Renal tubular function in patients treated with high-dose cisplatin.
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Renal tubular function in patients treated with high-dose cisplatin. / Daugaard, G; Abildgaard, U; Holstein-Rathlou, N H; Bruunshuus, I; Bucher, D; Leyssac, P P.
In: Clinical Pharmacology and Therapeutics, Vol. 44, No. 2, 1988, p. 164-72.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Renal tubular function in patients treated with high-dose cisplatin.
AU - Daugaard, G
AU - Abildgaard, U
AU - Holstein-Rathlou, N H
AU - Bruunshuus, I
AU - Bucher, D
AU - Leyssac, P P
N1 - Keywords: Acetylglucosaminidase; Adolescent; Adult; Albuminuria; Amino Acids; Cisplatin; Humans; Kidney Function Tests; Kidney Tubules; Kidney Tubules, Distal; Kidney Tubules, Proximal; Magnesium; Middle Aged; Neoplasms, Germ Cell and Embryonal; Proteinuria; Sodium; Time Factors; beta 2-Microglobulin
PY - 1988
Y1 - 1988
N2 - The effect of three cycles of high-dose cisplatin (40 mg/m2 day for 5 days) on renal tubular function was evaluated in 30 patients. A significant impairment of proximal tubular salt and water reabsorption rates was observed, but also distal tubular function seemed to be affected. These changes were also present 6 months after termination of treatment. Sodium and magnesium clearance increased significantly during treatment. Magnesium clearance normalized shortly after treatment but sodium clearance was significantly elevated 6 months after treatment. Proteinuria, albuminuria, and amino aciduria, together with an increase of beta 2-microglobulin and N-acetyl-beta-D-glucosaminidase (NAG) excretion rates, were observed during each treatment cycle. A good correlation was registered between the increase in urinary excretion rates of protein, NAG, and magnesium and the decrease in proximal tubular salt and water reabsorption during cisplatin administration.
AB - The effect of three cycles of high-dose cisplatin (40 mg/m2 day for 5 days) on renal tubular function was evaluated in 30 patients. A significant impairment of proximal tubular salt and water reabsorption rates was observed, but also distal tubular function seemed to be affected. These changes were also present 6 months after termination of treatment. Sodium and magnesium clearance increased significantly during treatment. Magnesium clearance normalized shortly after treatment but sodium clearance was significantly elevated 6 months after treatment. Proteinuria, albuminuria, and amino aciduria, together with an increase of beta 2-microglobulin and N-acetyl-beta-D-glucosaminidase (NAG) excretion rates, were observed during each treatment cycle. A good correlation was registered between the increase in urinary excretion rates of protein, NAG, and magnesium and the decrease in proximal tubular salt and water reabsorption during cisplatin administration.
M3 - Journal article
C2 - 2840230
VL - 44
SP - 164
EP - 172
JO - Clinical Pharmacology and Therapeutics
JF - Clinical Pharmacology and Therapeutics
SN - 0009-9236
IS - 2
ER -
ID: 8440126