Impairment in kidney tubular function in patients receiving tenofovir is associated with higher tenofovir plasma concentrations

被引:122
作者
Rodriguez-Novoa, Sonia [1 ]
Labarga, Pablo [1 ]
D'Avolio, Antonio [2 ]
Barreiro, Pablo [1 ]
Albalate, Marta [3 ]
Vispo, Eugenia [1 ]
Solera, Carmen [1 ]
Siccardi, Marco [2 ]
Bonora, Stefano [2 ]
Di Perri, Giovanni [2 ]
Soriano, Vincent [1 ]
机构
[1] Hosp Carlos III, Dept Infect Dis, Madrid, Spain
[2] Univ Turin, Infect Dis Serv, Turin, Italy
[3] Hosp Infanta Leonor, Dept Nephrol, Madrid, Spain
关键词
VIRUS-INFECTED PATIENTS; FANCONI-SYNDROME; RENAL-FAILURE; POPULATION PHARMACOKINETICS; DISOPROXIL FUMARATE; NEPHROTOXICITY; THERAPY; DYSFUNCTION; SAFETY; ADULTS;
D O I
10.1097/QAD.0b013e32833202e2
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Tenofovir (TFV) is a nucleotide analogue active against HIV and hepatitis B virus. Although TFV rarely affects the glomerular function, abnormalities in the kidney tubular function appear to be quite common. The relationship between TFV exposure and kidney tubular dysfunction (KTD) was examined prospectively in 92 HIV-infected individuals. Median TFV plasma trough concentration was higher in patients with KTD than in the rest (182 vs. 106 ng/ml; P=0.001). This dose-dependent effect further supports an involvement of TFV in KTD.
引用
收藏
页码:1064 / 1066
页数:3
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