Decreased levels of urinary liver-type fatty acid-binding protein after switching from tenofovir disoproxil fumarate to tenofovir alafenamide: a prospective observational study

被引:3
作者
Hikasa, Shinichi [1 ]
Shimabukuro, Shota [1 ]
Hideta, Kyoko [1 ]
Nishida, Sakurako [1 ]
Higasa, Satoshi [2 ]
Sawada, Akihiro [2 ]
Tokugawa, Tazuko [2 ]
Tanaka, Kuniyoshi [1 ]
Yanai, Mina [1 ]
Kimura, Takeshi [1 ]
机构
[1] Hosp Hyogo, Dept Pharm, Coll Med, Nishinomiya, Hyogo, Japan
[2] Hyogo Coll Med, Dept Internal Med, Div Hematol, Nishinomiya, Hyogo, Japan
关键词
Tenofovir disoproxil fumarate; tenofovir alafenamide; liver-type fatty acid-binding protein; HIV; estimated glomerular filtration rate; beta; 2; microglobulin; protein-to-creatinine ratio; HIV-INFECTED PATIENTS; CARDIOVASCULAR EVENTS; KIDNEY INJURY; DOUBLE-BLIND; SINGLE-ARM; EMTRICITABINE; ELVITEGRAVIR; COBICISTAT; MORTALITY; EFFICACY;
D O I
10.1177/0956462419873772
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
A single-center, prospective, observational study was conducted between September 2016 and August 2018 in 33 HIV-positive Japanese patients who switched antiretroviral drug regimens from tenofovir disoproxil fumarate (TDF) to tenofovir alafenamide (TAF). The study assessed changes in urinary levels of liver-type fatty acid-binding protein (L-FABP) after switching from TDF to TAF and determined the potential of renal parameters to predict improvement in estimated glomerular filtration rate (eGFR). Median urinary levels of L-FABP were found to be 2.0, 1.4, and 1.3 mu g/g creatinine before, at 6 months, and at 12 months after switching to TAF, respectively. The urinary levels of L-FABP, beta 2 microglobulin (beta 2MG), and eGFR and the protein-to-creatinine ratio (PCR) were not significantly related to the annual change in eGFR after switching from TDF to TAF. Our results demonstrate a significant decrease in urinary levels of L-FABP after switching from TDF to TAF. However, neither urinary L-FABP, beta 2MG, PCR, nor eGFR predicted the annual change in eGFR after the change in medication.
引用
收藏
页码:1311 / 1317
页数:7
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