Tenofovir renal toxicity targets mitochondria of renal proximal tubules.

Author: GreenElgin, HosseiniSeyed H, Hoying-BrandtAmy, JohnsonDavid M, KohlerJames J, LewisWilliam, RaperC Michael, RussRodney, SantoianniRobert, TranDung

Paper Details 
Original Abstract of the Article :
Tenofovir disoproxil fumarate (TDF) is an analog of adenosine monophosphate that inhibits HIV reverse transcriptase in HIV/AIDS. Despite its therapeutic success, renal tubular side effects are reported. The mechanisms and targets of tenofovir toxicity were determined using '2 x 2' factorial protocol...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/19274046

データ提供:米国国立医学図書館(NLM)

Tenofovir's Renal Toxicity: A Tale of Mitochondrial Mischief

Tenofovir disoproxil fumarate (TDF) is a vital medication for treating HIV/AIDS, effectively inhibiting the virus's replication. However, like many drugs, it can have side effects. One concern is renal toxicity, which can damage the kidneys. This study examines the mechanisms underlying tenofovir's renal toxicity, focusing on its impact on mitochondria, the powerhouses of cells.

Mitochondrial Targets of Tenofovir Toxicity

The study found that tenofovir specifically targets mitochondria in the renal proximal tubules, the primary filtering units of the kidneys. The study revealed ultrastructural changes in mitochondria, including an increased number, irregular shape, and sparse fragmented cristae. These findings suggest that tenofovir's renal toxicity may be linked to mitochondrial dysfunction. The study also observed changes in mitochondrial DNA abundance, further supporting the role of mitochondria in tenofovir's toxicity.

Navigating the Risks and Benefits of Tenofovir Therapy

This research highlights the importance of understanding the mechanisms of drug toxicity to develop safer and more effective medications. While tenofovir remains a valuable treatment for HIV/AIDS, the study's findings emphasize the need for careful monitoring of kidney function in patients receiving this medication. The study also suggests the need for further research to develop strategies to mitigate tenofovir's renal toxicity and protect the health of patients receiving this essential therapy.

Dr. Camel's Conclusion

This research takes us on a fascinating journey through the intricate world of mitochondria, the tiny powerhouses that drive our cells. The study's revelation of tenofovir's impact on mitochondrial function provides valuable insights into the mechanisms of drug toxicity. This research is a reminder that even the most beneficial drugs can have unintended consequences, and careful monitoring is essential to protect patients' health.

Date :
  1. Date Completed 2009-05-19
  2. Date Revised 2023-02-16
Further Info :

Pubmed ID

19274046

DOI: Digital Object Identifier

NIHMS104658

Related Literature

SNS
PICO Info
in preparation
Languages

English

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