Mesh : Humans Tenofovir / adverse effects therapeutic use analogs & derivatives Alanine / adverse effects therapeutic use Male Anti-HIV Agents / adverse effects therapeutic use HIV Infections / drug therapy complications Adenine / analogs & derivatives adverse effects therapeutic use Female Fanconi Syndrome / chemically induced Adult Middle Aged

来  源:   DOI:10.1097/QAD.0000000000003916

Abstract:
Twenty-eight individuals who experienced proximal renal tubulopathy (PRT, Fanconi syndrome) while receiving tenofovir disoproxil initiated tenofovir alafenamide (TAF) and were followed for 5 years. None developed recurrent PRT or experienced significant changes in estimated glomerular filtration rate (by creatinine or cystatin-C), albuminuria, proteinuria, retinol-binding proteinuria, fractional excretion of phosphate, alkaline phosphatase, or bone mineral density at the lumbar spine. These data suggest that TAF is a well tolerated treatment option for individuals vulnerable to developing PRT.
摘要:
28例患有近端肾小管病的患者(PRT,范可尼综合征)在接受替诺福韦酯时开始替诺福韦艾拉酚胺(TAF)并随访5年。无一例发生复发性PRT或估计肾小球滤过率发生显著变化(根据肌酐或胱抑素C),白蛋白尿,蛋白尿,视黄醇结合性蛋白尿,磷酸盐的排泄分数,碱性磷酸酶,或腰椎的骨密度。这些数据表明,TAF对于易发生PRT的个体是一种耐受性良好的治疗选择。
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