Department of Nephrology, Monceau Park International Clinic, Paris, France.
Kidney Int. 2015 May;87(5):909-17. doi: 10.1038/ki.2015.30. Epub 2015 Feb 11.
New anticancer medications are rapidly entering the clinical arena offering patients with previously resistant cancers the promise of more effective therapies capable of extending their lives. However, adverse renal consequences develop in treated patients with underlying risk factors, requiring the nephrology community to be familiar with the nephrotoxic effects. The most common clinical nephrotoxic manifestations of these drugs include acute kidney injury, varying levels of proteinuria, hypertension, electrolyte disturbances, and at times chronic kidney disease. Thus, to practice competently in the 'onco-nephrology' arena, nephrologists will garner benefit from an update on older drugs with newly recognized nephrotoxic potential as well as newer agents, which may be associated with kidney injury. With that in mind, this brief update is meant to provide clinicians with the currently available evidence on the nephrotoxicity of a group of anticancer medications.
新型抗癌药物迅速进入临床领域,为以前耐药的癌症患者带来了更有效的治疗方法的希望,这些方法能够延长他们的生命。然而,有潜在风险因素的治疗患者会出现不良的肾脏后果,这要求肾脏病学领域的医生熟悉这些药物的肾毒性作用。这些药物最常见的临床肾毒性表现包括急性肾损伤、蛋白尿程度不同、高血压、电解质紊乱,有时还会导致慢性肾脏病。因此,为了在“肿瘤肾脏病学”领域熟练地实践,肾脏病医生将从更新的具有新的潜在肾毒性的旧药物以及可能与肾脏损伤相关的新型药物中获益。有鉴于此,本简要更新旨在为临床医生提供一组抗癌药物肾毒性的现有证据。