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Anticancer Efficacy of Photodynamic Therapy with Lung Cancer-Targeted Nanoparticles
Published on: December 1, 2016
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.
Abstract:
Lung cancer is the leading cause of cancer-related death worldwide, especially non-small cell lung cancer. Early diagnosis and better treatment choices have already provided a more promising prognosis for cancer patients. In targeted therapy, antagonists target specific genes supporting cancer growth, proliferation and metastasis. With the incorporation of targeted therapies in routine cancer therapy, it is imperative that the array of toxicities associated with these agents must be well-recognized and managed, especially since these toxicities are distinct from those seen with conventional cytotoxic agents. Drug-related nephrotoxicity has attracted attention when initiating cancer therapy. Our review aims to summarize the adverse renal effects caused by targeted therapy during lung cancer treatment, mainly focusing on EGFR and ALK tyrosine kinase inhibitors. Also, we discuss the possible mechanism of the side effect and provide managements to help improve the renal function in clinical practice.
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.
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