Nephrotoxicity of targeted therapy used to treat lung cancer

Qiuling Li1, Jieshan Lin1,2, Guojun Hao1

  • 1Department of Nephrology, Blood Purification Center, Zhongshan People's Hospital, Zhongshan, China.

PubMed

Insights

Targeted therapies for lung cancer, particularly EGFR and ALK inhibitors, can cause kidney damage (nephrotoxicity). This review details these adverse renal effects and management strategies for improving kidney function in patients.

Area of Science:

  • Oncology
  • Nephrology
  • Pharmacology

Background:

  • Lung cancer, particularly non-small cell lung cancer, remains a leading cause of cancer mortality globally.
  • Targeted therapies offer improved prognoses by inhibiting specific cancer-promoting genes, but present unique toxicities.
  • Drug-related nephrotoxicity is an emerging concern in cancer treatment.

Purpose of the Study:

  • To review the adverse renal effects of targeted therapies in lung cancer.
  • To focus on toxicities associated with Epidermal Growth Factor Receptor (EGFR) and Anaplastic Lymphoma Kinase (ALK) tyrosine kinase inhibitors.
  • To discuss potential mechanisms of nephrotoxicity and propose clinical management strategies.

Main Methods:

  • Literature review of studies on targeted therapy-induced nephrotoxicity in lung cancer.
  • Analysis of adverse event data related to EGFR and ALK inhibitors.
  • Synthesis of information on renal side effect mechanisms and management.

Main Results:

  • Targeted therapies, especially EGFR and ALK inhibitors, are associated with various adverse renal effects.
  • Understanding the specific mechanisms of these toxicities is crucial for effective management.
  • Early recognition and appropriate interventions can help mitigate kidney damage.

Conclusions:

  • Adverse renal effects from targeted lung cancer therapies require careful monitoring and management.
  • Specific management strategies can improve renal function and patient outcomes.
  • Further research into the mechanisms and prevention of drug-induced nephrotoxicity is warranted.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.5K
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.6K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists01:28

Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists

Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy.  SP binds and activates...
158