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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Br+J+Cancer
2016 ; 114
(12
): 1318-25
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Improvement of cisplatin-related renal dysfunction by synthetic ghrelin: a
prospective randomised phase II trial
#MMPMID27253174
Yanagimoto Y
; Takiguchi S
; Miyazaki Y
; Makino T
; Takahashi T
; Kurokawa Y
; Yamasaki M
; Miyata H
; Nakajima K
; Hosoda H
; Kangawa K
; Mori M
; Doki Y
Br J Cancer
2016[Jun]; 114
(12
): 1318-25
PMID27253174
show ga
BACKGROUND: Ghrelin, a 28-amino acid peptide predominantly produced by the
stomach, exerts powerful renal protective effects by increasing levels of
insulin-like growth factor-1 (IGF-1). The aim of this study was to evaluate the
effects of ghrelin on the incidence of renal dysfunction in patients receiving
cisplatin-based chemotherapy. METHODS: Forty patients with oesophageal cancer
receiving cisplatin-based chemotherapy were assigned to either the ghrelin group
(n=20), which received ghrelin (0.5??g?kg(-1)?h(-1)) for 5 days, or a placebo
group (n=20). The primary endpoint was serum creatinine. Secondary endpoints were
serum cystatin C, chemotherapy-related adverse events, changes in serum
ghrelin-related hormone levels, correlation between markers of renal injury and
hormone concentrations, and effects on the second cycle of chemotherapy. RESULTS:
Blood acyl ghrelin, total ghrelin, and IGF-1 concentrations on day 4 were
significantly higher in the ghrelin group. The renal dysfunction, serum
creatinine and cystatin C levels, dose reduction, and delay in the initiation of
the second cycle of chemotherapy were lower in the ghrelin group than in the
control group. Serum creatinine levels were significantly correlated with serum
IGF-1 levels. CONCLUSION: Continuous synthetic ghrelin administration during
cisplatin-based chemotherapy attenuated renal dysfunction and harmful effects on
subsequent chemotherapy, possibly by increasing IGF-1 levels.
|Aged
[MESH]
|Antineoplastic Combined Chemotherapy Protocols/adverse effects/therapeutic use
[MESH]