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Updated: Jan 31, 2026

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Published on: September 8, 2017
Nephrotoxicity of recent anti-cancer agents
1University Hospital , 185, De Pintelaan, Gent 9000 , Belgium.
Abstract:
Cancer patients may develop a variety of kidney lesions that impair not only their immediate survival but also limit the adequate treatment of the underlying malignant process. This review summarizes the nephrotoxic potential of some of the most recently developed anti-cancer drugs, focusing on those interfering with the vascular endothelial growth factor and epidermal growth factor receptor pathways and mammalian target of rapamycin inhibitors. Thrombotic microangiopathy (haemolytic-uraemic syndrome), proteinuria, hypertension and magnesium depletion are the most common side effects. Also the risk for developing acute kidney injury in patients with advanced prostate cancer undergoing androgen deprivation therapy is discussed.
Insights
New cancer drugs can harm kidneys, causing side effects like kidney injury and high blood pressure. This review details kidney risks from targeted cancer therapies and androgen deprivation therapy.
Area of Science:
- Nephrology
- Oncology
- Pharmacology
Background:
- Cancer treatments can cause kidney damage, impacting patient survival and treatment efficacy.
- Emerging anti-cancer drugs, particularly targeted therapies, present unique nephrotoxic risks.
- Kidney complications are a significant concern in patients undergoing cancer therapy.
Purpose of the Study:
- To review the nephrotoxic potential of novel anti-cancer drugs.
- To focus on drugs targeting vascular endothelial growth factor (VEGF) and epidermal growth factor receptor (EGFR) pathways.
- To discuss mammalian target of rapamycin (mTOR) inhibitors and their renal side effects.
Main Methods:
- Literature review of recent anti-cancer drug nephrotoxicity.
- Analysis of side effect profiles for VEGF/EGFR inhibitors and mTOR inhibitors.
- Examination of acute kidney injury risk in prostate cancer patients on androgen deprivation therapy.
Main Results:
- Common side effects include thrombotic microangiopathy (haemolytic-uraemic syndrome), proteinuria, hypertension, and hypomagnesemia.
- Targeted therapies and mTOR inhibitors are associated with specific kidney lesions.
- Androgen deprivation therapy increases the risk of acute kidney injury in advanced prostate cancer.
Conclusions:
- Understanding the nephrotoxicity of modern cancer drugs is crucial for patient management.
- Monitoring kidney function and managing side effects are essential for patients on these therapies.
- Further research is needed to mitigate renal complications associated with cancer treatment.
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