Document Detail


Glomerular injuries--excretion of glomerular epithelial cells-- induced by chemotherapy (antineoplastic drugs) independent of tubular damage.
MedLine Citation:
PMID:  9845825     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
For the purpose of studying glomerular injuries induced by antineoplastic drugs, the excretion of glomerular epithelial cells (GEC) was evaluated. In 13 children who received antineoplastic drugs, the excretion of GEC in urine samples was examined with an immunofluorescent study using a monoclonal antibody directed against podocalyxin, which was expressed on glomerular epithelial cells. GEC were detected in 20 of 25 chemotherapy courses. The excretion of GEC persisted until the next chemotherapy course in some cases. After an initiation of chemotherapy an increased urinary albumin-creatinine ratio (more than 2-fold) was found in 6 patients. A significant increase of N-acetylglucosaminidase was observed in 2 patients. Proteinuria and hematuria were not observed in all patients. These results indicate that glomerular injuries are frequently induced by chemotherapy independent of the tubular damage. Repeated glomerular injuries may result in late renal dysfunction.
Authors:
T Kakihara; J Onozuka; H Hayakawa; A Tanaka; M Uchiyama; M Hara; T Yanagihara
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of nephrology     Volume:  18     ISSN:  0250-8095     ISO Abbreviation:  Am. J. Nephrol.     Publication Date:  1998  
Date Detail:
Created Date:  1999-02-01     Completed Date:  1999-02-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8109361     Medline TA:  Am J Nephrol     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  504-7     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Niigata University School of Medicine, Niigata, Japan.
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MeSH Terms
Descriptor/Qualifier:
Acetylglucosaminidase / urine
Albuminuria
Antineoplastic Agents / adverse effects*
Child
Child, Preschool
Creatinine / blood
Epithelial Cells
Female
Fluorescent Antibody Technique
Humans
Infant
Kidney Glomerulus / drug effects*,  pathology
Male
Proteinuria
Sialoglycoproteins / urine
Urine / cytology*
beta 2-Microglobulin / urine
Chemical
Reg. No./Substance:
0/Antineoplastic Agents; 0/Sialoglycoproteins; 0/beta 2-Microglobulin; 0/podocalyxin; 60-27-5/Creatinine; EC 3.2.1.52/Acetylglucosaminidase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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