Beta-2-microglobulin excretion: an indicator of long term nephrotoxicity during cis-platinum treatment?
Research output: Contribution to journal › Journal article › Research › peer-review
To evaluate the value of beta-2-microglobulin as an indicator of acute and long-term cis-platinum-induced nephrotoxicity, 51Cr-EDTA clearance and serum concentration and urinary excretion of beta-2-microglobulin were measured in 18 patients treated with a regimen including cis-platinum. Before treatment all values were within the normal range. During treatment 51Cr-EDTA clearance decreased from 108 to 90 ml/min/1.73 m2 (P less than 0.02). The decrease was irreversible, while a transient 2 to 5-fold increase in beta-2-microglobulin excretion in the urine was seen during treatment. Serum beta-2-microglobulin remained unchanged. The decrease in 51Cr-EDTA clearance was not correlated to either the peak increase in the beta-2-microglobulin excretion or to the time of occurrence of the peak (R = 0.3). Thus, it is not possible to predict the long-term nephrotoxicity of cis-platinum by measuring the beta-2-microglobulin excretion during treatment.
Original language | English |
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Journal | Cancer Chemotherapy and Pharmacology |
Volume | 14 |
Issue number | 3 |
Pages (from-to) | 247-9 |
Number of pages | 2 |
ISSN | 0344-5704 |
Publication status | Published - 1985 |
Bibliographical note
Keywords: Adolescent; Adult; Cisplatin; Edetic Acid; Glomerular Filtration Rate; Humans; Kidney; beta 2-Microglobulin
ID: 8746829