[Renal function in children after treatment of acute lymphoblastic leukaemia (ALL)]

Med Wieku Rozwoj. 2001 Jul-Sep;5(3 Suppl 1):43-54.
[Article in Polish]

Abstract

The aim of the study was to evaluate the renal function (on the basis of serum: cystatin C, creatinine, beta2-microglobulin(B2M) levels, creatinine and cystatin C clearance, and urine osmolality) in 37 children with ALL (acute lymphoblastic leukaemia) after completing intensive treatment (9 in course of maintenance therapy), depending on nephrotoxic antibiotics use (</=3 times vs > 3 times) and methotrexate dose (1.0 g/m2 vs 5g/m2). The control group was formed by 15 healthy children.

Results: 1) Serum cystatin C, creatinine, beta2-microglobulin levels creatinine and cystatin C clearance, and urine osmolality were similar in the analysed and control groups. 2) We did not find any differences between the analyzed parameters in the groups of children: a) in maintenance therapy and after the end of the therapy, b) received methotrexate in the dose of 5.0 g/m2 vs 1.0 g/m2, c) not treated children and treated </= 3 times and gt; 3 times with nephrotoxic antibiotics.

Conclusion: The renal function is normal after completion of antileukaemic therapy in spite of previous use of nephrotoxic drugs.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Antineoplastic Agents / therapeutic use
  • Case-Control Studies
  • Child
  • Creatinine / blood
  • Cystatin C
  • Cystatins / blood
  • Female
  • Glomerular Filtration Rate / drug effects
  • Humans
  • Kidney / drug effects
  • Kidney / physiopathology*
  • Kidney Function Tests
  • Male
  • Osmolar Concentration
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / blood*
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / drug therapy
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / physiopathology
  • Urine / chemistry
  • beta 2-Microglobulin / blood

Substances

  • Antineoplastic Agents
  • CST3 protein, human
  • Cystatin C
  • Cystatins
  • beta 2-Microglobulin
  • Creatinine