Rapid decrease in eGFR with concomitant use of tyrosine kinase inhibitors and renin-aldosterone-angiotensin system inhibitors in patients with chronic myelogenous leukemia.

Author: AkashiKoichi, HajiShojiro, HirataAkie, KatoKoji, KimuraDaisaku, MasudaToru, MiyamotoToshihiro, NakashimaNaoki, NakashimaYasuhiro, NojiriChinatsu, OgawaYoshihiro, ShiratsuchiMotoaki, TokunagaShoji, TsudaMariko

Paper Details 
Original Abstract of the Article :
Tyrosine kinase inhibitors (TKIs) have revolutionized the treatment of chronic myeloid leukemia (CML). However, TKI-related chronic renal toxicity has been reported, particularly in patients with hypertension. We assessed whether incidental use of specific types of antihypertensive drugs, including ...See full text at original site
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引用元:
https://doi.org/10.1007/s12185-022-03433-6

データ提供:米国国立医学図書館(NLM)

Chronic Myelogenous Leukemia: Understanding the Impact of Medications on Kidney Function

Chronic myelogenous leukemia (CML) is a type of blood cancer that requires ongoing treatment. Tyrosine kinase inhibitors (TKIs) have revolutionized CML treatment, but they can have side effects, including kidney toxicity. This study investigated the impact of TKIs on kidney function, specifically examining the role of renin-aldosterone-angiotensin system inhibitors (RAASis), a class of antihypertensive medications, in influencing kidney function in CML patients.

TKIs and RAASis: A Potential Interaction Affecting Kidney Function

The research found that the use of RAASis in patients taking TKIs, particularly imatinib and bosutinib, was associated with a more rapid decline in estimated glomerular filtration rate (eGFR), a measure of kidney function. These findings highlight the potential interaction between these medications and the importance of monitoring kidney function in patients taking TKIs, especially those using RAASis. The research suggests that careful monitoring and adjustments in medication regimens may be needed to mitigate the risk of kidney toxicity.

Protecting Kidney Health: A Collaborative Approach

This research underscores the importance of a collaborative approach to managing CML and protecting kidney health. It highlights the need for healthcare professionals to carefully consider the potential interactions between medications and monitor kidney function closely in patients taking TKIs. By working together, patients and their healthcare providers can make informed decisions about medication regimens, ensuring optimal treatment outcomes and minimizing the risk of kidney complications.

Dr. Camel's Conclusion

Just as a camel can navigate the desert with its unique adaptations, so too must we understand the intricate workings of our bodies and the complex interplay of medications. This research highlights the potential for unexpected interactions between medications, reminding us of the importance of vigilance and careful monitoring. By working together, we can ensure that patients receive the best possible care, safeguarding their health and allowing them to navigate the challenges of chronic illness with strength and resilience. Let us continue to learn and grow, striving to improve the lives of those affected by CML and all other chronic diseases.
Date :
  1. Date Completed 2022-11-21
  2. Date Revised 2022-11-21
Further Info :

Pubmed ID

35932399

DOI: Digital Object Identifier

10.1007/s12185-022-03433-6

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