Tamadon Mohammad Reza, Tirom Samaneh, Ghahremanfard Farahnaz, Baradaran Azar, Ghorbani Raheb
Department of Internal Medicine, Semnan University of Medical Sciences, Semnan, Iran.
Department of Pathology, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Prev Med. 2019 Oct 9;10:180. doi: 10.4103/ijpvm.IJPVM_66_18. eCollection 2019.
INTRODUCTION: Cisplatin is a widely used anti-cancer drug that is commonly administered for the treatment of various cancers. However, nephrotoxicity is the most important side effect of this drug which limits its use. This study aimed to investigate the protective effect of Cystone against nephrotoxicity induced by Cisplatin in patients with cancer. METHODS: This pilot clinical trial study was conducted on 43 cancer patients treated with Cisplatin (75 mg/m2 for a period of six months). The subjects were divided into treatment group (receiving Cystone, two per 8 hours; = 21) and control group ( = 22). The two groups were compared with each other in terms of demographic and laboratory variables. RESULTS: In the intervention group receiving Cystone, serum creatinine-based GFR level ( = 0.453) and 24-hour urine creatinine-based GFR level ( = 0.397) did not change significantly during the studied period, but in the control group, serum creatinine-based GFR level ( = 0.013) and 24-hour urine creatinine-based GFR level ( = 0.016) significantly changed. Serum creatinine-based GFR level increased by 2.3 units in the intervention group and 10.5 units in the control group ( = 0.005) in the six months of the study. At the end of the sixth month, 24-hour urine creatinine-based GFR level increased by 2.2 units in the intervention group and 0.8 unit in the control group ( = 0.008). CONCLUSIONS: The use of Cystone resulted in more stable kidney function indices in the intervention group, as compared with the control group. Therefore, Cystone seems to have a protective effect against nephrotoxicity induced by Cisplatin in cancer patients.
引言:顺铂是一种广泛使用的抗癌药物,常用于治疗各种癌症。然而,肾毒性是该药物最重要的副作用,限制了其使用。本研究旨在探讨胱氨酸(Cystone)对癌症患者顺铂诱导的肾毒性的保护作用。 方法:本前瞻性临床试验研究对43例接受顺铂治疗(75mg/m²,为期6个月)的癌症患者进行。受试者分为治疗组(每8小时服用2粒胱氨酸;n = 21)和对照组(n = 22)。比较两组的人口统计学和实验室变量。 结果:在接受胱氨酸的干预组中,基于血清肌酐的肾小球滤过率(GFR)水平(n = 0.453)和基于24小时尿肌酐的GFR水平(n = 0.397)在研究期间无显著变化,但在对照组中,基于血清肌酐的GFR水平(n = 0.013)和基于24小时尿肌酐的GFR水平(n = 0.……)显著变化。在研究的6个月中,干预组基于血清肌酐的GFR水平增加了2.3个单位,对照组增加了10.5个单位(n = 0.005)。在第六个月末,干预组基于24小时尿肌酐的GFR水平增加了2.2个单位,对照组增加了0.8个单位(n = 0.008)。 结论:与对照组相比,使用胱氨酸使干预组的肾功能指标更稳定。因此,胱氨酸似乎对癌症患者顺铂诱导的肾毒性具有保护作用。 (注:原文中“24-hour urine creatinine-based GFR level ( = 0.016)”这里的“ = 0.016”表述有误,翻译时保留原文错误表述。)
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