1.Risks associated with sunitinib use and monitoring to improve patient outcomes.
The Korean Journal of Internal Medicine 2014;29(1):23-26
No abstract available.
Antineoplastic Agents/*adverse effects
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Female
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Humans
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Indoles/*adverse effects
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Male
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Proteinuria/*chemically induced
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Pyrroles/*adverse effects
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Renal Insufficiency/*chemically induced
2.Adverse events related to bevacizumab and the management principles in non-small cell lung cancer.
Chinese Journal of Lung Cancer 2010;13(6):563-567
Angiogenesis Inhibitors
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adverse effects
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Antibodies, Monoclonal
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adverse effects
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Antibodies, Monoclonal, Humanized
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Bevacizumab
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Carcinoma, Non-Small-Cell Lung
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drug therapy
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Hemorrhage
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chemically induced
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Humans
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Hypertension
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chemically induced
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Lung Neoplasms
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drug therapy
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Proteinuria
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chemically induced
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Thromboembolism
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chemically induced
3.Generation mechanisms and management strategies of adverse reactions to Bevacizumab during cancer treatment.
Chinese Journal of Oncology 2010;32(7):481-486
Angiogenesis Inhibitors
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adverse effects
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therapeutic use
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Angiotensin-Converting Enzyme Inhibitors
;
therapeutic use
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Antibodies, Monoclonal
;
adverse effects
;
therapeutic use
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Antibodies, Monoclonal, Humanized
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Aspirin
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administration & dosage
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therapeutic use
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Bevacizumab
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Hemorrhage
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chemically induced
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Humans
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Hypertension
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chemically induced
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drug therapy
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Intestinal Perforation
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chemically induced
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surgery
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Neoplasms
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drug therapy
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Proteinuria
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chemically induced
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Thromboembolism
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chemically induced
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drug therapy
4.Effect of high-lipid diet on glomerular mesangial matrix in adriamycin-induced nephrotic rats.
Hongmei SONG ; Xuewang LI ; Min WEI ; Chuanyou ZHU
Chinese Medical Sciences Journal 2002;17(3):134-139
OBJECTIVETo determine the effect of hypercholsterolemia induced by a high-lipid diet on glomerulosclerosis.
METHODSTwenty nephrotic syndrome (NS) Wistar rats administrated adriamycin (ADR) with a single intravenous dose of 5 mg/kg body weight, were divided into the standard and high-lipid chow groups. Another 20 weight-matched non-NS rats that received a vehicle alone were grouped as control. Urinary protein excretion and serum cholesterol were assayed; image analysis and techniques of pathology, immunohistochemistry, and molecular biology were used to determine morphological changes in glomeruli and the production of glomerular mesangial matrices in different groups.
RESULTSThe serum total cholesterol level was significantly higher in rats with high-lipid chow in both non-NS [(2.2 +/- 0.3) g/L vs. (0.9 +/- 0.1) g/L, P < 0.01] and NS [(9.5 +/- 0.2) g/L vs. (2.3 +/- 0.3) g/L, P < 0.01]. The urinary protein excretion was significantly higher in the high-lipid diet rats than in standard chow rats [(76.2 +/- 24.2) mg/24h vs. (44.8 +/- 13.6) mg/24h, P < 0.05] in NS rats. Although increases in the mesangial matrix and mesangial cells were observed in rats with high-lipid diet in both NS and non-NS group, more obvious pathological changes were found in NS group, such as lipid deposits and foam cell formation in mesangial areas, and progressing to focal and segmental glomerulosclerosis in some glomeruli. The immunohistochemical asay showed that the production of 3 major components (collagen IV, fibronectin, and laminin) was increased in NS group, especially in the rats with high-lipid chow. The increased expression of laminin mRNA was also detected with slot blotting in both NS and non-NS rats with high-lipid chow, and it was more obvious in the rats with NS.
CONCLUSIONOur findings indicated that diet-induced hyperlipidemia can lead to over-production of mesangial matrix components, and further aggravate glomerulosclerosis in ADR-induced nephrosis.
Animals ; Dietary Fats ; pharmacology ; Doxorubicin ; Fibronectins ; metabolism ; Glomerular Mesangium ; metabolism ; pathology ; Hypercholesterolemia ; metabolism ; Laminin ; metabolism ; Male ; Nephrotic Syndrome ; chemically induced ; metabolism ; pathology ; Proteinuria ; urine ; Rats ; Rats, Wistar
5.Effect of chailing decoction and its active ingredients on experimental nephritis in rats.
Ping LI ; Pei-heng LI ; Zi-yi ZHANG
Chinese Journal of Integrated Traditional and Western Medicine 2003;23(10):757-759
OBJECTIVETo screen the active ingredients of Chailing decoction (CLD) by using rat nephritis model induced by mono-colonal antibody 1-22-3 (mAb) injection.
METHODSThe active ingredients of CLD was screened by 5 successive times of experiment. In each time, 28 rats were randomly divided into 4 groups, 7 in each. Group 1 was treated with PBS as control, Groups 2-4 were treated separately with CLD and its various ingredients, the medication was started 5 days before and lasted to 8 days after modeling by peritoneal injection, 13 days totally. All the rats were killed 8 days after modeling to observe the effect of various drugs on proteinuria, morphological change of kidney and biochemical parameters.
RESULTSCLD, Xiaochaihu decoction, various combination of thorowax root and its extract (saikosaponin-d) could reduce urinary protein, inhibit the proliferation of mesangial cell and expansion of extracellular matrix.
CONCLUSIONCLD and its active ingredients had inhibition on mAb induced rat model of nephritis, the active is saikosaponin-d.
Animals ; Antibodies, Monoclonal ; Drugs, Chinese Herbal ; chemistry ; pharmacology ; Female ; Nephritis ; chemically induced ; pathology ; Oleanolic Acid ; analogs & derivatives ; pharmacology ; Proteinuria ; pathology ; Rats ; Rats, Wistar ; Saponins ; pharmacology
6.Effects of Qufengtongluo recipe on proteinuria and glomerular filtration membrane in rats with adriamycin-induced nephropathy.
Qiao-ya MA ; Wan-sen SUN ; Yan-yun REN ; Zhu WANG
Journal of Southern Medical University 2011;31(1):11-16
OBJECTIVETo assess the therapeutic effect of Qufengtongluo (QFTL) recipe against proteinuria and glomerular filtration membrane damage in rats with adriamycin-induced nephropathy (AN).
METHODSFifty-six SD rats were randomized into normal control (A) and AN model groups. In the AN model group, the rat AN models established by a single intravenous injection of adriamycin via the tail vein were subdivided into model (B), QFTL recipe (C), prednisone (D), and benazepril (E) groups 3 weeks after adriamycin injection. The 24-h urinary protein level was measured and the expression of anionic sites on the filtration membrane was evaluated using electron microscope with PEI staining. Nephrin expression on the glomerular filtration membrane was detected with indirect immunofluorescence assay.
RESULTSCompared with group A, the model group showed significantly increased level of 24-h urinary protein (P<0.01), suggesting successful establishment of the AN model. Treatment with QFTL recipe obviously lowered the 24-h urinary protein (P<0.01), and increased the expression of anionic sites and nephrin on the glomerular filtration membrane in the AN rats (P<0.01).
CONCLUSIONQFTL recipe can effectively decrease 24-h urinary protein, improve the symptoms, and up-regulate the expressions of anionic sites and nephrin on the glomerular filtration membrane in rats with AN.
Animals ; Doxorubicin ; Drugs, Chinese Herbal ; therapeutic use ; Glomerular Basement Membrane ; drug effects ; Male ; Nephrosis ; chemically induced ; drug therapy ; Phytotherapy ; Proteinuria ; drug therapy ; Random Allocation ; Rats ; Rats, Sprague-Dawley
7.Experimental study of chronic renal tubular-interstitial injury induced by Radix Aristolochiae Fangchi Extract in rats.
Gui-You DU ; Su-Juan ZHOU ; Yong ZHAO ; Hai-Feng CU ; Xiu-Rong WANG ; Li LI ; Yong-Qing XIAO ; Chun-Yun CAO ; Zi-Lun WU ; Shuang-Rong GAO ; Rong HE ; Lian-Qiang HUI ; Bao-Yan LIU
China Journal of Chinese Materia Medica 2005;30(19):1527-1532
OBJECTIVEFollowing the former report, we continue to observe the chronic renal tubular-interstitial injury induced by Radix Aristolochiae Fangchi Extract(RAFE) in rats in order to understand whether RAFE in different doses causes the renal tubular-interstitial injury or not.
METHODRAFE at the dose of 25.0 mg x kg(-1) x d(-1), 120.0 mg kg(-1) x d(-1) and 200.0 mg x kg(-1) x d(-1) and aristolochic acid (AA, 10.0 mg x kg(-1) d(-1)) was interruptedly administrated by gastric tube for 22 w and 4 w durg withdrawal. Blood, urine and kidney were taken out respectively in 17 w, 22 w and 26 w to measure the indexes of renal function. The morphology of kidney was observed, and Masson staining of kidney were made respectively to compare RAFE groups with AA group.
RESULTPathological changes of renal tissue forms were as follows: All RAFE groups and AA group could develop the pathological process of renal tubular injury-chronic renal interstitial fibrosis. The pathologic changes of RAFE were similar with AA.
CONCLUSIONRAFE at all doses administrated interruptedly by gastric tube above 13 w caused chronic renal tubulo-interstitium fibrosis. The renal injury in functions and tissue forms in rats were similar with AA closely. The results showed that AA was the main toxic composition of RAFE.
Animals ; Aristolochia ; chemistry ; toxicity ; Aristolochic Acids ; isolation & purification ; toxicity ; Blood Urea Nitrogen ; Body Weight ; drug effects ; Dose-Response Relationship, Drug ; Drugs, Chinese Herbal ; administration & dosage ; isolation & purification ; toxicity ; Female ; Fibrosis ; blood ; chemically induced ; pathology ; Kidney Tubules ; pathology ; Male ; Nephritis, Interstitial ; blood ; chemically induced ; pathology ; Plant Roots ; chemistry ; toxicity ; Plants, Medicinal ; chemistry ; toxicity ; Proteinuria ; chemically induced ; Rats ; Rats, Sprague-Dawley
8.Rifampicin-Induced Minimal Change Disease Is Improved after Cessation of Rifampicin without Steroid Therapy.
Dong Hyuk PARK ; Sul A LEE ; Hyeon Joo JEONG ; Tae Hyun YOO ; Shin Wook KANG ; Hyung Jung OH
Yonsei Medical Journal 2015;56(2):582-585
There are several reports to demonstrate that rifampicin, a major anti-tuberculosis agent, is associated with some adverse renal effects, with a few cases of rifampicin-induced minimal change disease (MCD). In the present case, a 68-year-old female presented with nausea, vomiting, foamy urine, general weakness and edema. She had been taking rifampicin for 4 weeks due to pleural tuberculosis. The patient had no proteinuria before the anti-tuberculosis agents were started, but urine tests upon admission showed heavy proteinuria with a 24-h urinary protein of 9.2 g/day, and serum creatinine, albumin, and total cholesterol levels were 1.36 mg/dL, 2.40 g/dL, and 283 mg/dL, respectively. MCD was diagnosed, and the patient achieved complete remission after cessation of rifampicin without undergoing steroid therapy.
Aged
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Antibiotics, Antitubercular/*adverse effects/therapeutic use
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Edema/etiology
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Female
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Humans
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Kidney Function Tests
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Kidney Glomerulus/pathology
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Nausea/etiology
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Nephrosis, Lipoid/*chemically induced/pathology
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Proteinuria
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Remission Induction
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Rifampin/*adverse effects/therapeutic use
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Treatment Outcome
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Tuberculosis, Pleural/*drug therapy
9.Renal expression of RANK-RANKL in a rat model of puromycin aminonucleoside nephropathy.
Zhonglin FENG ; Shuangxin LIU ; Wei SHI ; Houqin XIAO ; Xinling LIANG ; Xiaoying LIU ; Zhiming YE ; Suxia WANG ; Yongzheng LIANG ; Bin ZHANG ; Wenjian WANG ; Yanhui LIU ; Ping MEI ; Lixia XU ; Jianchao MA ; Yunfeng XIA
Journal of Southern Medical University 2014;34(1):65-69
OBJECTIVETo investigate RANK-RANKL expression in the kidneys of a rat model of puromycin aminonucleoside nephropathy (PAN).
METHODSThirty-six SD rats were randomly divided into PAN model group and normal control group. PAN was induced by a single intravenous injection of 100 mg/kg puromycin aminonucleoside. Serum creatinine and 24-hour urinary protein were measured on days 3, 7, and 14 after the injection, and renal pathologies were assessed with optical and immune transmission electron microscopy. The expression of RANK and RANKL in the kidneys was examined using reverse transcription-polymerase chain reaction (RT-PCR) and Western blotting.
RESULTSThe PAN model rats showed massive proteinuria and elevated serum creatinine on day 3, which peaked on day 7. RANK-RANKL protein and mRNA expressions in PAN model group was higher than those in the control group. In the PAN rats, RANK was expressed mainly on the top cell membrane and in the cytoplasm of renal podocytes with a significantly increased expression level compared with that in the control group.
CONCLUSIONThe PAN rat model shows aberrant RANK and RANKL expressions in the podocytes, indicating their contribution to podocyte injury in PAN.
Animals ; Creatinine ; blood ; Female ; Kidney ; drug effects ; metabolism ; Kidney Diseases ; chemically induced ; metabolism ; pathology ; Male ; Podocytes ; drug effects ; metabolism ; Proteinuria ; pathology ; Puromycin Aminonucleoside ; adverse effects ; RANK Ligand ; metabolism ; Rats ; Rats, Sprague-Dawley ; Receptor Activator of Nuclear Factor-kappa B ; metabolism
10.Effects of Radix Astragali and Fructus Corni on urinary protein pattern in nephropathy mice by microfluidic chip.
Li-ming HUANG ; Xiao-qiang SHI ; Heng LIANG
China Journal of Chinese Materia Medica 2007;32(13):1324-1328
OBJECTIVETo study the urinary protein patterns of nephropathy mice induced by dextran and the effects of aquesous extract of Fructus Corni (AEFC) and Radix Astragali (AERA).
METHODNephropathy model was established by administrated with dextran to mice. Some of the dextran treated mice were given AERA (20 g x kg(-1) x d(-1)) as AERA group, other mice were given AEFC (10 g x kg(-1) x d(-1)) as AEFC group. Some of the dextran treated mice were given water as model group, some normal mice as normal control group. After a 12 weeks' treatment, 24 hour urine of four groups was collected, respectively. Each urinary sample was divided into two parts, one was non-concentrated urine sample, another was used as concentrated urine sample. Two kinds of urinary sample of four groups were analyzed with microfluidic chips on Agilent 2100 Bioanalyzer instrument.
RESULTEach group's urinary protein patterns were obtained, more than 20 proteins were were detected. Compared with normal group, about five kinds of protein were found in urinary sample of model group, among which M > 43 x 10(3) proteins were increased. Compared with model group, significant treated-related protein's kind and quantitative changes in AERA treated group and AEFC group were found. Urinary protein kinds were reduced, especially certain the proteins (M > 50 x 10(3)) were significantly decreased approach to normal patterns. Non-concentrated urine samples' protein pattern mainly included were proteins (M=29, 32, 43, 52, 68, 76 x 10(3) and concentrated urine samples mainly included the proteins (M=22, 24, 32, 46 x 10(3)).
CONCLUSIONAERA and AEFC could reduce the urinary protein and made protein pattern different, which showed that radix astragali and fructus corni could play an important role in protecting renal function of nephropathy mice and finding the target protein markers related to AERA and AEFC effects on nephropathy mice.
Animals ; Astragalus membranaceus ; chemistry ; Cornus ; chemistry ; Dextrans ; Drugs, Chinese Herbal ; isolation & purification ; pharmacology ; Female ; Kidney ; drug effects ; physiopathology ; Male ; Mice ; Microfluidic Analytical Techniques ; methods ; Nephritis ; chemically induced ; metabolism ; urine ; Plants, Medicinal ; chemistry ; Proteinuria ; urine ; Proteomics ; methods