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10.1002/cpt.606

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C5359028!5359028!28002630
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suck abstract from ncbi


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pmid28002630      Clin+Pharmacol+Ther 2017 ; 101 (4): 510-8
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  • Profiling of Kidney Injury Biomarkers in Patients Receiving Cisplatin: Time-Dependent Changes in the Absence of Clinical Nephrotoxicity #MMPMID28002630
  • George B; Wen X; Mercke N; Gomez M; O?Bryant C; Bowles DW; Hu Y; Hogan SL; Joy MS; Aleksunes LM
  • Clin Pharmacol Ther 2017[Apr]; 101 (4): 510-8 PMID28002630show ga
  • The success of cisplatin-containing regimens to treat solid tumors is limited, in part, by nephrotoxicity. In rodents, several urinary proteins have emerged as more sensitive indicators of cisplatin-induced kidney injury. We sought to characterize time-dependent changes in the urinary concentrations of 12 proteins including KIM-1, calbindin, ?2M, and TFF3 after cisplatin therapy. Urine was collected at baseline, 3 (range: 2-5), and 10 (range: 9-11) days from 57 patients with solid tumors receiving outpatient cisplatin therapy (? 25 mg/m2). Serum creatinine was largely unchanged after cisplatin infusion. However, compared to baseline values, several novel biomarkers were significantly increased in the urine including ?2M, which was 3-fold higher by day 3 (p<0.0001). Urinary KIM-1 and TFF3 were elevated 2-fold by day 10 (p=0.002 and p=0.002, respectively) whereas calbindin levels were increased 8-fold (p<0.0001). We report novel time-dependent changes in the urinary excretion of noninvasive markers of subclinical kidney injury after cisplatin treatment.
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